HydroMorphone (Dilaudid) Basics

[Forthesevenlakes]

SWIM has snorted about 8 mg of these before and felt nothing, associates of SWIM did the same and reported a complete lack of body high, but some kind of "cerebral high" similar to that of a clean oxycodone or fentanyl high. SWIM has attempted the dilaudid multiple times through both oral and nasal routes, but no success. For someone who takes about 30-40 mg oxycodone to leave baseline, what would be an optimal dosage of dilaudid?

[tayo]

Try nasally, in one fat line, make sure it is chopped up super fine, have an eyedropper handy to drip water down your nostrils, or just mix it in with the water and snort that by dripping the eye dropper down your nose and enjoy. or maybe try using grapefruit juice to amplify the effects, SWIM thinks bioavailability is around 32 percent

[Daytona71]

After several back surgeries these are in good supply but orally SWIM said they don't do much for euphoria. Would the nasal route be better? SWIM has works but never experienced and does not think it wise to learn with these! Maybe 20-28mgs. insufflated would be better? Many years of Methadone & Lauds among the rest have left him tolerant and warm and fuzzy is not happening. Thanks for advice. Rectally!

[Daytona71]

Well the rectal route was tried with 20mgs.since SWIW was used to rectal enema's due to chronic constipation anyways and said it did work and possibly better than orally, still not euphoric but it has been a long time for him for that. He wonders what other meds are possible to be administered this way. On to search I said. THX!

[junglistNside]

I am prescribed Dilaudid, I have gotten 2 different types of generics one leaves alot of filler the other leaves nothing and cooks up 100% clear leaving no residues what so ever. The second which comes back 100% also seems a bit stronger although this could be mental. I have a huge tolerance so I prep about 10-12mg to get anything out of it, it seems to have a very nice initial rush however I fell a very mild effect afterwards.
The good ones are inscribed LCI 1353 on back and the mil amount on front
The ones that leave alot of junk behind have a Cap M on front and the mil amount on back. Both are generics, just from different manufacturers, the better one I have only gotten from Brooks phamacy. Hope that helps.

Reputation Comments on this post:

use SWIM instead of self incrimination

[Forthesevenlakes]

thanks junglist, perhaps SWIM was undershooting the mark then. his stuff was the generic ones with the mil amount on the back and an M, so perhaps there was too much filler for them to be effective when insufflated or swallowed.

[fatal]

Originally Posted by Beltane

Also, the couple times SWIM has IM or IV'd these, nothing real impressive happened.

thats crazy. swim was administered 5mg dilaudid iv and felt like an elephant sat on his brain.

[ilovevicodin]

I know somebody who has an active prescription for generic 2mg hydromorphone tid PO. He said that he didn't have good experience with small quantity injections. So he added 30 to a bag of 250mL NSS which he infuses through a 24g catheter, and he LOVES the effects. I don't know if SWIM has the resources, but it is my knowledge that the infusion is a great route of administration.

[Sklander]

SWIM has some very recent experiences with oxycodone. On Oxy SWIM feels disoriented and he feels like he doesn't have control of his thought process. Whats even worse is the fact that SWIM has a hard time remembering the experience.

SWIM would advice seeking hydromorphone over oxycodone. Hydro is way better.

SWIM will not take Oxy again. Ever. Period. The substance scared SWIM in to not taking it again.

[Son of Axeman]

How much did SWIY take, and what is his usual tolerance? For SWIM, oxy is a smooth mistress that always pleases, and it surprises SWIM that SWIY's experience wasn't well-taken.

[oxyflash]

what is an equall amount? if swim is used to 100 mg doses of oxy, how much dilaudid should he ingest orally?

