25 March 2009

We're out of Dilaudid

Apparently there's a national shortage.  Our frequent flyers are unhappy.   "But doctor, morphine just doesn't work for me..."

We might as well hang out a sign and close down the ER till stocks are replenished.


24 comments:

little d, S.N. said...

Definately put the sign on the door. You'd weed out LOTS of people right there, and maybe see some (dare I say it) SICK PEOPLE!!!

Anonymous said...

haven't heard of this- but there was a local percocet shortage a couple of weeks ago. it's a bad time to be a seeker!

Nurse K said...

I'm sure my ER alone is responsible for the national backorder.

Brian and Jennifer said...

what? no dilaudid? heavens to betsy, what will we do!?!?

Annemiek said...

Ha, we still got some, but no more prefilled syringes, back to the old ampules. Gosh, I know some patients that are going to be devastated when they run out.

symtym said...

We actually dropped Dilaudid from the ER 3 weeks ago. Only stock Morphine and Fentanyl. One patient actually stated, "I guess I'll have to go to another ER to get Dilaudid."

Eskienurse said...

I laughed when I read the email from our pharmacy about the shortage. With the shortage of Vistaril still ongoing, we have little to nothing to offer- oh darn. Wasn't there a recent shortage of long acting oxycodone? not percocet?

Anonymous said...

Switch them to Folgers Crystals!

ERP said...

O God, now they are going to want Demerol.

SeaSpray said...

I thought Demorol was a commonly used ED drug?

shadowfax said...

We dropped Demerol from the formulary a few years ago -- too addictive and not any better than any other drug.

Per Symtym -- we may want to consider the same thing with Dilaudid -- which is basically just Demerol Lite. If nothing else, at least this will get us all back in the habit of using good old morphine. Now we just need to make sure that we dose it properly (morphine is commonly underdosed by doctors).

Anonymous said...

You healthcare "pros" should be ashmed of yourselves making light of the"seekers". Making comments like "we should just hang a sign on the wall is so insensitive I cannot believe it was said. Drug dependence is a disease and should no be trivialized in such a manner. The assumption that dilaudid is demerol lite show how ignorant that person is dilaudid is much more powerful than demerol and is a true opiate unlike demerol which is an opioid synthesized in a laboratory. The comment about "over dosing" morphine shows how insensitive that person is to the pain of their patients. I am shocked that health "professionals" like yourselves are commenting on such serious subjects in this way.

Anonymous said...

I agree with Anonymous on 3/29, those who wrote belittling comments should be ashamed! I am disabled and desperately trying to find out why there is a shortage of Dilaudid. I have cervical myelopathy from 20 years ago and have had a compressed spinal cord again in the same place the damage was before and have been waiting to have 2 vertebra removed for 1 1/2 years because of a shortage of Neurosurgeons. I also have Myofacial Pain syndrome and am allergic to Morphine and Duragesic Patches. I detoxed myself off of Oxycontin in 2004 after my doctor turned me INTO a drug addict and the Oxcontin ate out my stomach and he still wanted me to take it. I nearly killed myself in the process not realizing how dangerous it was to do it on my own. I was a care provider for the mentally challenged until 2003 when I injured my lumbar region with an SI that doesn't want to behave. I have 9 herniated discs and 2 bulging with root nerve compression in the lumbar area and cervical and lumbar stenosis. I also have Spastic Paraparesis. I am in agony every day as I try to do SOMETHING during the day. I’m bored and I hurt! How can you people laugh at someone in my condition and others who have RSD and other severely debilitating disorders. Yeah, there are a lot of people using drugs illegally, some being in the MEDICAL PROFESSION! Doesn't mean we should have to suffer because of them. What would you professionals do if alcohol was banned. Would you think it was funny when you could not loosen up after a tough day. I have enough stress now barely being able to walk with Canadian canes and using a mobile chair and in incredible pain for way too many years without having to search and find some medication to help me get up in the morning. I would bet most of you have never come close to feeling debilitating pain or you would not be so cavalier about it. I came across this site while trying to find why I cannot fill my script today. My drugstore ordered it and got zero in the delivery. I take 12mg every 4 hours just to be able to move and do some dishes. 8mg just to stay in bed without crying all day. Many of us are just trying to get from one day to the next. I hope all who made jokes get a laugh out of this since you think pain is funny. If you do laugh, then have a nice trip to hell on judgment day. If you didn’t, then maybe you can spend some time and try to figure out how to help those of us in need and find the answer to the shortage of pain meds. It took me over an hour to type this and I am suffering for it but feel it was worth it if I helped you’re your eyes and cold hearts. Have a good day.

Anonymous said...

I have several friends who abuse drugs just to get high and I was one of them but I never abused prescripition pills. I could smoke a 1/2 ounce of crack in 1 nite. 2007 I was ran off the road or get hit head on I choose the ditch. 3 days later I got hit from the rear at 55 miles a hour. Been seeing DOCTORS for pain since then. weeks ago the pain has got so severe I cant hardly walk or sleep.I cant even get off the toliet by myself. I am now on Dilaudid and a pain patch but still dont feel any relief. I guess surgery is my only option cause I cant take this anymore. Sure wish some Doctors would have done something before it got this bad. The depression that comes with this pain doesnt help thats for sure. Just would like to be half way better again so I can be myself. I havent used illegal drugs in 8 years and never will again. My family I have now doesnt deserve that. I have 9 and 8 year old boys and 4 year old daughter cant even go out side and play with them. Workers comp has became a joke and the auto insurance companies wont step up to the plate either. Any suggestions where to go from here dont really know how anyone can stand pain when this bad. I guess I get to experience wht my 46 year old brother did last year when he died of spinal cancer and that wasnt a pretty sight.

