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Read the Medication Guide provided by your pharmacist before you start taking hydromorphone and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Take this medication by mouth as directed by your doctor. You may take this drug with or without food. If you have nausea, it may help to take this drug with food. Ask your doctor or pharmacist about other ways to decrease nausea (such as lying down for 1 to 2 hours with as little head movement as possible). If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon.