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Hydromorphone, commonly sold under the brand name Dilaudid, is a potent opioid analgesic used to manage moderate to severe pain. It belongs to the class of drugs known as opioids, which work by binding to opioid receptors in the brain and spinal cord, thereby decreasing the perception of pain. Hydromorphone is available in various formulations, including tablets, capsules, oral solutions, and injectable forms.

Due to its potency, hydromorphone is often reserved for severe pain when other pain medications have proven ineffective. It is commonly used in settings such as post-operative care, cancer treatment, and palliative care.

However, like other opioids, hydromorphone carries a risk of dependence, addiction, and overdose, particularly with prolonged use or misuse. It is classified as a Schedule II controlled substance due to its high potential for abuse and is tightly regulated.