It's over rated. The only goid way to use it is IV. And even then, all you get is a very strong rush, then 15 minutes of pain relief. Then it's gone. It's great to mix with longer lasting opioids though. If you shoot heroin or oxy, use the hydromorphone instead of water. Adds an awesome rush. But if you are really looking for a different roa, you could dehydrate it and snort it. Although usually if you have an ampule it's 1 mg per ml, and there's only 1ml in the vial. So you'll end up with very little powder. It'd be a waste.