Really, this post should be titled how to be safer about snorting dilaudid. There is no true “safe” when using such a potent narcotic recreationally.
Dilaudid is roughly 9 times more potent than it’s -codone brethren. While it’s no Phentanyl, this stuff’s still no joke. It is often refered to as “the crack of opioids”
High Potency Administration
Dilaudid is most effectively administered intravenously (IV), rectally or snorted. While oxycodone has less efficacy when snorted, this is not the case for dilaudid.
Insufflating (snorting) the drug produces a quicker onset effect than sublingual (oral) administration. If you are someone who has taken the path of opioid abuse, you need to be really careful when you use. ESPECIALLY with such an incredibly potent form of opiate like hydromorphone (Dilaudid and Opana.)
One particularly effective way that users will administer this drug is by dissolving the dry powder into water and squirting it up their nose with a syringe. If a user gives this method trial they should be very aware of the increased potency of this administration method as it basically doubles the effectiveness of the drug compared to insufflating dry powder.
Dry powdered forms of hydromorphone/dilaudid typically have 25-30% levels of bioavailability (above just 10-15% through oral administration). But clinical tests have shown that once turned into a liquid solution and snorted the bioavailability increases to around 60-65%. Thus a user must be very careful to avoid overdose.
Snorting dilaudid/hydromorphone pills (2mg, 4mg, 6mg, 8mg)
If you’re used to insufflating oxy, think about this: if 30mg of oxy gets you sufficiently high, then 6mg of dilaudid snorted will likely set you off nodding. 8mg could easily cause you to puke or severely overdose.
Be careful. Start with 2mg if you have any reservations. 4mg if you seem to have a little bit of confidence in your tolerance.
Please know while reading this that I am not promoting any of these methods. In fact, I actively try to warn people that addiction is something they can get over and will destroy them if they don’t. With higher highs always comes lower lows and an endless spiral into destruction. You deserve better than that.
I’ll end this post with a sobering reminder about this drug. This is a quote from a contributor on a forum who warns people about her fathers experience with dilaudid.
“… Seriously, dont play around with Dilaudid. My father was perscribed them for back injuries sustained at work in 1995 and i watched him slide down a long 8 year slope of hell…I’ve seen it first hand beginning to end. He shot himself Halloween night 2003 because of it. He would down (5) 24mg capsules easily in a few hours. I’m not creating a pity thread i’m just living first hand experience. Hydromorphone is playing russian roulette…with 3 bullets.”