Originally Posted by
The Kraken
Dialudid is roughly 5-10 x's stronger than morphine, therefore the prescribed dose is generally 1/5 to 1/10th as strong. A pretty typical starting dose of Dilaudid is 0.5mg-1mg.
Fentanyl is considered 100x's stronger than morphjne and the standard dose of Fentanyl is 1/100th the dose of morphine. The starting dose for Fentanyl is 25-50micrograms, all the other meds aee in milligrams.
So the effects are generally the same.
Dilaudid, Morphine and Fentanyl are all WAY better through an IV, due to pharmacokinetics and dynamics, the first pass metabolism of those meds is ridiculous. If I had to choose an IV pain med, it would be Dilaudid.
Give me oxy over any of them, any day of the week in pill form. Oxy is made to be a pill, the others are made for IV that have been converted to pills.