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Dilaudid 4mg (hydromorphone hydrochloride immediate-release tablets) is a highly potent Schedule II opioid analgesic indicated for the relief of moderate to severe acute pain in adults when non-opioid medications or less potent opioids do not provide sufficient relief. Hydromorphone is approximately 5–7 times more potent than morphine on a milligram-for-milligram basis, delivering fast-acting pain control—onset within 15–30 minutes, peak effects in 30–60 minutes, and duration of 3–4 hours per dose. The 4mg strength is a mid-range dose commonly prescribed for opioid-tolerant patients or more intense pain episodes, such as post-operative recovery, severe trauma, burns, breakthrough cancer pain, or other acute conditions requiring rapid, powerful intervention.

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