54 609
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white smalll round pill with break on one side and 54 on the other side with 609 under it

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This is generic hydromorphone, (I'm about 99.9% sure), 4mg. The brand name is Dilaudid. It is a very very strong narcotic medication used to relieve severe to very severe pain. It can be very addictive and cause drowsiness, nausea and/or vomiting, decrease in appetite, sweating, blurry vision.

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what the heck is gffgf. This is not a sight to play on, it is serious business.

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gffgf

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