Health Encyclopedia
Hydromorphone overdose
Definition
This is poisoning from taking an excessive amount of hydromorphone, a prescription medicine used to relieve severe pain.
Alternative Names
Dilaudid overdose; Palladone overdosePoisonous Ingredient
Hydromorphone, a type of morphine. Hydromorphone is an opioid narcotic, which means it is an extremely powerful drug that can cause very deep sleep.
Patients who are prescribed hydromorphone for pain should not drink alcohol. Alcohol increases dangerous side effects, and can lead to overdose symptoms.
Where Found
- Dilaudid
- Hydrostat
- Palladone (The FDA ordered this drug removed from the U.S. market in July 2005.)
NOTE: This list may not be all inclusive.
Symptoms
Nervous system
- Drowsiness
- Dizziness
- Lightheadedness
- Confusion
- Coma
- Muscle twitches
- Weakness
- Loss of consciousness
Lungs
Heart and blood
- Weak pulse
- Low blood pressure
- Fatigue
Gastrointestinal
- Spasms of the stomach and intestines
Skin
- Bluish colored fingernails and lips
- Cold, clammy skin
Eyes, ears, nose, and throat
- Pinpoint pupils
Warning: A severe overdose of hydromorphone can cause death.
Home Care
This can be a serious overdose. Seek immediate medical help.
Before Calling Emergency
Determine the following information:
- Patient's age, weight, and condition
- Name of the product (ingredients and strengths, if known)
- Time it was swallowed
- Amount swallowed
- If the medication was prescribed for the patient
Poison Control
The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.
This is a free and confidential service. All local poison control centers in the U.S. use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.
Take the container with you to the hospital, if possible.
See National Poison Control center.
What to Expect at the Emergency Room
The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure.
The patient may receive:
- Medicine (narcotic antagonist) to reverse the effect of the hydromorphone
- Medicines to treat symptoms
- Activated charcoal
- A nasogastric (NG) tube thru the nose into the stomach to empty the stomach (gastric lavage)
- Artificial respiration
Outlook (Prognosis)
Patients who quickly receive medicine to reverse the effect of hydromorphone can recover within 1 to 4 hours.
References
Drummer OH. Recent trends in narcotic deaths. Ther Drug Monit. 2005 Dec;27(6):738-40.
US Food and Drug Administration. FDA Asks Purdue Pharma to Withdraw Palladone for Safety Reasons. Rockville, MD: National Press Office; July 13, 2005. Release P05-42.
Reviewed By: Janeen R. Azare, PhD, MSPH, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY. Review provided by VeriMed Healthcare Network.
