How Long Does Dilaudid Stay In Your System?

The duration of Dilaudid depends on the form of the drug used. Some are fast-acting and have an almost immediate onset…

How Long Does Dilaudid Stay In Your System?

How Long Does Dilaudid Stay In Your System? The duration of Dilaudid depends on the form of the drug used. Dilaudid, or its parent drug hydromorphone, is available in various dosage forms. Some are fast-acting and have an almost immediate onset, which means their effects last longer. Although they all refer to the same drug, it is essential to note that not all of them are sold under the Dilaudid label.

Dilaudid is available in a variety of forms, including:

  • Quick-Acting Oral Liquid: The highest drug levels in the blood occur between 30-60 minutes after administration.
  • Quick-Acting Oral Tablet: The maximum drug concentration in the blood takes 30-60 minutes.
  • Quick-Acting Injection:  Injection that starts working in 15 minutes and lasts for more than 5 hours
  • Quick-Acting Suppository: Acts slightly longer than other forms and can last up to 8 hours.
  • Long-Acting Oral Tablet: The onset can take up to 8 hours, and the maximum amount of drug in the blood is reached after 16 hours. Dilaudid’s peak

According to the US Food and Drugs Administration (FDA), Dilaudid has been reported as being abused by crushing, chewing, snorting, or injecting the dissolved product. These practices pose a significant risk to the abuser that could result in overdose or death. In addition, it may be expected to have additive effects when used with alcohol, other opioids, or illicit drugs that cause central nervous system depression.

What is Dilaudid?

Dilaudid is the brand name of the generic drug hydromorphone. It is a Schedule II controlled substance and a narcotic painkiller prescribed to treat moderate to severe pain. Dilaudid comes in tablet form, oral solutions, injectable forms, and rectal suppositories. Moreover, these drugs can cause physical dependence.

This means that a person relies on the drug to prevent withdrawal symptoms. Over time, more of the drug is needed for the same effect. This is called drug tolerance. The body needs time to recover when the person stops taking the drugs. This causes withdrawal symptoms and can cause dangerous complications, such as vomiting. Dilaudid detox from an inpatient drug rehab can prevent these outcomes and provide immediate care if complications arise.

Dilaudid is a strong prescription pain drugs that contains an opioid (narcotic) that is used to manage pain severe enough to require an opioid analgesic, when other pain treatments such as non-opioid pain medicines do not treat your pain well enough or you cannot tolerate them. It belongs to a class of drugs called opioid analgesic or opioid pain medicine that can put you at risk for overdose and death. Even if you take your dose correctly as prescribed, you are at risk for Dilaudid addiction, abuse, and misuse that can lead to death.

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Why is Dilaudid so Addictive?

Dilaudid is an opioid pain medication that is eight times stronger than morphine. It produces a strong pain-relieving analgesic effect and a pleasurable euphoric high similar to that of heroin within 15 minutes of administration, and the effects can last as long as six hours. Users quickly become tolerant to the drug, requiring larger, more frequent doses to achieve the same effect.

In just two weeks, users can become so physically dependent on Dilaudid that they experience withdrawal symptoms if they go for more than 12 to 24 hours between doses. Fear of withdrawal symptoms and desire for hydromorphone’s euphoric effects quickly creates a psychological addiction, leading to severe Dilaudid addiction and abuse in a very short amount of time. Professional Dilaudid addiction detox may be required for people experiencing withdrawal discomforts.

Why is Dilaudid Prescribed?

Like other opioid medications, Dilaudid is primarily used for pain relief. Opioids work by physically blocking the pain signals that reach the brain by decreasing the intensity of pain and improving the patient’s emotional response to it. Because the source of the pain can vary depending on each patient’s circumstances, Dilaudid may be prescribed to some people and not to others.

The World Health Organization (WHO) recommends that physicians use a three-step ladder for managing pain with opioids like Dilaudid. First, non-opioid, over-the-counter medications like aspirin, ibuprofen, and acetaminophen are used to control the patient’s discomfort. If these drugs prove ineffective, mild opioids like codeine are prescribed. If this still does not do enough to relieve the patient’s pain, potent opioids like oxycodone and Dilaudid are prescribed.

Dilaudid may be prescribed to patients recovering from cancer, major surgeries, or conditions that involve chronic pain. Before taking Dilaudid, it’s important that you talk to your doctor about your medical history to accurately evaluate if Dilaudid is safe for you.

