Do they match in strength? Is a 2mg Dilaudid the same as a hydrocodone 10-325? What's the comparison? Are 2 Dilaudid's (2mg) the same as 1 hydrocodone (10-325)?
I don't know what the comprable dosage between the 2 would be, but they are both opiate/narcotics. Hydrocodone is synthetic codiene. Dilaudid ( hydromorphone) is synthetic morphine. In general terms the Dilaudid is stronger the Hydrocodone. But like I said I don't know what the conversion rate would be. I would think that if your doctor prescribed Dilaudid then it might be worth your while to try it and see if it works for you.
Both these medications are opiates and narcotics as Mel said. The comparison is 5 mg hydrocodone is equavelant to 0.6 mgs Dilaudid (hydromorphone) So the 10 mg hydrocodone is equal to 1.2 mgs hydromorphone. So the hydrocodone 10/325 is close to half of one dilaudid 2 mg pill. In other words the hydromorphone is stronger than the hydrocodone so do not take more than prescribed.
Be sure you are not comparing "apples to oranges". The oral bioavailability of Dilaudid is about 35%, the rest goes down the toilet. The half-life of Dilaudid is 2-3 hours. So every 2-3 hours you lose half of what is in your system.
The oral bioavailability of both hydrocodone and oxycodone is around 75%. The half-life of both is 4-8 hours depending on your metabolism.
So, simple chemical data can mean something or mean nothing. Of course if you're in the hospital and get Dilaudid IV, the bioavailability is 100%, so don't expect the same from a tablet.
In other words Hydrocodone and oxycodone both will be more available for your body to use if taken orally and both will last a good bit longer. Personally, I'd stay with oxycodone or hydrocodone.
You also run the risk of getting something else entirely if you ask you doctor for a change. This happened to me. I was on Norco 10/325 and thought I might get something that would work better. I went from the frying pan to the fire. He put me on a Butrans patch first. It was horrible, almost no relief at all. Next he tried Nucyenta ER, another useless med. After 8-9 months of misery I got the Norco back and am now very careful. You may be ok asking to try something specific but you need to know your doctor and think about it. I wish you well.
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