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Is Taking Hydromorphone Safe For Acute Pancreatitis?
May 27 2014.After a week in hospital with acute pancreatitis (11 visits in 2013) the attending doctor suggested that we try treating the attacks at home using hydromorphone IR, rather going to emergency and then being admitted.Our pharmacist has advised us that this drug is no longer produced; is this correct? Alan Cullum
Thu, 21 Jan 2016
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist.
Hydromorphine is an opoid analgesic and has a very high addiction rate.
Recurrent acute pancreatitis has many causes like alcohol intake, gallstone, abnormality in pancreatic duct. So first these causes should be ruled out. If you take alcohol then stop it, gallbladder surgery if there is gallstone etc.
Even if no cause is found as it may be possible in around 30% of the acute pancreatitis then pain can be controlled in most patientss with tramadol and paracetamol only. I dont think there is any need of hydromorphine to control it.
Moreover get CECT abdomen to see whether there are changes of chronic pancreatitis or not. If it is there then visit a Surgeon for management
I hope I have answered your query and this will help you . Wish you a good health
Hydromorphine is an opoid analgesic and has a very high addiction rate.
Recurrent acute pancreatitis has many causes like alcohol intake, gallstone, abnormality in pancreatic duct. So first these causes should be ruled out. If you take alcohol then stop it, gallbladder surgery if there is gallstone etc.
Even if no cause is found as it may be possible in around 30% of the acute pancreatitis then pain can be controlled in most patientss with tramadol and paracetamol only. I dont think there is any need of hydromorphine to control it.
Moreover get CECT abdomen to see whether there are changes of chronic pancreatitis or not. If it is there then visit a Surgeon for management
I hope I have answered your query and this will help you . Wish you a good health
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