This brings up the general question of IS there really any difference between brand named dilaudid and generic hydromorphone? Naturally every doctor and pharmacist I've asked says it's all the same, and to be fair I've only ever heard of a tiny handful of drugs where brand is recommended over generic.
I've been on dilaudid for over 2 years and have always gotten generic. Who out there has tried both?
What's the difference? I have a feeling this is going to be one of those situations where 90% of users say there is no difference but a vocal minority swear that brand is ten times better...
Oh, and Sara, I was put on dilaudid because my doc was concerned about me taking all the APAP in vikes and percs. It mainly came up because it took 3 vikes/percs at a time to work on me, and all that tylenol will trash your liver; I'd guess any reasonable doc would look for an alternative, and dilaudid is an obvious choice.
Of course, i'm a big guy, and I think I do have some natural tolerance to opiates, so it wasn't hard to convince the doc that it really did take three times as much vicodin as a normal person would take to work on me (it also was true).
Another possible avenue for someone is price: my doc actually told me one of the reasons he suggested hydromorphone is because it's cheap, and if someone didn't have insurance, HM is an excellent choice.
So there is some ammo for anyone hoping their doc will perscribe dillies. Of course the tricky part is not to ask for it but steer the conversation so HE brings it up; its probably true that, in most cases, a doctor would be wary of a patient asking for a specific narcotic. So, for example, if you told your doctor you read that all the APAP in vikes/percs is dangerous and you're wondering if there is something else you can try for pain. If he doesn't mention diludid, ask about the price of whatever he does suggest and say you might be dropping insurance soon because it costs too much so you need something as effective as vikes but is cheap to buy.
Hopefully he'll mention dilaudid and you can ask "what's that, never heard of it" and say you'd be happy to try it...
Good luck.