The best replacement for hydromorphone is morphine.

The best alternatives to hydromorphone are rated as following:
★★★★★  morphine
★★★★★  oxycodone
★★★★  hydrocodone
★★★  oxymorphone
★★★  oxycontin
★★  percocet
★  dilaudid
★  morphine sulfate
  diamorphine
  oxymorphone stronger
  demerol
  meperidine
  hydrocodone stronger
  oxycodone which is stronger
  morphine stronger
  ms contin
  opana

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Google Trends

Scale is based on the average worldwide traffic of hydromorphone in all years. Click on graph for more.
hydromorphone
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