chronic1106: Hydromorphone and Dilaudid are the same med. My doc writes for Dilaudid and the pharmacy fills it as hydromorphone - Dilaudid is the brand name. You might want to check with your doctor as it sounds like you are taking the same drug all during the day. This could be dangerous but it also may not be the best choice for pain control. I wonder if your doctor is wanting you to alternate the Dilaudid with something else?
Just a suggestion.
DX: Migraines since June, 2006, kidney stones
RX: Daily - Verapamil, Trileptal
PRN: Relpax, Prednisone, Dilaudid, Lortab, Lidocaine Nasal Spray