1.3mg oral hydromorphone = 0.6mg SC hydromorphone

= 10mg oral morphine = 5mg SC morphine

An alternative if morphine is not tolerated because of adverse effects under specialist guidance. Immediate and modified release capsules may be opened and sprinkled onto food.

Hydromorphone preparations (Palladone®):

Immediate release capsules: 1.3mg (orange/clear), 2.6mg (red/clear) for p.r.n. use. (packs of 56)

Modified release capsules: 2mg (yellow/clear), 4mg (pale blue/ clear), 8mg (pink/clear), 16mg (brown/clear), 24mg (dark blue/ clear) for 12-hourly administration.

Hydromorphone injection (Martindale Products): 10mg/ml, 20mg/

ml, 50mg/ml (unlicensed, available on named patient basis).