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Dilaudid is a potent prescription analgesic reserved for severe pain when other options are inadequate. Clinical overviews stress that therapy requires careful patient selection, dosing precision, and close monitoring. Cost considerations should never override safety or clinical appropriateness. Providers evaluate pain severity, prior treatments, and medical history before initiation. Education includes dosing schedules, monitoring, and follow-up. Lawful prescribing and regulated dispensing are critical to ensure patient protection and effective pain management.