Dilaudid is a 1:5 Ratio of morphine. I can’t take morphine either. My pain receptors don’t even blink at it. I may as well be tossing water on them. Never have but then I’ve had severe migraines since I was 14.
I only respond to Demerol or Dilaudid IV if I’m on the hospital for pain.

Oral Dilaudid takes 1/5 of the dose of Morphine and 1/10 of it by IV of that helps understand the potency difference.
Liquid morphine on the other hand is extremely more concentrated and requires a very small dose. It is the cause of many overdoses and fatalities in the elderly, end of life patients, and weak.

The highest in potency is the pain patches, Fentanyl, etc. These have a 1:500-750 potency ratio and can be lethal if not dosed or titrated correctly.
OR DISPOSED OF IN THE RIGHT MANNER.

Thx Renee, have used this chart many times. Have been on so many kinds but believe it or not, I have an aversion to drugs of any kind, especially opiates! They really do have their place for people like me who have so many diseases and conditions that will not likely go away which are painful in nature. I 'm the patient who is always trying to taper down to avoid the brutal post-op pain for upcoming surgeries that I've suffered and have textbook PTSD Sxs from. Add cross-tolerance to the picture rendering the post-op pain meds ineffective. Due to tolerance, they add another opiate but often ineffective for the degree of pain. Drilling through muscle and bone doesn't make for a happy camper nor does complicated abdominal/pelvic multiple organ surgery. Thank you for your info. Have a blessed day, Sunnyflower @jimhd