The National Institute on Drug Abuse estimates that over 100 million Americans suffer from chronic pain. And sadly, that’s where drug addiction starts for many people. Many people, because of their chronic pain, become dependent on their prescribed pain medication, which then turns into addiction. Two of the strongest painkillers available, Dilaudid and Oxycodone, have contributed massively to the opioid epidemic currently going on in America. But with so many different painkillers prescribed today, many struggle to determine the relative strength of Dilaudid vs Oxycodone.

In this article, we’ll examine some of the similarities and differences of Dilaudid vs Oxycodone, including how strong they are compared to each other and how addictive both substances are.

What Are Dilaudid and Oxycodone?

Dilaudid and Oxycodone are both drugs that belong to the opioid drug class. Both Dilaudid and Oxycodone are prescribed to treat moderate to severe acute pain. They are usually given in a hospital setting, but they are sometimes prescribed by primary care physicians. From the early 2000s until recently, they were both prescribed more often and carelessly, contributing to the ongoing opioid epidemic. But when it comes to Dilaudid vs Oxycodone, they do have clear differences.

Oxycodone is a semi-synthetic opioid drug derived from the opium poppy plant. This opioid is commonly sold under the brand names Roxicodone, OxyContin, or Percocet in pill forms. In some cases, it may be combined with the over-the-counter drug acetaminophen.

Dilaudid is a brand-name medication containing the semi-synthetic opioid hydromorphone, which is derived from morphine. Dilaudid is an immediate-release formulation available orally or through injection. In most cases, patients are not recommended to combine Dilaudid with other pain medications.

Both Dilaudid and Oxycodone are prescribed to treat pain. But since they can be so habit-forming and have such a high potential for abuse, they are often considered to be the last resort option after all other non-opioid methods have proven ineffective.

How Strong Is Dilaudid vs Oxycodone?

How Strong Is Dilaudid vs Oxycodone

Dilaudid and other versions of hydromorphone are stronger drugs than Oxycodone. Comparing the relative strength of Dilaudid vs Oxycodone, Dilaudid is around three to five times more potent. This means a five milligram dose of Dilaudid is roughly equal to a 15-20 mg dose of Oxycodone.

Dilaudid is prescribed for the treatment of severe pain in cases where other painkillers are not tolerated or not sufficient to control pain. This means that Dilaudid is only prescribed in cases where alternative pain medications are not enough. Even in these cases, however, Dilaudid is not typically recommended for chronic pain.

Dilaudid works quicker than Oxycodone and has a shorter onset and duration of action, with an average half-life of two hours. Oxycodone has an average half-life of between three and six hours, though extended-release formulations can stay active in the body for up to 12 hours.

Oxycodone is weaker than Dilaudid and is prescribed for less severe injuries or surgeries. However, both Dilaudid and Oxycodone are under strict federal regulation. They are classified as Schedule II controlled substances with significant potential for abuse and addiction.

Recognizing Prescription Painkiller Abuse

In 2012, almost four million prescriptions were filled for hydromorphone drugs, like Dilaudid in the United States, reports the Drug Enforcement Agency (DEA). Over one million people in 2011 reported having used Dilaudid for recreational purposes at some point in their lives.

However, Oxycodone is more commonly abused than Dilaudid. In 2016, nearly four million people in the United States misused an Oxycodone product. According to the United States Department of Justice, more than 13 million Americans abuse Oxycodone, including some children as young as 12 years old.

Fewer individuals abuse Dilaudid vs Oxycodone, despite their differences in strength, because it is much less frequently prescribed. But in terms of reasons for abuse, they’re quite similar. Both opioids produce an intense relaxed and euphoric high similar to that of heroin. And both are powerful narcotic painkillers, meaning that users can build a tolerance to the drug in just two or three weeks.

Dilaudid addiction is a serious issue, in part due to the extremely high strength of the drug. Even when under close medical watch, patients can experience adverse reactions to the drug, suffering respiratory suppression and extreme sedation. Without proper medical supervision, the risk of overdose and death is extremely high.

Dependency on opioid painkillers can develop in recreational and medical users alike. Even when using the drug exactly as directed, it is possible for physical and psychological dependence to set in. Once dependency has developed, it is important to gradually reduce dosages of the drug, so the chances of experiencing severe withdrawal symptoms are reduced.

Common withdrawal symptoms from opioids include:

  • Insomnia
  • Nausea and vomiting
  • Loss of appetite
  • Sweating and chills
  • Fever
  • Muscle shaking
  • Irritability
  • Anxiety
  • Depression
  • Intense cravings

A person abusing Dilaudid or Oxycodone will often appear relaxed. They will likely breathe slowly and be impaired, both physically and mentally. However, the crash after an opioid wears off can lead to emotional lows and physical flu-like symptoms.

When an individual takes a substance for an extended length of time, they can become physically dependent on it. If the individual then attempts to quit or cut back, they will experience painful and unpleasant withdrawal symptoms. Opioid withdrawal symptoms, while only rarely fatal, can be absolutely miserable.

As such, opioid-dependent individuals often continually relapse in order to avoid suffering through opioid withdrawal. Once drug use begins to cause detrimental consequences but the individual can’t quit, they are stuck in a full-blown addiction.

Treatment for Dilaudid and Oxycodone Addiction

Treatment for Dilaudid and Oxycodone

When comparing addiction treatment for Dilaudid vs. Oxycodone, the plan is pretty much the same: a safe, medically-supervised detox program followed by psychological treatment for the underlying causes of addiction.

The two main options for effective addiction treatment are inpatient and outpatient programs. Inpatient, or residential programs, offer a highly supportive and structured environment. Clients work with healthcare professionals at the treatment program to establish an individualized treatment plan based on their unique situation and goals. Most programs will consist of individual counseling, group therapy, 12-step meetings, health education, and the development of essential life skills.

For people whose lives don’t have room for a full inpatient program, finding an appropriate outpatient program may be better. Participants of outpatient programs have more flexibility to participate in their normal lives while seeking treatment. Outpatient programs can still assist individuals through the detox process and provide daily opportunities to participate in personal counseling and support groups.

Prescription Painkiller Addiction Treatment in Florida

If you or someone you love needs help dealing with tramadol addiction, we can help. At the Blackberry Center, we provide personalized, evidence-based treatment. We understand how frightening having a substance use disorder and mental health struggles can be. This is why we offer a range of personalized programs to help with whatever you might need.

Whether it’s managing chronic pain and addiction, detoxing from prescription drugs, or standard mental health care, we’re here for you. If you’re ready to take the first step toward recovery, contact us today. Reach out to us for assistance today by calling 888-512-9802 or by filling out our confidential online form.

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