How Strong Is 4 Mg Dilaudid

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I am taking Morphine ER 30mg 3xday & Dilaudid 4mg 4xday for breakthru. Can you please tell me how these compare mg to mg. I have severe scoliosis (I shrunk 4inches over the past few years) also 7 degenerative disc and really not getting much relieve so I would appreciate any information you can share with me.
Thank You & Be Blessed

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I live in Canada and have been getting prescribed 8 x 4mg a day hydromorphone for back pain for now nearly 3 years. Often run out and reluctantly Doctor issues prescription ahead of schedule which ends up flagging me and the doctor in system. I do not find these pills helping me at all, and find i need them now if nothing else, simply to avoid withdrawals. I approached my doctor and requested fentanyl patches and got laughed at. I see pain specialist who does not want to intervene between my doc and I. Is there something stronger that can help the pain? Or is this is? I have maxed out and suffer? Thanks for advice, cheers!

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Dialudid is actually a strong opiate narcotic, however, that does not mean you are on the right dosage to help you. The FDA warns that it carries the risk of being habit forming and may cause side effects, such as nausea, dizziness, headache, constipation, and dry mouth.

Bo, as to the way things work in Canada, I really can't tell you much about that, since I am in the U.S. Has anything changed?

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Here are the new guidelines in Canada and it is scaring doctors to not prescribe opioids.

Source: "Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain", nationalpaincentre.mcmaster.ca. Web. 2017

I am over consuming because they just don't cut the pain anymore, but i have been on dilaudid for 3 years. I see a Doc in 2 days, not sure how to approach him, but when i did mention fentanyl he said "NO".

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