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Swallow the tablets whole with fluids. Cutting, breaking, chewing, crushing, or dissolving hydromorphone tablets can result in dangerous adverse events, including death.

Use an oral syringe to measure each dose of the liquid, as it gives a more accurate measurement than household teaspoons. The oral liquid may be diluted in fruit juice or other beverage if desired.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

Generally, your doctor will try to find the dose of hydromorphone that will give you acceptable pain relief without an unacceptable level of side effects. Always check with your doctor if you feel your medication isn’t working well anymore.

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Over time, this medication may produce tolerance and physical dependence as your body becomes used to the drug.

Tolerance and physical dependence are not the same as addiction.

Store this medication at room temperature and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage.