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Hydromorphone HCl 4 mg Suppository

FDA-approved generic
Dose form
Suppository
Active ingredients
Hydromorphone Hydrochloride

The Hydromorphone HCl 4 mg Suppository is a solid dosage form designed for insertion into a body cavity, typically the rectum or vagina. Upon dissolution or melting, it releases medication for local or systemic absorption. This formulation is primarily used for the management of chronic, cancer, postoperative, neuropathic, and endometriosis pain.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
Starting at
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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No prescription yet?

Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Hydromorphone Hydrochloride
Suppository
6427079ea64324ed76518c29
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

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Formula Information

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Hydromorphone HCl 4 mg Suppository is a potent analgesic formulation designed to provide relief from a wide range of pain conditions. This includes chronic pain, cancer-related pain, postoperative pain, neuropathic pain, and pain associated with endometriosis. The suppository is administered rectally, offering a viable alternative for those who are unable to take oral medications or require immediate pain relief.

The suppository form allows for rapid and efficient absorption, with the potential to provide relief within minutes. This makes it an ideal choice for managing both acute and chronic pain conditions. The Hydromorphone HCl 4 mg Suppository is a solid dosage form that is inserted into the rectum, where it dissolves or melts to release the medication. This allows for local or systemic absorption, depending on the specific needs of the patient.

It is crucial to understand that the use of Hydromorphone HCl 4 mg Suppository should always be under the guidance of a healthcare professional. Following the prescribed dosage and administration instructions is essential to ensure the safety and efficacy of the treatment. Regular monitoring for any potential side effects or adverse reactions is also recommended.

If you have any queries or concerns about the Hydromorphone HCl 4 mg Suppository, or if you need further information on how it can help manage your specific pain condition, please do not hesitate to contact us. Our team of compounding pharmacists at Bayview Pharmacy is committed to providing comprehensive and accurate information to help you make informed decisions about your health.

Drug Interactions

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This compounded formulation of Hydromorphone HCl 4 mg Suppository is designed for the management of various types of pain including chronic pain, cancer pain, postoperative pain, neuropathic pain, and endometriosis pain. Hydromorphone is an opioid agonist that works by binding to opioid receptors in the central nervous system, resulting in pain relief and sedation.

It is crucial to note that patients with a known hypersensitivity to hydromorphone or any of its components should not use these suppositories. Additionally, caution should be exercised when using Hydromorphone suppositories in patients with renal or hepatic impairment, as well as in elderly patients.

Patients with a history of substance abuse or addiction should also exercise caution when using Hydromorphone suppositories. The same caution applies to patients with a history of respiratory depression or other respiratory disorders, head injury, increased intracranial pressure, or other CNS disorders.

Patients with a history of gastrointestinal obstruction or other gastrointestinal disorders, cardiovascular disease or other cardiovascular disorders, seizure disorder or other neurological disorders, endocrine disorders, mental illness or other psychiatric disorders, alcohol or drug abuse, allergies or other hypersensitivity reactions should also use Hydromorphone suppositories with caution.

If you have any questions or concerns regarding the use of Hydromorphone HCl 4 mg Suppository, please do not hesitate to reach out for further information.

How Does it Work

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Hydromorphone HCl 4 mg Suppository is a potent analgesic medication designed to alleviate both chronic and acute pain conditions. The mechanism of action involves binding to opioid receptors located in the brain and spinal cord, which effectively blocks the transmission of pain signals to the brain. This results in a significant reduction in pain intensity, thereby enhancing the patient's overall quality of life.

The suppository form of hydromorphone is designed for rectal administration, where it is absorbed through the rectal mucosa. This route of administration offers several advantages over oral or intravenous forms. Firstly, it allows for a more direct route of administration, bypassing the digestive system and potential first-pass metabolism in the liver. This results in a more rapid onset of action. Secondly, the suppository form provides a longer duration of effect, offering sustained relief from pain.

To use, the suppository should be inserted into the rectum and left in place for at least 15 minutes before removal. This ensures optimal absorption of the medication. It is crucial to remember that hydromorphone has the potential to be habit-forming. Therefore, it should only be used under the supervision and direction of a healthcare provider. Misuse can lead to addiction, overdose, or even death. If you have any questions or concerns about using this formulation, please consult with your healthcare provider.

Frequently Asked Questions

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What is a Hydromorphone HCl 4 mg Suppository?

A Hydromorphone HCl 4 mg Suppository is a solid dosage form of medication that is inserted into a body cavity, typically the rectum or vagina. It dissolves or melts in the body to release the medication for local or systemic absorption.

How does a Hydromorphone HCl 4 mg Suppository work?

The suppository works by dissolving or melting once it is inserted into the body. The medication is then released and absorbed by the body either locally or systemically.

What is the purpose of the Hydromorphone HCl 4 mg Suppository?

The purpose of this suppository is to provide pain relief. Hydromorphone is a powerful opioid medication used to treat severe pain.

How should I use a Hydromorphone HCl 4 mg Suppository?

The suppository should be inserted into the rectum or vagina as directed by your healthcare provider. It is important to follow the instructions provided to ensure the medication is used safely and effectively.

What are the potential side effects of a Hydromorphone HCl 4 mg Suppository?

Side effects may include constipation, nausea, vomiting, dizziness, drowsiness, sweating, flushing, and dry mouth. If any of these effects persist or worsen, contact your healthcare provider immediately.

Can anyone use a Hydromorphone HCl 4 mg Suppository?

No, this medication should only be used by individuals for whom it has been prescribed, and who are under the supervision of a healthcare provider. It is a powerful opioid medication and misuse can lead to addiction, overdose, or death.

Can I use a Hydromorphone HCl 4 mg Suppository if I am pregnant or breastfeeding?

Before using this medication, inform your healthcare provider if you are pregnant or breastfeeding. This medication may have harmful effects on a developing fetus or nursing infant.

What should I do if I miss a dose?

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Do not double the dose to catch up.

Can I drink alcohol while using a Hydromorphone HCl 4 mg Suppository?

No, you should not drink alcohol while using this medication. Mixing opioid medications with alcohol can increase the risk of dangerous side effects, including slowed or stopped breathing.

What should I do in case of an overdose?

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Hydromorphone HCl 4 mg Suppository
Suppository
30 suppositories
controlled

Insert 1 unwrapped suppository

Every 6 hours as needed