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Dilaudid is a prescribed medication that is used to treat severe pain by blocking pain signals in your brain. Hydromorphone is a semi-synthetic opioid that has been used widely for acute pain, chronic cancer pain, and to a lesser extent, in chronic nonmalignant pain. In Dilaudid, there are 3 variants available: Dilaudid 2mg, Dilaudid 4mg, and Dilaudid 8mg.