[Daytona71]

SWIM used to get 5mg. oxy IR's but never tried 20 at a time but to give you an idea Dilly's are around 5-8 times as potent as Morphine. Morphine does not impress SWIM who has done 150mgs. orally but can feel 20-25mgs of Dilaudid a bit for pain relief. Warm and fuzzy do not happen nor have they for a long time. 100mgs. of OXY seems high but I would still start slowlly like maybe 20-25mgs. of Dilaudid. There is a chart for doses of various pharmaceuticals on this site somewhere so try a search. It may even be buried in this very Dilaudid forum. SWIM

[Be]

SWIM had some of those and just put under tongue and let dissolve guess it doesn't work for some but worked great for swim but says tastes like crap!

[duhduhduhda]

swim gets the generic hydromorphone 8mg and although they leave alot of junk behind he's never had a problem iv'ing them u can even cook up that shit and get a little somethin from it
swim ran out early again this month and the left overs are the only reason he hasn't been in bed all day today

[Omega Receptor]

This quick shout out goes to all my brothers and sisters who love this opioid as much as SWIM. Imethods likes insufflating, rectal admin., (don't waste these pills taking orally - 20-30% bioavailability), or other methods that folks might try to avoid the IV'ing the drug...well they make sense to SWIM. SWIM justs want you all to remember one route that is fairly safe and doesn't leave track marks.

IM (intramuscular) is a great way to go for those either oppposed or afraid to the IV route. In fact SWIM still uses this route for those mornings where the morning shakes (early parkinsons) prevents IV'ing until all meds have kicked in and I can give myself an IM injection and still get the most bang for the pill.

Prep the drug (and thanks to those who have told us all about the need to NOT HEAT the drug when dissolving in spoon..a 2 minute soak is apparently superior and SWIM will verify this next rx on thurs), as you would for IV use, but use a 1cc insulin syringe with a long neeedle and inject straight into your quad muscle (find your hip bone prominence at the front, put the base of your hand on that and where your knuckles lie is where you can stick the needle), this is done at a 90 degree angle.

It doesn't bring the rush that IV does, comes on a bit more slowly but is the nest best thing to IV for getting as much of the drug as possible into your system and you don't have to put anything in your bum or waste the drug by snorting (only about 53% biovailalbe). IM injection is fairly safe and no marks left. please use alcohol to wipe before you inject into your muscle, you don't want infection.

I wouldn't advise more than 2-4mg for first timers. The rest of you know your tolerence - just remember you are getting all (or close to it) of the drug. The other benefit to this is that IM route lasts longer than IV. If you are reallly seeking the rush part, the only thing you can do is increase the dosage...when high enough even IM'ing this drug will still give you a rush of some quality.

Cheers for now my friends. Please keeep your thinking hat on and stay safe however you use this drug...it is pleasant but potent as you all know.

Omega receptor

[Forthesevenlakes]

This thread is about dilaudid, please stay on topic and take the oxy discussion to an oxycodone thread.

[Daytona71]

Searched but cannot find IV instructions for first time use. SWIM is interested in this and has equiptment but wants to do it safely. Figured 8mgs. would be a good start as SWIM has been on 50mgs. daily for a long time.

[Dr.Jones]

Hydromorpone is notoruis for being the most euphoric opiate when IV-ed. If your arm didnt get blown off to theother side of the room, something is wrong

[Donmeka]

SWIM was given dilaudid IV in the hospital for his past injury, without much of an opiate tolerance it was unbelievable for SWIM whos opiate experience have not passed MS/OxyContin.

then when SWIM got a hold of 4mg pills, insufflated he couldnt believe that such a small pill had such a nice effect, this was before he knew they were dilaudid. SWIM then recalled the IV experience in the hospital and was happy

[BetteNoir]

Yes swim has experienced great relive with Dillys #4 and #8 in all manner and swim too feels these little gems are creme of the crop ,but only non generic ,

the generic have a different filler ,OK oral still but not great for other methods .

