Selecting here opens the current stored cards. The pinned link below records their fingerprints. Do not enter patient information in links or searches.
Share or print this source review
1 local source card selected. Local card fingerprints checked where supplied. This is not an original-document hash, source-currency guarantee or clinical approval. Record-level cautions below are the current library's cautions, not a frozen prior version.
Copy is optional; the link can be selected and copied manually. No patient data or dose decision is collected.
Clinical context remains essential
Independent clinical review is pending. Confirm indication, exact formulation/route, population, renal measure and units, kidney-function stability, dialysis prescription, interacting drugs, monitoring and source revision. An RX mirror and its original label are not independent corroboration. Missing disagreement notes do not certify agreement.
Check source scope before reading a dose
Dilaudid - labeled renal guidance
Product / population
Hydromorphone hydrochloride (Dilaudid), IV, IM or subcutaneous injection
Renal method
Renal impairment categories as defined by the cited product label
DailyMed / product prescribing information · Hydromorphone hydrochloride (Dilaudid), IV, IM or subcutaneous injection
Renal method: Renal impairment categories as defined by the cited product label Source date: DailyMed SPL version 6, posted Aug 31, 2026 Retrieved: 2026-11-07
Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.
Renal guidance: 2.4 Dosage Modifications in Patients with Renal Impairment / 5.7 Adrenal Insufficiency / 8.7 Renal Impairment
Start injectable hydromorphone at 25-50% of the usual initial dose, depending on renal impairment severity. Titrate cautiously and monitor sedation and respiratory status. This summary concerns the injection.
This reference does not select a regimen. Complete the indication, measured/estimated renal function and trend, dialysis setting, source rationale, monitoring and reassessment plan in your institution's approved documentation system. Confirm the complete current source before adopting its regimen.
GlobalRPh Renal Dosing Master v7.4. Review the retrieval and revision dates attached to each source. Selecting a reference does not imply clinical verification.