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Hydromorphone ER

When and How to Take Hydromorphone ER

Some general considerations to keep in mind during treatment with hydromorphone ER include the following:
  • The medication comes in extended-release tablet form. It is taken by mouth once a day, every day. It is not meant to be taken "as needed" (at unscheduled times only when needed for pain).
  • You can take hydromorphone ER with food or on an empty stomach. If it bothers your stomach, try taking the tablets with food.
  • Never crush, chew, or dissolve the tablets, as this would release a dangerous amount of hydromorphone. Never take a tablet that appears damaged in any way.
  • For the medication to work properly, it must be taken as prescribed. Do not increase your dose without your healthcare provider's approval. Do not suddenly stop taking hydromorphone ER, especially if you have taken it regularly for more than a few days (see Exalgo Withdrawal).

How Should This Medication Be Stored?

Hydromorphone ER tablets should be stored at room temperature, away from moisture and heat. Keep this and all other medications out of the reach of children. Because this medication is a highly desired drug of abuse, make sure to keep it in a safe place. Dispose of any unused tablets by flushing them down the toilet.

What Should I Do If I Miss a Dose?

If it is almost time for your next dose, it may be best to simply skip the one you missed and continue with your regular schedule. However, if it is a while until your next scheduled dose, it may be a good idea to take your missed dose as soon as possible in order to prevent excessive pain. However, you will then need to adjust your normal schedule for taking the medication so that you do not take the next dose too soon.
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