Dilaudid (hydromorphone) Specific Methods of Administration

[emptyjugful]

Hellio, I have seen many threads discussing the procedure to administer Dilaudid vaiously, however the amounts are very low. I have been using analgesics for many years and have built up a crazy tolerance. I take 24 8mg Dilaudid tablets three times a week, orally. I came across a thread that suggested, snorting, anal, injecting. However the amounts that the person was talking about were around 12mg total not 192 mg at one go. Now there is no possible way that you can snort that much in one go, and the amount of water needed dor all that to dissolve to shoot it is unreasonable. I have tried anal but either i am doing it wrong or its just not viable. or not enogh water. can anyone help with some recommendations here please. the oral route isnt very effective. maybe crushing the pills first? or sublingual? or rectally? thanks

 

[gavatron@oz]

hey there, this forums more of an introduction where u letis all know a bit about youeself..but maybe i can steer you the right way..

Sorry butim not familiar with the drug your trying to administer..but go to forums, youll have all tne different forums main heading.most probably you need ti gi to other drugs.at the bottom you can do a pre fix search.or just a search at the top of page.

Welcome and enjoy

If you could post more bout yourself, and have a look around...theres anything and everything here

 

[theotherside]

Yes this is the forum for you introduction so we can get to know you.
Since this is a pretty basic drug question I will send it over to our Basic Drug Discussion forum so that you can get a better response.

 

[NeighborhoodThreat]

What you've heard/experienced is right, Dilaudid (hydromorphone) isn't very active orally, so you need a high dose in order for it to be effective. I've taken 4mg of hydromorphone orally and nothing happened, but 2mg snorted/intranasally is a good place for me. Of course, these doses will be larger for you as you have a higher tolerance.

There are many different ways of administrating hydromorphone, IV being the more effective, but also the most dangerous and addictive. I recommend snorting or rectal administration.

You're not going to need to snort 192mg to get the same effect that 192mg orally gives you. I recommend cutting that dosage down considerably. As you can see from the Bluelight Opioid Conversation Chart, ~1.5mg hydromorphone IV is approx equal to 7.5mg hydromorphone via the oral route.

That's a 6-fold increase in potency between those two routes. So, just for example's sake, let's say you go from using your hydromorphone orally to using it IV. You would need to reduce your down to about 32mg, but you would want to use less since IV is much quicker acting than oral is.

Going by these numbers, I would start with intranasal or rectal (anal) administration. Here is a FAQ/information thread on rectal administration (plugging). I would read through that as well.

If you're interested in snorting, I would start with 1/4 to 1/6 of your normal oral dosage and work your way up from there. That's basically between 32 and 48mg. It's pretty impractical to snort all that powder at once, even with the 8mg pills. So you may want to space it out by some time, alternate your nostrils and use a saline rinse such as a Neti Pot or a saline nasal rinse/spray to clear out your nose/sinuses before snorting the rest of the powder.

Snorting hydromorphone will cause it to hit you a lot quicker, which is why I recommend starting on the lower end of the dosage scale and working your way up, you may need less dosage because the onset is faster and you'll be able to gauge your reaction within 10-20 minutes and then you can decide if you want to snort more or not.

Hope this helps, feel free to ask any other questions.

-NT

 

[scottd420]

As far as dosing goes, 32mg would be way too little. NT, why would you suggest only starting at 1/6 of his dose, do you realize he'd hardly feel effects from that due to his tolerance? Starting at 48 milligrams would even be on the very low end of the spectrum. I've been using this substance for years and figured out that you can count on a 3 fold increase in effects from oral to IV, also it's much safer to judge your doses with nasal and IV dosing due to the quick jump to Cmax in the blood, so hitting you quicker really has nothing to due with the overall potency of the dose other than the rush associated with IV use. From my experience, I don't find rectal to be that great for HM other than the speed of onset being faster. None of this info is from a textbook, just from personal experience. Also, you could definitely get your dose into a 3mL syringe, and most likely a 1mL if you realize you can keep adding to the solution to make it stronger. IVing 64 mg is pretty much on par or a little less than 192mg orally, so this could be acheived using only eight 8s. If you snort, you can pretty well double the amount.

NT, I'm not sure why you didn't feel the 4mg orally if 2 gets you off snorting. You must not have noticed the effects, since they are very subtle, but it should have felt roughly the same in the end as 2 IN.

Also, could you please leave this thread open as he may have questions.

 

[regfairfield]

injecting is money...but i had it in a hospital setting so i dont condone it...but its sweet