http://www.celebitchy.com/index.php/category/babies/
Meanwhile there’s a report that wrappers for opiate painkiller suppositories were found in Anna’s room. Wrappers for a generic form of Dilaudid were found, an overdose of which could result in respiratory arrest.
Dilaudid
Hydromorphone
Generic Name: Hydromorphone
Product Name: Dilaudid
Indication of Hydromorphone:
Dilaudid is used in the treatment of moderate to severe pain.
Action of Hydromorphone:
Hydromorphone is an opioid analgesic similar to morphine and is thought to be eight times as strong. Opioid analgesics work directly on the central nervous system, where they act on specific opioid receptors. The exact nature of this interaction is not fully understood.
By interacting with these receptors Hydromorphone, like other opioids, can cause analgesia without causing loss of consciousness, although sedation is commonly seen.
Opioid analgesics also act on the respiratory control centre of the brain, causing a decrease in breathing rate and depth. Due to an effect on organs that contain smooth muscle (stomach, intestines, gallbladder etc), opioids also cause a number of gastrointestinal effects.
http://www.virtualcancercentre.com/drugs.asp?drugid=2410&type=
http://www.rxlist.com/cgi/generic2/hydromorphoneinj_ids.htm Rectal: DILAUDID suppositories (3 mg) may provide longer duration of relief which could obviate additional medication during the sleeping hours. The usual adult dose is one (1) suppository inserted rectally every 6 to 8 hours or as directed by physician.
http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a682013.html Why is this medication prescribed?
Hydromorphone is used to relieve moderate to severe pain. It also may be used to decrease coughing.
This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
How should this medicine be used?
Hydromorphone comes as a tablet and liquid to take by mouth. It also comes as a rectal suppository. The oral forms usually are taken every 4-6 hours as needed. The suppository usually is used every 6-8 hours as needed. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand.
Shake the liquid well before measuring a dose. Take hydromorphone exactly as directed. Hydromorphone can be habit-forming. Do not take a larger dose, take it more often, or for a longer period than your doctor tells you to.
To insert a hydromorphone suppository rectally, follow these steps:
Remove the wrapper.
Dip the tip of the suppository in water.
Lie down on your left side and raise your right knee to your chest. (A left-handed person should lie on the right side and raise the left knee.)
Using your finger, insert the suppository into the rectum, about 1/2 to 1 inch for infants and children and about 1 inch for an adult.
Hold it in place with your finger for a few moments.
Stand up after about 15 minutes. Wash your hands thoroughly and resume normal activities.
What special precautions should I follow?
Before taking hydromorphone,
tell your doctor and pharmacist if you are allergic to hydromorphone, aspirin, sulfites, tartrazine (yellow dye), or any other drugs.
tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially other pain relievers; antidepressants; medications for cough, cold, or allergies; sedatives; sleeping pills; tranquilizers; and vitamins.
tell your doctor if you have or have ever had liver or kidney disease, a history of alcoholism, lung or thyroid disease, heart disease, prostatic hypertrophy, or urinary problems.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking hydromorphone, call your doctor.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking hydromorphone.
you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
remember that alcohol can add to the drowsiness caused by this drug.
What special dietary instructions should I follow?Return to top
Hydromorphone may cause an upset stomach. Take hydromorphone with food or milk.
What should I do if I forget a dose?
Hydromorphone usually is taken as needed. If your doctor has told you to take hydromorphone regularly, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
What side effects can this medication cause?Return to top
Hydromorphone may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
dizziness
lightheadedness
drowsiness
upset stomach
vomiting
constipation
stomach pain
rash
difficulty urinating
If you experience either of the following symptoms, call your doctor immediately:
difficulty breathing
fainting
Surely she was not sticking these in her rectum herself if she was that much out of it. Did someone OD her by putting them in rectum for her and did they used too many or did they give them to her too often? - This may explain why blood was found in her stomach.