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What is Dilaudid? Dilaudid (hydromorphone) is an opioid pain medication. An opioid is sometimes called a narcotic. Buy Dilaudid Online is used to treat moderate to severe pain. Dilaudid may also be used for purposes not listed in this medication guide. Uses This medication is used to help relieve moderate to severe pain. Hydromorphone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. Dosage for Dilaudid Immediate-release tablets: Take 2 to 4 mg tablets by mouth every 4 to 6 hours as needed. Increase to 8 mg after careful observation and if needed to control pain. Extended-release tablets: Start after discontinuation of all other opioid extended-release tablets. Dosed once-daily, individualized based on prior opioid therapy. Injections: Give 1 to 2 mg intramuscularly or subcutaneously every 2 to 3 hours as needed. Give 0.2 to 1 mg intravenously over 2 to 3 minutes every 2 to 3 hours as needed. Oral soluti