Dilaudid Addiction Treatment and Rehab in Washington

Dilaudid is the brand name for hydromorphone, a potent semi-synthetic opioid medication that is derived from and chemically similar to morphine. Less hydromorphone is needed to control the same amount of pain as morphine. The strength of Dilaudid can put people at risk of overdose if they switch to it from a less potent opioid.

Since hydromorphone is more soluble in water than morphine, hospitals often stock Dilaudid in especially strong powder form to make solutions of varying strengths. When this extremely potent form of Dilaudid is used for illicit distribution, it puts people at a significant risk of overdose. While hydrocodone and oxycodone are now more frequently diverted and misused than hydromorphone, Dilaudid was once the most popularly diverted opioid for illicit use.

In the last few years, opioid-related deaths in the state of Washington have increased by 77 percent. Most overdose fatalities in Washington occur when people mix opioids with other drugs. Admissions to publicly-funded drug treatment for opioid use disorders increased by nearly 200 percent in Washington from 2002 to 2013.

While its potency and unpredictable dosage amounts make Dilaudid abuse particularly dangerous, Dilaudid addiction follows the same course and requires the same treatment as addiction to any other opioid. For people experiencing withdrawal from Dilaudid, treatment nearly always begins with medically-supervised detoxification.

Dilaudid Treatment

Using Dilaudid on a regular basis changes the brain, especially its reward and natural pain management systems. Among other effects, Dilaudid suppresses noradrenaline, slowing the body’s cardiovascular and respiratory responses and dulling awareness. As its effects wear off, excess noradrenaline floods back into a person’s system, causing the following withdrawal symptoms:

  • Runny nose and watery eyes
  • Sweating, chills and tremors
  • Muscle cramps and spasms
  • Nausea, diarrhea and vomiting
  • Anxiety, restlessness and agitation

Most people who have been using Dilaudid regularly experience some withdrawal symptoms, so Dilaudid withdrawal treatment in a facility that provides medically-supervised detoxification services is usually necessary. How detox services are administered varies based on factors relating to the facility, clinician and patient.

Some people go through Dilaudid withdrawal and detoxification in a hospital after being admitted through the emergency department for an overdose or other complications of Dilaudid use. Others make a planned treatment admission to a facility that provides a full spectrum of treatment services including detox. In either case, people have much better outcomes if they complete detox and participate in inpatient or outpatient treatment immediately afterward.

Inpatient and Outpatient Dilaudid Addiction Treatment

After people receive Dilaudid overdose treatment in a hospital, they may undergo inpatient detox services at the same hospital facility or may immediately seek admission to a substance abuse treatment facility for medically-supervised detox. Either approach can be effective, but getting a full spectrum of treatment services from a qualified addiction treatment provider makes it easier to coordinate care between different divisions of the same program.

Receiving detox services at a behavioral healthcare facility also allows a person to get more than basic medical care and stabilization during this crucial early phase of recovery. At a rehab center like The Recovery Village Ridgefield, people can participate in counseling and other behavioral healthcare services while receiving medical care. Early psychological intervention can make the transition from detox to inpatient or outpatient treatment smoother.

Whether inpatient or outpatient treatment is recommended depends on several factors, including:

  • Financial or geographic access to different levels of care
  • Whether a person has had previous treatment episodes
  • The level of severity of a person’s substance use disorder

Recent overdoses, suicide attempts or recurrences of use after previous treatment episodes are issues that might factor into a clinician’s recommendation for a higher level of care. Inpatient and outpatient programs usually offer similar services, which typically include the following:

  • Individual and group therapy for substance use disorders
  • Therapy and medication management for co-occurring mental health disorders
  • Complementary therapies to promote healing and wellness, including recreation, exercise and creative therapy
  • Peer support groups and activities that promote fellowship and social learning

In residential treatment, people get the added support of being in a safe environment where they do not have to cope with the same stressors or triggers as at home. They can also receive support with nutrition and meal planning and access on-site recreation and wellness facilities and activities.

Dilaudid Addiction Treatment Centers in Washington

Qualified clinicians, intake counselors and assessment providers can help people determine the level of care they need. Once a person knows that they need treatment, they must then choose a treatment program. There are many options for Dilaudid addiction treatment in Washington and many factors a person should consider before choosing a program, such as:

  • Is the facility geographically and financially accessible?
  • Does the facility meet state requirements for a license?
  • Does the facility provide aftercare planning and support?
  • Do people who have received care at the facility recommend it?
  • What services does the facility provide and what philosophy do they follow?
  • Does the facility provide care for co-occurring mental health or medical conditions?

Research shows that integrated treatment, or simultaneous treatment for substance use and mental health disorders, is more effective than methods in which these conditions are treated separately. People who know or suspect that they have a co-occurring mental health condition should consider whether they can receive the mental health care they need while participating in treatment for a substance use disorder.

How Much Does Dilaudid Rehab Cost?

Due to the costs of providing additional services, operating a 24/7 facility and providing meals, inpatient treatment is nearly always more expensive than outpatient treatment. However, it is important to consider long-term costs and not just immediate costs when considering inpatient treatment.

While some people may voluntarily seek admission to an inpatient facility, only people who meet inpatient admission criteria will be admitted. Clinicians do not make the recommendation for inpatient treatment lightly and usually only do so after determining that a person is unlikely to meet treatment goals at a less intensive level of care. Receiving the right level of care is not only safer and more effective, but it is also ultimately more efficient.

Whether inpatient or outpatient treatment is recommended, there are many ways to defray the costs of receiving the right level of care. Many insurance plans cover behavioral healthcare and there are sometimes community grants or scholarships are available to help people cover care costs.

Does Insurance Cover Rehab for Dilaudid Addiction?

Many insurance plans only cover inpatient behavioral health treatment after a person has participated in outpatient treatment first. If a person resumes substance use or experiences psychiatric crises after receiving outpatient care, it usually indicates that they need a higher level of care. Even insurance providers recognize that the cost of a person receiving a lower level of care than they need is ultimately higher than having them receive a higher level of care better suited to their needs. In other words, continuing in a lower level of care will ultimately cost more if a person is unable to make progress on treatment goals.

The Recovery Village Ridgefield accepts many insurance plans for both inpatient and outpatient programs. If you are concerned about your Dilaudid use and want to learn more about how to access the right level of care, contact The Recovery Village Ridgefield. A representative can answer your questions, discuss insurance coverage and costs and help you make an informed decision about the next step in your recovery journey.


Canadian Virtual Hospice. “Medications.” Accessed December 2018.

Drug Enforcement Administration. “Hydromorphone.” July 2013. Accessed December 2018.

National Center for Biotechnology Information. “Integrated Treatment of Substance Use and Psychiatric Disorders.” August 26, 2013. Accessed December 2018.

National Center for Biotechnology Information. “The Neurobiology of Opioid Dependence: Implications for Treatment.” July 2002. Accessed December 2018.

Public Health Seattle & King County. “2017 Overdose Death Report.” Accessed December 2018.

Timko, Christine. “Patient and Program Factors that Bridge the Detoxification-Treatment Gap: A Structured Evidence Review.” Journal of Substance Abuse Treatment, May 2015. Accessed December 2018.

University of Washington Alcohol & Drug Abuse Institute. “Opioid trends across Washington state.” April 2015. Accessed December 2018.

University of Washington Alcohol & Drug Abuse Institute. “Opioid trends across Washington state.” Accessed December 2018.

Medical Disclaimer: The Recovery Village aims to improve the quality of life for people struggling with a substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare provider.

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