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Dilaudid is a prescription opioid analgesic used to treat moderate to severe pain when other treatments are insufficient. It must be prescribed by a licensed healthcare provider after careful clinical assessment, including via regulated telehealth when appropriate. For immediate-release oral hydromorphone, typical starting doses are 2–4 mg every 4–6 hours as needed for pain, with adjustments based on response and tolerance. Lower doses may be required for older adults or those with kidney or liver impairment. Avoid alcohol and other sedatives, and use the lowest effective dose under close medical supervision.