If you've quit using, why are you risking your soberness?
Just keep the 8mg Dilaudid for when you get actual real pain.
True. This is a good point. One slip is often enough to throw someone completely off the wagon. Let's assume though, that OP i
s going to be using the Hydromorphone.
Insufflation is a good enough method for Hydromorphone, high bioavailability, relatively quick onset and so on, but insufflation of any pill carries with it health risks including damage to the sinuses and complications from the complete inhalation of binders. So with safety in mind, rectal administration is probably your best bet. Bioavailability is solid and in my experience, the onset is quicker and more powerful than with insufflation.
I know there's still a ridiculous stigma surround this ROA, but over the years it has become my standby for when IV/IM/SC are not safe or practical.
If it's your first time plugging, there's a wealth of knowledge on the forums including complete guides and how-to's that can educate you on the finer points of the process, however, it's not at all difficult. Procure an oral syringe (no needle) use enough water to create a relatively uniform solution without a lot of solid particulates floating around. Use some kind of lubricant to make inserting the syringe less uncomfortable, insert about an inch or so then depress the plunger. Wait about a minute before removing the syringe, as I've found that there can the suction created can cause some of the solution to come out.
The best posture is either lying more or less on your side or on flat on your stomach. I hope this helps.