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After 6 weeks of taking hydromorphone, I find the relief effect wears down towards the 10th and eleventh hour. My dosage is 2 puffs morning, 1 puff evening. I'm 78 years old, and an asthmatic for 76 of those years. Compared to Symbicort, hydromorphone "wears off" (as above) slightly faster. Each is a good maintenance medication.
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