Hydromorphone 6, 12mg Extened Release.

My doctor told me to up my hydromorphone from 6 mg to 12 mg extended release. I was taking 6 mg extended every 12 hours with 4 mg enstant release every 4 hours. Now I'm taking 12mg extended release every 12 hours with 1mg enstant release every 4 hours. How is that upping my dose?? Wasn't the 6 mg extended release with the 4 mg enstant release every 4 hours more then I'm taking now ?? Please help.

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Hello, Steve! How are you?

Yes, you are correct. Adding up the two 6mgs a day and the 6 4mg one comes out to 36mgs daily. But 12 mgs twice a day, plus 1mg 6 times a day is only 30mgs.

This is a narcotic analgesic, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constipation.

Have you asked your doctor about this?

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