[bandido]

dude,SWIM has been doin them 4 12 yrs and those aint d;s dilaudid are yello and the real ones have a abott symble and a 4 on the other side, the gens have a pms, dont heat em at all or YOU WILL hurt the potency, use 50 units of water and a small cig filter and 4 the gens use a bit biggers filter and there ya go. DONT HEAT THEM.the gens suck compared 2 the real ones but there a bit yello looking(the liquid)in the rig. The real ones8mg are totaly clear in the rig and leaver almost no trace at all in the spoon, but the gens leave some chalk at the bottom.
I might add you can get 2 hits out of the gens if you add water a second time to them(gens only)

[kailey_elise]

For those who are willing to IV hydromorphone (Dilaudid) tablets, just a reminder to NOT USE HEAT with them. Seriously! It *WILL* mess up the high! I received this info from my friend, who gets them for legit pain purposes but doesn't get enough to cover all the "break-through" pain, so uses other methods of administration in order to use fewer tablets and thus stretch out the 'script:

...I don't remember why anymore, but at some point I started heating the dillies when setting them up for injecting. ANYWAY, after a while I wasn't getting a good hit anymore - not just not euphoric, but it wasn't taking away my pain at ALL! So I started trying to add more tablets into the mix, THEN I felt I needed to heat to get everything to dissolve and it just wasn't working anymore. I was starting to think about changing my medication from hydromorphone to oxycodone or something.

Then, last month, the first hit I did out of the 'script was AMAZING (I had to use a plastic cap to mix it in, so I couldn't heat it up) , but the rest were crap. THIS time around I thought, maybe less is more, so I did just 6mg but then I couldn't find my lighter so I didn't heat it up and I nearly fell on my ass, it hit so hard. So, then I was thinking maybe heat destroys it more than I thought, so the next day I set up 7mg but heated it just a bit and NOTHING! An hour later I set up 6mg and DIDN'T HEAT it and I went to that lovely, lovely warm 'n' cozy blanket of clouds.

I'm so pissed that the last 2 or 3 months of scripts were basically WASTED! I feel so stupid, but it's great to know that 6mg can get me flying again - and since I only need 6mg UNHEATED, my script will last that much longer!

My friend is a bit long-winded, but in conversations since, I've sussed out that 50 units of H2O are used for 6mg of hydromorphone (3, 2mg tablets, generics that are white with "2" on one side and "M" on the other, apparently produced by "Mallinkrodt", in case that makes a difference to anyone). The mixture is left to sit for a minute or two, then sucked up (with a syringe used just for drawing up) through a small piece of cotton, & it comes up clear. This is then backloaded into a brand new syringe, to make sure the needle is as sharp as possible.

It was also mentioned to me that insufflating 2mg is a nice addition to the injection, and that rectal admin works too, although obviously not with the same slap of euphoria as injection.

Just wanted to pass that info on - don't want anyone to waste their supply by heating it up!

DO NOT HEAT HYDROMORPHONE (Dilaudid) WHEN PREPARING FOR INJECTION! IT WILL DESTROY THE EFFECTS!!

~Kailey Elise

Reputation Comments on this post:

Excellent job of setting the record straight + heating will dissolve more binders thus increasing risk of harm to lungs/...

[MrJim]

20-25mg does seem like a rather high dosage for starting out, however SWIOxyflash has a rather large habit right now. If anyone is reading this WITHOUT a 300mg a day Oxy habit, please do not start that high. SWIM thinks that the MAXIMUM someone should start with if not HEAVILY habituated to opiates would be at about 8mg.

[oxyflash]

swim took 25mg of dilauded orally, and it did relieve the pain but no warm and fuzzy.

he is thinking about trying other methods of taking it.

he also thanks his 300 mg a day of oxy has probably ruined his days of pleasure and pain relief

[Daytona71]

At least 25mgs. gave SWYM some pain relief. You are probably correct about SWIM's warm and fuzzy days.
Morphine pump is delivering 21mgs. intrathecally in 24 hours and has 60mgs. of Methadone plus 56mgs. of Dilaudid prescribed daily and warm and fuzzy has been gone for years but pain is controlled. Unfortunatly the Valium and Dextroamphetamine has the same non-euphoric effect.
The Dilaudid administered rectally does work quite well, almost double. Only Fentynal(sp) patch eaten will provide the warm fuzzy that used to be regular.