After exhausting all non-opioid options, my Physician has placed me on Hydromorphone Contin.
I was first given a number of short acting opiates, which proved to be rather ineffective. Last prescribed was short acting Hydromorphone @ 8 mg's, four times a day. Yesterday, was switched to Hydromorphone Contin @ 12 mg's, every twelve hours. Plus, short acting Hydromorphone @ 8 mg's, twice a day, as needed.
I took my first dose of Hydromorph Contin yesterday afternoon at four. My second dose, twelve hours later at four in the morning. When I awoke at around nine this morning, I was pleasantly surprised that my pain was at the best it has been in the last two years.
Only one problem, in that I was feeling a little dizzy, lightheaded and a bit 'high'. I decided that I would take my blood pressure. It was unusually low at 86/56. Waited ten minutes, took it again, and it still was quite low at 88/57. I had been taking the short acting Hydromorphone @32 mg's/day for approximately one month, as of my Doctor's appointment yesterday, when my blood pressure reading was 122/83; typical of my average reading. I thought that my blood pressure machine may be off, so I took my daughter's blood pressure which read 115/78, which is in her normal range.
That brings about the following questions:
1. Is that blood pressure reading dangerously low?
2. Could the low blood pressure readings be attributable to an adapting phase to the Hydromorphone Contin? Normal?
3. I am due to take my next Hydromorphone dose within the next two hours. If my blood pressure is still as low as it has been, should I take my next dose as scheduled?