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Dilaudid, the brand name for hydromorphone, is a potent opioid analgesic used to treat severe pain, often in hospital or carefully monitored outpatient settings. It works by activating opioid receptors in the central nervous system, providing strong pain relief. Because of its potency, hydromorphone carries significant risks, including respiratory depression, sedation, tolerance, dependence, and overdose. Common side effects include nausea, constipation, itching, and drowsiness. Dilaudid is a Schedule II controlled substance and requires precise dosing and close medical supervision. I