In the post, http://www.drugs.com/dosage/hydromorphone.html, there is mention to consider decreasing the IV dose of Dilaudid in the elderly. Overdosing of IV Dilaudid in the elderly, opioid-naive patient continues to be a major cause of temporary harm to patients throughout the hospitals in the U.S. Any established recommendations for the initial IV dose of Dilaudid and safe recommendations to tirate in elderly, opioid-naive patient?