Active Ingredient(s): Hydromorphone Hci
FDA Approved: * March 1, 2010
Pharm Company: * ALZA
Category: Pain Relief

* This drug may consist of multiple approval dates, manufacturers, or distributors. If applicable, they would be listed below under "NDC Database Records".

Exalgo Overview

Hydromorphone, also known as dihydromorphinone, and sold under the brand name Dilaudid among others, is an opioid used to treat moderate to severe pain.[4] Typically, long-term use is only recommended for pain due to cancer.[6] It may be used by mouth or by injection into a vein, muscle, or under the skin.[4] Effects generally begin within half an hour and last for up to five hours.[4] Common side effects include dizziness, sleep...

Read more Exalgo Details
Details May Include Instructions, Side Effects, Interactions, Etc. Drug monograph is from Wikipedia. All text is available under the terms of the GFDL (GNU Free Documentation License). Source: en.wikipedia.org/wiki/Hydromorphone

Recent Exalgo Forums: RSS Feed

Relief of constipation from Exalgo (or opiods in general)

I am unable to move my bowels from taking Exalgo and other opiods that I have taken for my chronic pain. I have tried taking drugs like Movantik and Amitiza that are supposed to relieve opiod constipation but they have not worked for me. Neither has more fiber, Colace, prunes, miralax etc. Anybody have any amazing remedy??? ## Very sorry about the problem you are having. I've been there, when taking opiates, but increased fiber intake helped me. Have you tried enemas, or suppositories? There are some available via prescription, and some over the counter products, since they are inserted anally, they work directly on the hardened stool. The FDA lists the typical side effects as including irritation, cramping, and diarrhea. Beyond that, you may need to go to the ER for treatment of th...

doctors willing to prescribe exalgo in indiana

Hello, I was doing wonderfully with my myriad chronic neck and back pain on 16mg Exalgo (generic is hydromorphone extended release) for 3 years with the same doctor, no other pain medication, simply ONE pill/day and never built up a tolerance! I'm certain I don't have to say how very rare THAT was, because it was for ME, as well. After being treated with many potent pain medications that would just quit working after a few weeks, going through endless rounds of useless inj's., one doctor started forcing me to get them done 3 times a week, thereafter I discovered most of the inj's. aren't supposed to be performed more than every three months at the MOST! Due to all the new laws, and also because he is extremely greedy; the doctor who formerly prescribed the Exalgo for...

How to get the most out of your Exalgo

I have been on every narcotic out there from the lowest to 100 mg Morphine four times a day, in combination with OxyContin and Oxycodone, Norco, Percocet, and the 2mg Xanax four times a day with it. I got put on Exalgo 32 twice a day with Norco, Lyrica, and some other drugs and it was not taking care of the pain good enough. To make this short, I would put my Exalgo under my tongue to soften it up and split the pill with a pill splitter, you'll see grey and white. The white part is the med, but then I would chew it up or grind it in a pill grinder and swallow it. Works 100 times better and faster. ## Thanks for the advice. I know it's not recommended to take it that way, but you were right. I got relief for the first time. ## Since I started taking Exalgo (and yes, like the rest...

Exalgo Substitute

My insurance company will no longer cover the Exalgo, what would be a substitute? ## Exalgo contains the active ingredient Hydromorphone in a time released formulation. It is available as a generic, as well as under the trade names Opana and Opana ER. Thus, your doctor should be able to prescribe one of those in an equivalent dosage. This is a narcotic analgesic, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constipation. Is there anything else I can help with? ## What is a comparable drug to exalgo? Exalgo costs too much on our insurance plan. Any ideas where I can get it cheaper?

generic Exalgo extended release efficacy

Has anyone noticed a difference with Exalgo ER compared to the generic form of this drug? I have noticed that the generic does not work as well as the Trade name. Has anyone else found this to be true? ## How long have you been taking it? What are the markings on it? The FDA warns that this medication carries the risk of being habit forming and may cause side effects, such as nausea, dizziness, headache, dry mouth, and constipation. Are you on any other medications?

oxymorphine 50

I have been struggling with pain management for 15 yrars. I seems like I have tried every thing available. I have no relief from the pain. I am currently on Exalgo 32mg. still no help. I have tryed norco, oxycodone up to 30 mg, hydromorphone 30mg, I usualy feel no effect at all. What is the difference with the hydromorphine. I wonder if it is worth trying next. ## Charles, That list of medication is quite formidable.Hydromorphone is Dilaudid but if you're on Exalgo that is hydromorphone ER.Oxymorphone better known as Opana. There are other opiods particularly Methadone and Fentanyl but Most providers are limited in the use of these because they often cause nasty side effects and are extreamly habit forming I'm by no means a licensed prescriber so I recommend seeing a qualified p...


I can't take the 80 OP Oxycontin. If this 24 hour pain reliever is available, what would be my titration? I took 3 a day plus 30 IR. Any answers? ## The only thing new that could be used for pain that I am finding listed by the FDA is a new formulation of Suboxone as an orally dissolvable film. Do you remember any more details or where you read it? I am sorry, but I cannot find anything else on it, I did a search for news and drug articles. Do you remember any other details? ## yes verwon thanks for the reply. it is exalgo and it has been approved when i go anywhere to look for it is hydromorrphone analgesic, i found the site and it reccommendred all non prescription mens health care products levitra viagra ect, it gives all the info on the morphine once a day confrmed the fda appro...

