Can Dilaudid be injected Subcutaneous?

[shekaal]

I am a newbie so I hope that I have placed this in the correct spot. I have severe, out of control pain at least once a week. I have gone to the ER before and they have given me Dilaudid IV and within 45 minutes, my pain is once again under control. I can not be making a habit of this or I will give myself a bad reputation with my specialist and any other doctor that I would need to help me in the future. I am a Chronic Pain patient. I am fairly young, so I do have to be active and when I have to do a good bit of chores and run errands, then I sometimes end up in horrible pain (9 on the pain scale). I became a member on here to find out if giving myself an injection of Dilaudid, properly diluted of course, can be done by means of Subcutaneous. I went on the Mega Thread concerning Micron Syringe Filters and everything that needs to be done to be safe and sanitary. I ordered everything that was suggested. But, when it comes to me putting a needle in my vein, I just can't do it....I honestly can't. I even ordered some Butterfly Catheter IV units just in case that I won't be able to inject the Dilaudid Subcutaneos. I even ordered Sodium Chloride Bacteriostatic just in case that I needed it. I do have someone who is very close to me that is in the medical field who would be able to do the Butterfly IV just in case.
My basic question is injecting Dilaudid under the skind, Subcutaneos safe? Or if I prep the Dilaudid properly, would IM be safer? Sorry if this was too long, I just wanted for people to know my situation, and that I have read the Mega Thread on the Sterile Micron Filters, Sterile Vials, Luer Lock syringes, etc. and I have purchase more than enough of all of these. Thanks to anyone who is willing to help me out.

Just one more question....when in the ER, they have given me 2 ml of IV Dilaudid and I am prescribed the 2 ml. Dilaudid in pill form. Would 1 of my 2 ml. pills properly prepared into liquid be the same as the 2 ml IV that I have received in the ER?

 

[Swimmingdancer]

Hydromorphone hydrochloride is used for intravenous (IV), subcutaneous (SC) or intramuscular (IM) administration, so there isn't anything inherent about hydromorphone that makes it unsuitable for SC aside from the binders/fillers in Dilaudid tablets. Obviously the hydromorphone manufactured specifically for injection isn't going to contain those. If you use a micron filter and sterile supplies that is going to greatly reduce the risks.

As for whether SC would be less safe than IM, I don't know a huge amount about SC but if anything I think it would be more safe than IM.

Just one more question....when in the ER, they have given me 2 ml of IV Dilaudid and I am prescribed the 2 ml. Dilaudid in pill form. Would 1 of my 2 ml. pills properly prepared into liquid be the same as the 2 ml IV that I have received in the ER?

Do you mean mg? ml is a measure of volume. 2 ml of liquid could contain any amount of drug. Did they say it was 2 mg in the hospital?

 

[shekaal]

Oooops, it was 2 mgs. of IV Dilaudid, not 2 ml.

 

[Swimmingdancer]

That's what I thought

Then yeah, it should be around the same, since they're both 2 mg, except you might lose a little of it when preparing it from pills since some of it might get trapped in the binders/fillers and/or in the filter. I don't think you should lose too much though, it's just not going to be identical to a preparation manufactured for injection (don't assume it's going to be noticeably weaker though - start with less than you think you need, you can always use more later). Of course if you're not going to use it IV then it's going to be different, since you received it IV in the hospital. I have never used it SC myself, but I've heard it's quite similar to IV aside from coming on just a bit slower and more gradually. I also read a study that said they found pain relief, mood effects, and sedation to be the same by SC as IV. I don't know how the duration compares. Of course it would be nice if someone who has actually used Dialudid SC themselves can comment but I'm not sure how common it is.

 

[shekaal]

Thanks so much for the advice on how much of my pill to use. As soon as I do end up in severe, unbearable pain again, I will have it ready for use (I ordered sterile vials and they should be here anyday). I did purchase larger syringes and needles for using the .2 PVDF Micron Filter, but I bought a box of insulin syringes to use SC. After I have used the first time, I will document the time of onset, how it does compare to the IV Dilaudid in the ER and how long it lasts. I will let you know. Thanks again.

