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Precautions and Warnings With Hydromorphone ER

You may not be able to safely use hydromorphone ER if you have certain medical conditions, such as low blood pressure, lung disease, or kidney disease. Other precautions and warnings with hydromorphone include the danger of becoming addicted to the medication, the safety of taking it when pregnant or breastfeeding, and potential drug interactions.

What Should I Tell My Healthcare Provider?

Prior to taking hydromorphone ER (Exalgo™), tell your healthcare provider if you have:
  • Gallbladder or pancreas disease
  • Narrowing of the digestive tract, often due to:
    • Esophageal strictures
    • "Short gut" syndrome
    • Inflammatory bowel disease
    • Past history of peritonitis
    • Cystic fibrosis
    • Meckel's diverticulum
    • Past gastrointestinal surgery
Also, let your healthcare provider know if you are:
  • Pregnant or thinking of becoming pregnant
  • Breastfeeding.
Make sure to tell your healthcare provider about any other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.
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