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Name: Hydromorphone
Type: Opioid
AKA: Dilaudid, dihydromorphinone
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II. Natural Derivative
Synthetic substance, no natural derivative
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III. Chemical Profile (IUPAC name)
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IV. History
Hydromorphone, an opioid analgesic, was developed in the early 20th century. It is used for severe pain management and is known for its potency and effectiveness in treating pain, making it a significant medication in pain management.
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V. Legal Information
Hydromorphone is a powerful opioid used for pain management. It is classified as a Schedule II controlled substance in the United States, reflecting its high potential for abuse and addiction. Similar controls are enforced globally to regulate its medical use and prevent misuse. [Source: UNODC].
US Federal Schedule - II
Schedule II drugs, substances, or chemicals are defined as drugs with a high potential for abuse, with use potentially leading to severe psychological or physical dependence. These drugs are also considered dangerous. Some examples of Schedule II drugs are: combination products with less than 15 milligrams of hydrocodone per dosage unit (Vicodin), cocaine, methamphetamine, methadone, hydromorphone (Dilaudid), meperidine (Demerol), oxycodone (OxyContin), fentanyl, Dexedrine, Adderall, and Ritalin.
Key US Federal Policies:
Controlled Substances Act. Public Law: Public Law 91-513 (text can be found on GovInfo) (https://www.dea.gov/drug-information/csa). Date enacted: October 27, 1970.
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VI. Physical Effects
Hydromorphone is a potent opioid used for severe pain management. It acts as a downer, causing sedation, respiratory depression, and constricted pupils. Short-term use provides effective pain relief, but long-term use can lead to addiction, tolerance, and severe health issues. Overdose risks include fatal respiratory depression. Safe use requires strict dosing and medical supervision. Recent research highlights its potency and overdose risks compared to other opioids.  |
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VII. Psychological Effects
Hydromorphone, an opioid, affects opioid receptors, causing euphoria and cognitive impairment. Immediate effects include mood enhancement and pain relief, while long-term use can result in dependence and psychological issues such as depression. Effects last several hours, with significant mental health risks with chronic use.
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VIII. Culture
Hydromorphone is a powerful opioid used for pain management. Its cultural significance is related to its efficacy in treating severe pain and its potential for abuse. Media coverage often addresses its use in pain management and the risks of opioid addiction. Hydromorphone is used medicinally and contributes to discussions about opioid use and addiction treatment.
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