 

[spiritsage]

I am also exploring this means of admin, strictly for pain management. I have been on the same dose of diluadid for two years- the furor in the US has made it very difficult to get scrip increases for tolerance issues, but now my degenerative arthritis is "spreading"- I'm having severe pain in my hips. I have tried plugging and snorting...snorting does seem a bit better. My doctor is leaving his practice and it will take me two months to get into another pain management specialist- I'm fucked. So I am exploring how to make what I've got last as long as possible. Subcutaneous or intramuscular- what are the pro's and con's? I assume with snorting, via solution, I'm getting ~60% bioavailability...with injection do I get 100%, regardless of sub, intram, or vein?
This is a big step for me...I don't like it...but in order to maintain basic quality of life...I have to look at all options. Appreciate any and all input...

 

[EddieOHboy79]

Not going to get all high and mighty...

I am begging you to rethink this action. I am writing this to the OP from my hospital bed. I have blood bacteria, internal abscesses on my spine, and just found out I have vegetation (bacteria) on my heart valves. From injecting. And it started exactly the way you have described. Out of fear of hospitals blacklisting me, I began, after 6 years on pain management, injecting my dilaudid and sometimes my OCs--the REAL ones. I quickly turned to heroin. Then coke. Then coke and Crack became my love.
If it isn't too late, have a last ditch effort conversation with your doctor. I used to get 120 8mg dilaudid a month....they would be gone in a week. Self injection changes everything. I'm laying here frankly, terrified, wishing I could turn back time. I hope what I have said helps somebody.

 

[BuZZchaser1]

Does anyone know if Hydro has the same BA for IM, IV, and Sub? SWIM is in the same boat and from what SWIM have experienced is that IV is best but doesn't last long and is a risky way of running out of medication for the month in 2 weeks. IM has either been great or SWIM don't feel relief at all. Sub is kinda the same issue as IM but SWIM has had better results in spacing out the dose this way. Plugging sucks, snorting sucks, and orally sucks. SWIM was told that Hydro is the best medication for the pain SWIM has but SWIM has read that Opana is stronger but is also weak BA orally. SWIM is not looking for a "high" just want the pain to go away. SWIM had 13 operations in the last 2 1/2 years, a rebuilt leg(knee replacement, rod for a femur bone and bone fragments in the leg muscle) Should SWIM look for something else? Any help would be great cause SWIMs pain was under control in the 11 month SWIM spent in the hospital but that was when SWIM was getting 2 mg of Hydro in the Picc line every 3 hours. Also if you take an 8 mg pill and use clean water, and a micro filter is that the same as 8mgs of hospital IV hydro or is it more like 1-2mg? Cause When SWIM has gone back into the ER and get hospital Hydro 2mg shot it feels way better than 2 8mg pills loaded and IVed? Anyone else feel this way?

 

[T. Calderone]

Does anyone know if Hydro has the same BA for IM, IV, and Sub? SWIM is in the same boat and from what SWIM have experienced is that IV is best but doesn't last long and is a risky way of running out of medication for the month in 2 weeks. IM has either been great or SWIM don't feel relief at all. Sub is kinda the same issue as IM but SWIM has had better results in spacing out the dose this way. Plugging sucks, snorting sucks, and orally sucks. SWIM was told that Hydro is the best medication for the pain SWIM has but SWIM has read that Opana is stronger but is also weak BA orally. SWIM is not looking for a "high" just want the pain to go away. SWIM had 13 operations in the last 2 1/2 years, a rebuilt leg(knee replacement, rod for a femur bone and bone fragments in the leg muscle) Should SWIM look for something else? Any help would be great cause SWIMs pain was under control in the 11 month SWIM spent in the hospital but that was when SWIM was getting 2 mg of Hydro in the Picc line every 3 hours. Also if you take an 8 mg pill and use clean water, and a micro filter is that the same as 8mgs of hospital IV hydro or is it more like 1-2mg? Cause When SWIM has gone back into the ER and get hospital Hydro 2mg shot it feels way better than 2 8mg pills loaded and IVed? Anyone else feel this way?

You are welcome to start a new thread if you have a question. I am closing this one since his question was answered in 2013.

p.s. We don't use swim or any of it's variants at Bluelight. Thanks.