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Dilaudid Side Effects

Using Dilaudid, even on a short-term basis, can result in many side effects. The most common side effects of hydromorphone include:

  • Impaired coordination
  • Urinary retention
  • Difficulty falling or staying asleep
  • Appetite loss
  • Incrementally heightened sensitivity to pain
  • Excessive sweating
  • Itching
  • Changes in blood pressure
  • Slowed breathing rate
  • Heart rate changes
  • Headache
  • Confusion
  • Anxiety
  • Dry mouth
  • Constipation
  • Constricted pupils
  • Nausea
  • Vomiting
  • Stomach pain
  • Dizziness
  • Lightheadedness

Long-Term Effects

Using Dilaudid on a long-term basis can result in many serious physical and psychological health problems, as well as social and legal problems in one’s life. Some of the many recognized long-term effects of abusing Dilaudid include:

  • Infections and diseases from needle sharing (HIV, hepatitis, etc.)
  • Track marks on arms and/or legs
  • Frequent mood swings
  • Anxiety
  • Depression
  • Social isolation
  • Impaired relationships
  • Increased legal problems
  • Reckless behavior
  • Possibility of injury while intoxicated (e.g., driving under the influence)
  • Poverty or financial problems due to drug use
  • Eventual transition to other drugs like heroin

Dilaudid Statistics

The 2016 National Survey on Drug Use and Health (NSDUH) reported that among the 2.5 million and 2.1 million individuals aged 12 and older who used hydromorphone products in 2015 and 2016, 261,000 and 239,000 misused the hydromorphone products within the same year


By 2010, the United States accounted for 65 percent of the world’s Dilaudid consumption.

Source: Addiction Center

8 times

Dilaudid is approximately 8 times more potent than Morphine.

Source: Addiction Center

Dilaudid Drug Fact


Brand name: Dilaudid


It can treat moderate to severe pain.

Dilaudid Is A Controlled substance

High risk for addiction and dependence. Can cause respiratory distress and death when taken in high doses or when combined with other substances, especially alcohol or other illicit drugs such as heroin or cocaine.

Learn more on

Hydromorphone / Dilaudid

Brands: Exalgo ER

Prescription needed

Pregnancy: Consult a doctor

Alcohol: Avoid. Very serious interactions can occur

Drug class: Opioid

Common Dilaudid Side Effects:

Euphoria, relaxation, sedation, and reduced anxiety. It may also cause mental clouding, changes in mood, nervousness, and restlessnessConstipation, nausea, vomiting, impaired coordination, loss of appetite, rash, slow or rapid heartbeat, and changes in blood pressure.

Dilaudid Interactions

Some products that may interact with Dilaudid. These include: certain pain medications (mixed opioid agonists/antagonists such as butorphanol, nalbuphine, pentazocine), cimetidine, drugs that slow down the movement of the gut (such as belladonna alkaloids, oxybutynin), naltrexone, samidorphan.

Hydromorphone / Dilaudid Warnings

Using too much hydromorphone may cause an overdose, which can be life-threatening. Symptoms of an overdose include: extreme dizziness or weakness, slow heartbeat or breathing, seizures, trouble breathing, and cold, clammy skin. . In case of an overdose, call your 911 right away.

Drugs that have similar effects include:

• Heroin, morphine, hydrocodone, fentanyl, and

How is Dilaudid abused?

Users abuse hydromorphone tablets by
taking more than the recommended dose and or using the drug without a prescription. Injectable solutions, as well as tablets, are crushed and dissolved in a solution and injected as a substitute for heroin.

How Long Does Dilaudid Stay In Your System? The terminal elimination half-life of hydromorphone (Dilaudid) after an intravenous dose is about 2.3 hours.
How Long Does Dilaudid Stay In Your System? The terminal elimination half-life of hydromorphone (Dilaudid) after an intravenous dose is about 2.3 hours.

How Long Does Dilaudid Stay In Your Urine?

Dilaudid can be detected in urine tests two to four days after use. However, if you only took one dose of Dilaudid, it may not appear in your urine for 11-24 hours after ingestion.

How Long Does Dilaudid Stay In Your Blood?

Dilaudid remains in the urine for several days, usually between five and eight days. Some factors may have an impact on this. Dilaudid and other drugs, for example, may linger longer in alkaline urine than in more acidic or pH-balanced urine. Many factors, such as a bacterial infection or a diet high in vegetables and fiber, can cause someone to have more alkaline urine.

Individuals should be advised not to tamper with the pH level of their urine to pass a drug test. Administrators view unusual urine pH levels as a red flag that someone is attempting to “cheat” a drug test.

