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 overdose

Poisonous 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 Treatment

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, or a local emergency number

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

Expectations (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.

Review Date:3/19/2006
Reviewed By:Janeen R. Azare, PhD, MSPH, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY. Review provided by VeriMed Healthcare Network.

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