FormWeb • HYDROmorphone

Huntsville Hospital

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Medications not yet evaluated by P&T are considered NON-FORMULARY . . . . . Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step! . . . . . Please be sure to document all clinical activities daily.

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

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HYDROmorphone

HYDROmorphone

Formulary Narcotic - Oral Formulary
Formulary Narcotic Liquids Formulary

Drug Name	Form	Strength
Dilaudid	LIQUID, ORAL	1 mg/mL
Dilaudid	SOLUTION, INJECTABLE	1 mg/mL, 2 mg/mL, 4 mg/mL, 10 mg/mL
Exalgo	TABLET, EXTENDED RELEASE, ORAL	8 mg, 12 mg, 16 mg
Dilaudid, Hydrostat IR	TABLET, ORAL	2 mg, 4 mg, 8 mg

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Comments:

Exalgo medication guide

HYDROmorphone extended release tablets medication guide

Dilaudid dose-capping at 0.5 -- 1 mg for initial orders --> DILAUDID Dose Interchange Process

Convert EXALGO to immediate release DILAUDID tablets at same total daily dose, with dose divided into 4-6 times daily. Should be around-the-clock dosing.

Pharmacist information for *HIGH* dose Dilaudid PCA

Reviewed: June 24, 2010 (EXALGO)

REMS (Exalgo, HYDROmorphone ER tablet): View FDA REMS Info

Last updated: Feb. 13, 2024

Black Box Warning: Injection: Respiratory depression risk; abuse potential
Black Box Warning: Injection, High Potency: Opioid-tolerant patients only; Respiratory depression risk; abuse potential
Black Box Warning: Oral, extended release: Opioid-tolerant patients only; overdose risk; abuse potential
Black Box Warning: Oral, liquid & tablets: Abuse potential; respiratory depression; neonatal withdrawal; alcohol interaction

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