Can I use Dilaudid if I have a history of lung disease?

Tell your doctor about any form of lung disease you've had before taking Dilaudid (hydromorphone). This pain reliever can cause a variety of side effects and changes in the body, including respiratory depression, or a decrease in the ability to move air in and out of the lungs. This problem can be especially serious for people who have or have had lung disease or other breathing disorders. Your doctor may prescribe an alternative medication if you have a history of lung disease.