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Hydromorphone, marketed as Dilaudid, is a powerful opioid pain reliever used for severe pain, often in cases where other painkillers are ineffective. It works by binding to opioid receptors in the brain, altering pain perception. Given its strength, hydromorphone is typically reserved for patients who require strong pain management. It can lead to side effects such as drowsiness, constipation, and respiratory depression. Due to its potential for misuse, hydromorphone is prescribed with caution, and patients are advised to adhere to dosing instructions to minimize risks of dependency and overdose.