Trying to figure out something here. My Dad was prescribed 32mg hydromorphone ER tablets. Then 8 days later was given 12mgER tablets with 4mg tablets. His dosage appears to have been brought down to the 8mg-16mg range. He was also receiving 10mg cyclobenzaprine and 30mg temazepam throughout all this hydromorpone.
Is it just me, or does that seem ridiculously high?
It depends on what your dad is going through, his tolerance to pain meds, his weight, age, and other factors but actually it isn't for a person that has a high tolerance to pain meds. Hydromorphone when taken orally only puts out between 32%-42% into the system so out of 32 mgs he is getting 14.4-15 tops(depending on other issues). I'm a 30+ year old male about 215 pounds with over 14 operations on my leg and knee do to a boat accident over 3 years and have been on 32mg of Hydromorphone a day but in IR form Q6 for about 2+ years now(meaning I take a 8mg pill every 6 hours if needed for break through pain) also I was on oxycodone ER 180mgs a day but have been brought down to 60mgs a day over time, and also take 2-3 mgs of xanax a day as needed. Along with Xarelto a blood thinner, Baclofen for muscle spasms and other antibiotics that I have threw my Picc line. But I started off on a 10 mg oxycodone IR and because of operations and therapy my pain management doctor has kept a close eye on all my medications but have gone up do to the fact I have a rare infection that is just like cancer in the way that I can be infection free for year or 2 and it comes back and does damage to my bones. But to answer the question it is a lot of pain medication for someone who hasn't been on pain meds for awhile but for a person like me it isn't cause I'm able to go through my day normally and only drive if I haven't taken a pain medication with in the last 3-4 hours. The body builds a tolerance because if I were to have taken what I am on now after my 1st operation I would've OD. But after a long time of pain medication use and my condition I am stuck taking high dose in order to get out of bed and do my therapy.
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