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hydromorphone 2 mg. Pill with imprint K 4 is Yellow, Round and has been identified as Dilaudid 4 mg. It is supplied by Knoll Pharmaceutical Company.
Dilaudid is used in the treatment of chronic pain; pain; cough and belongs to the drug class narcotic analgesics. Risk cannot be ruled out during pregnancy. Dilaudid 4 mg is classified as a Schedule 2 controlled substance under the Controlled Substance Act (CSA).
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Users of hydromorphone may experience painful symptoms if the drug is suspended. Some people cannot tolerate the symptoms, which results in continuous drug use. Symptoms of opioid withdrawal are not easy to decipher, as there are differences between drug-seeking behaviors and true withdrawal effects. Symptoms associated with hydromorphone withdrawal include:
- Abdominal pain
- Anxiety or panic attacks
- Goose bump skin
- Inability to enjoy daily activities
- Muscle and joint pain
- Runny nose and excessive secretion of tears
In the clinical setting, excessive secretion of tears, yawning, and dilation of pupils are helpful presentations in diagnosing opioid withdrawal. Hydromorphone is a rapid acting pain killer; however, some formulations may last up to several hours. Patients who stop taking this drug abruptly may experience withdrawal symptoms, which may start within hours of taking the last dose of hydromorphone, and last up to several weeks. Withdrawal symptoms in people who stopped taking the opioid may be managed by using opioids or non-opioid adjuncts. Methadone is an opioid commonly used for this kind of therapy. However, the selection of therapy should be tailored to each specific person. Methadone also is used for detoxification in people who have opioid addiction, such as heroin or drugs similar to morphine. It may be given orally or intramuscularly. There is controversy regarding the use of opioids for people experiencing withdrawal symptoms, since these agents also may cause relapse on patients when they suspend therapy. Clonidine is a non-opioid adjunct, which may be used in situations where opioid use is not desired, such as in patients with high blood pressure.