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Does Dilaudid increase pressure in the brain?

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Posted on Wed, 24 Aug 2016
Question: is it true that dilaudid increases pressure in the brain?
doctor
Answered by Dr. Neeraj Kumar (31 minutes later)
Brief Answer:
Yes, it causes raised csf pressure

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Dilaudid causes respiratory depression which leads to carbon dioxide retention further leading to raised csf pressure. This rise in csf (Cerebro spinal fluid ) pressure is dangerous in cases with head injury.
Respiratory depression is more common in elderly.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Neeraj Kumar (20 minutes later)
okay some of the emergency room doctors are using it for headaches and another emergency room doctor for a nine out of ten headache told me that it raises inter-cranial pressure which is why they won't give it for that kind of reason so I guess it's an individual basis based on the doctor but I was curious for myself or they're not that doctor was actually correct on raising inter-cranial pressure or if it was not true and just did not feel comfortable prescribing
doctor
Answered by Dr. Neeraj Kumar (3 minutes later)
Brief Answer:
Drug is given according to need and patient profile

Detailed Answer:
Hello,
Opioid is avoided as such in most situations and is administered only if pain is not controlled by other medications.
In cases related to cns where suspected raised pressure is present, it is avoided.
It should not be given in head injury, stroke or idiopathic intracranial hypertension.
Hope you found the answer helpful.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Answered by
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

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Does Dilaudid increase pressure in the brain?

Brief Answer: Yes, it causes raised csf pressure Detailed Answer: Hello, I have gone through your question and understand your concerns. Dilaudid causes respiratory depression which leads to carbon dioxide retention further leading to raised csf pressure. This rise in csf (Cerebro spinal fluid ) pressure is dangerous in cases with head injury. Respiratory depression is more common in elderly. Hope you found the answer helpful. Do get back to me for further queries. Regards Dr N Kumar Neurologist