Maybe I can help with this. I have been taking hydromorphone (hydromorph contin) and dilaudid for quite a few years. Hydromorphone is a time release form of dilaudid. Hydromorphone comes in various strengths up to 30 mg. per capsule. Dilaudid is a short acting opiate that comes in various strengths up to 8 mg. per tablet. A 4 mg. tablet of dilaudid is a common dose for breakthrough pain. Take one two or three as needed. I find this to be an excellent drug for pm.
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