32mg exalgo

Is there anything that works better. My Doc and I are looking a Internal pain pump. Which would put the drug straight in my spinal cord and I would have to go in once a month to get a refill. I don't know which drug will be used probably morphine. ## Hello, Jeff! How are you? I'm sorry that you're in pain. What other medications have you tried? Have you ever tried the Fentanyl patches? This is a narcotic analgesic, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constipation. ## Some pain doctors, if you have been on narcs for a long time for a good reason (if you have reached your tolerance level on most drugs..by the way..with some docs thats a red flag and you only get three, sometimes less and y...

can taking exalgo make u loose teeth

I have been loosing teeth (they r rotting and then falling out. Could this be from taking exalgo(hydromorphone) 32mg re for the 4 years ## Yes, it certainly could be. Opiate medications cause dry mouth, which allows bacteria that cause decay to remain on your teeth longer than usual, your saliva is typically a big help in washing some of it away. Additionally, they tend to leech minerals from the body, such as vitamin D and calcium, which can cause your teeth to become softer, so they decay easier. The NIH and FDA have several studies and articles available about this. You may want to speak to your dentist about doing some fluoride treatments and then putting a sealant on them to help prevent damage. Another good idea would be to keep your mouth more moist, frequent sips of water, or su...

Needing to find a doctor who prescribes pain medicine

I have just moved here five weeks ago from Birmingham, Alabama. I now find that I cannot get a doctor to prescribe the pain medications that I have been using for some five years. I have had three cervical surgeries and one lumbar surgeries. I have among other things, degeneration of the spine. I also have a list of about seven other maladies that I can't begin to name because of their names. I am in constant severe pain without my Exalgo and Hydromorphone. I will run out in ten days and I'm told that I won't be able to even get into a doctor who prescribes these types of meds for at least five weeks. What do they expect me to do in the meantime? Does anyone know of a doctor that prescribes pain medications that doesn't have a LONG waiting list. I'm desperate. I also...


Possible Dosages for this and Related Drugs:

Hydromorphone Hci
  • Capsule, Extended Release: 12mg, 16mg, 24mg, 32mg
  • Injection: 0.2mg/ml, 10mg/ml, 1mg/ml, 250mg, 2mg/ml, 4mg/ml
  • Liquid: 1mg/ml
  • Powder: 100%, 15grains
  • Solution: 10mg/ml, 5mg/5ml
  • Suppository: 3mg
  • Tablet: 2mg, 4mg, 8mg
  • Tablet, Extended Release: 12mg, 16mg, 32mg, 8mg
Note: Above list includes dosages for all drugs with the same combination of active ingredients.

NDC Database Records for Exalgo: (10 results)

Sorted by National Drug Code
  • 16590-942 24 Hr Exalgo 8 mg Extended Release Tablet by Stat Rx USA LLC
  • 23635-408 24 Hr Exalgo 8 mg Extended Release Tablet by Mallinckrodt, Inc
  • 23635-412 24 Hr Exalgo 12 mg Extended Release Tablet by Mallinckrodt, Inc
  • 23635-416 24 Hr Exalgo 16 mg Extended Release Tablet by Mallinckrodt, Inc
  • 23635-432 24 Hr Exalgo 32 mg Extended Release Tablet by Mallinckrodt, Inc
  • 35356-608 24 Hr Exalgo 12 mg Extended Release Tablet by Lake Erie Medical Dba Quality Care Products LLC
  • 35356-609 24 Hr Exalgo 16 mg Extended Release Tablet by Lake Erie Medical Dba Quality Care Products LLC
  • 35356-610 24 Hr Exalgo 8 mg Extended Release Tablet by Lake Erie Medical Dba Quality Care Products LLC
  • 54868-6387 24 Hr Exalgo 8 mg Extended Release Tablet by Physicians Total Care, Inc.
  • 54868-6388 24 Hr Exalgo 16 mg Extended Release Tablet by Physicians Total Care, Inc.

Other drugs which contain Hydromorphone Hci or a similar ingredient: (3 results)

Related Exalgo Topics:

Exalgo 8mg
I am just now taking this medication, but feel like I am having to take more hydrocodone 10's. I got off the fentany... 3 replies
Exalgo Substitute
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Exalgo 16 vs generic
Trying to find a picture of what the generic form of Exalgo 16mg tablets look like. ## Hello, Rose! How are you? What ar... 2 replies
Exalgo generic by Mallinckrodt
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exalgo is it better the oxycontin and opana
Whats the difference between exalgo and opana and oxycontin? ## Hello, Dana! How are you? As listed by the FDA, all 3 of... 1 reply
Exalgo ER 16mg
I have been on this new EXPENSIVE drug EXALGO 16mg, The doctor's around here do not want to prescribe what I can tak... 1 reply
exalgo co-pay assistance
I've been talking exalgo 32mg. And it takes some of my pain away. Before I was on methadone oxycodone, fentanyl path... 1 reply
exalgo er
Does exalgo er affect sperm count? ## No, Exalgo ER contains the active ingredient Hydromorphone in a controlled release... 1 reply
Exalgo 5 16mg A Day With Dilaudid 8mg for Breakthough
For the past year I have been taking Exalgo 16mg 5 pills in the morning with 8mg of Dilaudid for b/t pain. I had a sever... 1 reply