I'd say: Dilaudid (Hydromorphone) 10 mg (lower is more sensible).
10mg Opana is THE strongest pain killer manufactured for humans. Opana (Oxymorphone) is the top of the pain killer scale. 10mg Opana is roughly the same as 60 mg morphine. And it only comes in 5 or 10mg. I am a chronic pain sufferer due to permanent nerve damage. I take 4mg Dilaudid 3 times a day. Dilaudid (Hydromorhone) is the 2nd strongest. Comes in 2, 4, & 8mg. Fentanyl is the third strongest, and typically is in patch form.
30 mg of Morphine IR is equal to approximately 8 mg of Diluadid, so there is about a 4mg morphine to 1 mg of dilaudid ratio. So 45 mg of morphine would be equal to 5.6 mg of dilaudid. To answer your question, 45 mg of Morphine IR would stronger than taking the 4 mg of dilaudid.
dilaudid is stronger then roxicodone if you are on methadone
Dilaudid K4 is hydromorphone 4mg. The 4mg is equal to 40mg of Dilaudid.
8mg is the highest dose
8 mg of Dilaudid is equal to 60 mg of Percocet
Dilaudid Demerol
Dilaudid, e.g. hydromorphone
Roughly $600 dollars per MG.
methadone
A million nanograms.