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NetWellness is a global, community service providing quality, unbiased health information from our partner university faculty. NetWellness is commercial-free and does not accept advertising.
Sunday, May 19, 2013
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NetWellness is a global, community service providing quality, unbiased health information from our partner university faculty. NetWellness is commercial-free and does not accept advertising.
Sunday, May 19, 2013
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Pain Management |
Pain Pump for Pain Management10/23/2008 |
I recently had an intracauthal pain pump inserted to manage my pain and the medication in my pump is Dilaudid. I am on 1.3 milligrams a day. Is this a high dose?
"High dose" is a relative term. In general, Dilaudid is a more potent opioid than Morphine and may be safer. A consensus guideline paper recommends not exceeding 4 mg of dilaudid intrathecally per day. However, using the minimum dose that results in pain relief is the safest approach. Younger patients may get tolerance to narcotics faster and more often than older patients. Often, a second drug is added intrathecally to achieve better pain relief and mitigate increasing the narcotic.
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Salim M Hayek, MD, PhD Associate Professor of Anesthesiology & Perioperative Medicine School of Medicine Case Western Reserve University |
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