Brandon said...

The one's who should be ashamed are the drug seekers.
I discovered that I had lymphoma when I had a kidney stone, and when I had a lymph node in my groin taken out, I think the surgeon spit in my leg because I ended up with three different types of flesh eating bacteria (strep, MRSA and Eckenela Cardelus (I'm sure I spelled that wrong). The infection got into my hip and femur, and so large parts of both had to be removed. Long story short, I'm no stranger to pain or the medicine used to treat it.
In the first place though, I'd guess that 70% of the time plain old Toradol with some visteril and phenegan to make me tired worked out ok. When that did not we moved up. I started on demerol, but this was a 2 1/2 year long ordeal for me, and so I ended up @ Dilaudid.
I've had a lot of talks with the pain mgnt neurologist I see about drug seekers, and they make his practice very difficult, because no legit doctor wants to be a drug dealer, and good ones want to help.
Whoever said though that Dilaudid is like demerol light, you have that backwards. In all of the time I was sick, nad all of the times I was given pain meds, the only time's I think I got "high" was when I was given IV Dilaudid.

Brandon said...

If your alergic to morphine you would also be alergic to dilaudid since your body just breaks dilaudid down into morphine anyway. There is something in the chemical structure of diluidid that allows your receptors to take in more morphine, so, if your alergic to morphine, you can't take diluidid. You should rethink that one.

Anonymous said...

Brandon,
I am allergic to morphine but am not allergic to dilaudid. I have clinical records to prove this and a pain management inpatient record of it. The chief of the Pain management department explained the differences to me. I think you are very misinformed.
I ended up in an E.R. from the morphine allergy and had to be intubated. I have been taking dilaudid for 7 years for chronic pain with no reactions, so your wrong.
I am experiencing a shortage now on the 2mg. in my area and they won't be available until October. I guess I'll just have to go into withdrawals in the hospital thanks to all the drug addicts that have made it so hard for the peopel with the real need for the meds.

Jennie said...

The thing that you "professionals" fail to recognize, is that dependence on these medications is a condition constructed by our physicians. Patients go to doctors to have their ailments and diseases "fixed", and what we patients get are perscriptions, and absolutely nothing that actually repairs the problem or condition. Then when we build up a tolerance, and must take something stronger to help with our pain, we end up taking these insane medications that you couldn't even stop taking if you wanted to because your body would go through withdrawls. Thus you have a dependence. But it's our fault, right? We're the assholes, right? We deserve to be treated like criminals, deserve to be branded "seekers", deserve being treated with not a shred of empathy for what people like me who have dibilitating illnesses have to endure on a daily basis, and deserve to not have our pain and our conditions taken seriously. Because "you people" are bored with patients like me, who have been offered no solution to her condition more than "adequate pain management" in the form of pills.
Perhaps if you people spent more time researching beneficial treatment to our conditions, and less time perscribing medication (because, and let's be honest here, you don't know what the hell to do), then we patients would not require them. I find your insolence disgusting, and sad.

What came first? The addict or the perscription?

Phrede said...

So much for professional comments.

I am so tired of fighting the negative stigma that comes with the legitimate use of opiates. I wish more than anyone else that I did not need to take them. Now because the Feds are limiting the number of manufacturing facilities and therefore causing a shortage I can not get prescriptions filled. Then while researching for a solution I surf to here to find so called professionals making light of the subject. I suggest you may want to consider an alternate profession if you are so convinced that all Dilaudid users are fake.

Anonymous said...

I just found out about the shortage, I dont know what to do, I have pain only slightly helped by opidids I guess if I end up in the ER for bad pain I give the bill to the drug company,

Anonymous said...

Just found out about the shortage when going to fill prescription. I won't even go into all my health issues but just say my doctors say I am lucky to be here and find me courageous every day. I am highly sensitive to morphine..easily overdose. Dilaudid and Opana ER are so far the only drugs I can take that take care of some pain and let me stay awake. I want to have some type of life. Any other drugs I would sleep away what is left of my life. The woman on the dilaudid every 4 hours...that is very hard on your body...it makes your bp go up and down etc...I hope you get to see this and ask your doctor about Opana ER.

Anonymous said...

DO ANY OF YOU HAVE A JOB TO GET TO!!!!

Anonymous said...

The health care provider made you a drug addict cause you probably were a pain in the ass begging for more and more pain meds.....i bet you've got fibromyaglia (aka I somatasize) too! You all are so friggin sad. Wish they'd legalize unlimited access to whatever you want and let nature take its course.

Anonymous said...

I'm allergic to morphine, but not dilaudid. So, for anyone to say that you have to be allergic to both if you're allergic to one, is not accurate. Most drugs break down into the same thing, but their initial composition is different.