Dilaudid is the trade name of hydromorphone hydrochloride which is a hydrogenated ketone of morphine that is used as an opioid analgesic to treat moderate to severe pain. White coat clad chaps call it 4, 5?-epoxy-3-hydroxy-17 methylmorphinan-6-one hydrochloride in their language.
Some bacteria have been shown to be able to turn morphine into hydromorphone. As reported in the July 1993 issue of Applied Environmental Bacteriology, the bacterium Pseudomonas putida, serotype M10, a naturally occurring NADH-dependent morphinone reductase which lives in an aqueous solution containing morphine, forms a significant amount of hydromophone as an intermediary metabolite. Same way, codeine may also be turned into hydrocodone.