Dilaudid iv to po conversion?

Here’s the usual quick rule for hydromorphone (Dilaudid):

- IV to PO conversion (approximate): 1 mg IV = about 6 mg PO.
- So PO dose ≈ IV dose × 6.

Examples:
- 2 mg IV → ~12 mg PO
- 4 mg IV → ~24 mg PO

Important safety notes:
- This is an approximate conversion. Individual factors (tolerance, liver/renal function, formulation, onset of action) can change things.
- Because of incomplete cross-tolerance when switching opioids, many clinicians start at a lower point and titrate. A common approach is to give about 50% of the calculated PO dose initially and adjust based on pain relief and side effects.
- Different oral products exist (immediate-release vs extended-release). Use the same type (or convert appropriately) and avoid mismatches.
- If the patient is opioid-naive, start even lower and proceed with caution.

If you have a specific IV dose and the exact PO formulation (IR or ER) and whether the patient is opioid-tolerant, I can work out a more precise example.