"i suffer from chronic intractable migraines and fibromyalgia, and have a recent history of strokes.  i&#039;m a long term pain management patient and my normal pain meds are oxycontin 15mg twice a day, with oxy ir 15mg every four hours. three weeks ago, i tripped in a parking lot and fractured  my shoulder. because of my normal meds, my orthopedist put me on 4mg dilaudid (tablets) every 4 hours (in place of the oxy ir) because of the extreme pain of the fracture.  i have to say that i was surprised that it did not work at all. it did, however, make me violently ill with near constant vomiting and diarrhea. i have had dilaudid via iv many times, and never experienced these symptoms, and they resolved as soon as i stopped the oral dilaudid tablet."