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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Take Hydromorphone For Cancer Pain?

My husband is taking hyddromorphone Hal 2mg tablets for cancer pain. He is now starting today fentanyl 12mcg/hr patch myl. He is in incredible pain, the patch has only been on eight hours. Can he take the hyddromorphone to help with the pain, until the patch starts to work.
Thu, 18 Dec 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
Terminal stage cancer pain is very excruciating in nature. Routine painkillers will not work.
We need to give centrally acting pain killers.
And fentanyl patch is excellent in cancer pain. Its action starts in 6-7 hours and last for 72 hours.
So you can definitely take other centrally acting pain killers like hydromorphone till fentanyl starts its effect.
So no harm in giving hydromorphone with fentanyl patch.
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Is It Safe To Take Hydromorphone For Cancer Pain?

Thanks for your question on HCM. I can understand your situation and problem. Terminal stage cancer pain is very excruciating in nature. Routine painkillers will not work. We need to give centrally acting pain killers. And fentanyl patch is excellent in cancer pain. Its action starts in 6-7 hours and last for 72 hours. So you can definitely take other centrally acting pain killers like hydromorphone till fentanyl starts its effect. So no harm in giving hydromorphone with fentanyl patch.