Dealing with chronic and acute pain can be a tremendous challenge, especially if conventional means are ineffective. Dilaudid, a brand name of hydromorphone, is a powerful opioid analgesic that is indicated for pain of moderate to severe intensity that is unresponsive to less powerful medications. Derived from morphine, Dilaudid acts by binding to opioid receptors in the brain, which blocks pain pathways and provides rapid analgesia – usually in 30 minutes or less in oral forms. Dilaudid is available in immediate-release tablets (2mg and 4mg) that provide rapid action, or extended-release tablets (8mg) intended for pain that continues throughout the day. Dilaudid can be particularly helpful in situations like post-operative pain, cancer pain, or pain from an injury. That being said, safety first, always begin with the lowest dose under supervision of your prescriber physician to minimize risks, including respiratory depression or other adverse effects that can produce catastrophic events. Respiratory depression can be deadly, especially within the first 72 hours of initiating and escalating the doses. The popular side effects include drowsiness, nausea, constipation, dizziness, and other features of sedation. For discomfort with these side effects consider hydration, increasing fiber, and or stool softeners to treat constipation or nausea. Never drink alcohol or take another CNS depressant with this medication. Mixing the two provides no benefit and may potentiate respiratory depression risks. If you have significant polypharmacy stress, as in patients with liver or kidney problems, or history of problematic substance use or addiction, developing a plan with alternatives may be wise. Lastly, for a valid prescription (to buy legally), do not buy from online ‘pharmacies’ or websites where prescriptions are not required, strongly it may be a counterfeit, and we talked about this earlier in the article.When buy Dilaudid online, choose a licensed pharmacy with discreet delivery for privacy and a money-back guarantee on authenticity. You should also consider discussing the appropriate dosage with your doctor. Dosage for Dilaudid typically ranges between 2-4mg every 4-6 hours as needed.