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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Proper Method Of Medication For Hydromorphone?

my parent is after fracture of lower femur less then 2 weeks ago and is on 400 mg tramadol for pain + has hydromorhone 4 mg for breakthrough pain. We were not instructed how to start hydromorphone, whether to titrate or go directly to 4 mg. I think in hospital she had 2 mg but I am not sure. if 4 Mg an ok starting dose in addition to tramadol as a baseline medicine?
Fri, 12 Aug 2016
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General & Family Physician 's  Response
Hello. One 4mg hydromorphone every 6 hours as needed for severe pain is a proper dosage for her. But if the tramadol alone relieves most of her pain she doesn't need to take the hydromorphone
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What Is The Proper Method Of Medication For Hydromorphone?

Hello. One 4mg hydromorphone every 6 hours as needed for severe pain is a proper dosage for her. But if the tramadol alone relieves most of her pain she doesn t need to take the hydromorphone