Effects of Dilaudid Addiction

As an opiate painkiller, Dilaudid effects will likely include euphoria, drowsiness, constipation, difficulty urinating, nausea, vomiting, and suppressed ability to breathe. If a person continues to abuse Dilaudid, the further effects of this drug are likely to include addiction, depression, guilt, track marks up and down the arms and legs, intense cravings for the drug, and a dread of the withdrawal sickness that will result from not having the drug to abuse.

Dilaudid is a strong painkiller of the opiate class. Each formulation of drugs in this class—oxycodone, hydrocodone, oxymorphone, fentanyl, methadone, and others—has slight differences from the others. Some are stronger than others, some will last longer and others will take effect more quickly. Dilaudid is a strong painkiller that is often used after surgery. When a person wants to abuse it, he (or she) will not get the desired high if he ingests or snorts it. Dilaudid only creates the desired euphoric effect if it is injected intravenously. This characteristic means that many abusers inject the drug after crushing and dissolving the pills.

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What Are The Most Typical Dilaudid Side Effects?

Dilaudid Side Effects Include:

  • Nausea, vomiting, constipation, sweating, flushing, or dry mouth.
  • Constipation. To prevent constipation consult with a healthcare professional and consider consuming more fiber, drinking more water, and exercising.
  • Dizziness, lightheadedness, and drowsiness. To decrease the risk of lightheadedness and falling, get up gradually when rising from a seating or lying position.
What Are the Common Long-Term Effects Of Taking Dilaudid?

If taken regularly for a long time, hydromorphone or Dilaudid side effects can induce physical dependence and addiction to the drug. This means your body becomes more and more tolerant of the drug requiring an every increasing dose to function. Eventually higher doses to get the same pain relief lead to reliance and addiction to the drug. You may feel Dilaudid withdrawal symptoms when you stop taking the drug.

How long Does Dilaudid Pain Medication Last For?

The painkiller activity generally lasts for better than 5 hours. Similar to other opioids, hydromorphone or Dilaudid produces euphoria or feelings of peace, diminished anxiety, respiratory depression, sedation, papillary constriction, and even cough suppression.

How Strong Is Dilaudid For Pain Relief?

Dilaudid is approximately eight times stronger than morphine. The drug Dilaudid is a highly powerful opioid painkiller that should only be dispensed to people who have shown that they can tolerate opioid medications.

How Long Does Dilaudid Stay In System?

The terminal elimination half-life of hydromorphone (Dilaudid) after an intravenous dose is about 2.3 hours.

How Long is Dilaudid Stay In Your System

The analgesic action of Dilaudid is perceived within 15 and 30 minutes following its administration through injection and oral routes, respectively. The analgesic action usually lasts for more than 5 hours.

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Dilaudid Abuse Treatment

After completing the Dilaudid detox program, clients may choose to continue their addiction treatment with inpatient treatment for Dilaudid addiction. Research shows that this amount of time provides more positive treatment results than programs that only last 30 or 60 days.

While Dilaudid detox manages physical addiction, Inpatient treatment is developed to address the addiction of the mind. While in rehab for Dilaudid addiction, clients will work with licensed counselors, therapists, and peers in recovery to unearth the root causes of their addiction. They will also spend time addressing the harmful behaviors that contributed to their Dilaudid addiction and developing healthier behaviors and attitudes about substance abuse and life in general.

Inpatient drug rehab plays an important role in the recovery process, as it provides clients with time to:

  • Adopt valuable life skills
  • Learn about the disease of addiction
  • Spend time away from environmental triggers, drugs, and alcohol
  • Work through each step of the 12-step program
  • Learn about relapse prevention

All of these things will help clients overcome Dilaudid addiction for good and learn how to live life sober with ongoing peer support.

Find the Right Dilaudid Detox Treatment Plan at We Level Up NJ

Dilaudid detox
How Long Does Dilaudid Stay In Your System? Rehab will help you overcome Dilaudid side effects and withdrawal symptoms and develop healthy strategies for avoiding relapse.

We need to be transparent about the topic of Dilaudid detox. It will not be an easy process. A person will likely experience many different side effects from their drug use. These side effects may be emotional, physical, or mental. Someone in withdrawal will likely share many uncomfortable feelings and negative thoughts about life during the detox process. Unfortunately for those with dependency, Dilaudid detox is an unavoidable first step to recovery.

Please, do not try to detox on your own. The Dilaudid detox process can be painful and difficult without medical assistance. Getting through the detox process is crucial for continued treatment.

Here at We Level Up NJ, we provide proper care with round-the-clock physicians available to assist your recovery medically. Reclaim your life; call us to speak with one of our treatment specialists. Our counselors know what you are going through and will answer any of your questions.

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