You need a taper schedule, not just a missed dose "here and there!!!" Doctors should know better than that. You have been on dilaudid for 10 years, so it won't be a cake walk, but it can be done!!! I would talk with another doctor, and have them write out a taper schedule. There are OTC things you can do to help with the WDs.
Good luck!
Have you talked to your doctor about tapering down? I know from exeprience missing a dose can put you into w/d's within 12 hrs. If you and your doctor is willing to taper down you could be off in a couple months. You should also get into aftercare as it gives you the tools to cope with your addiction/dependance as it is crucial to your recovery. Are you taking the hydromorphine for chronic pain? If so their are many support groups that could help you. I will pray that God gives you the strenght to beat this and keeps you on the road to recovery-quitin
dont know bout this drug... but sure others will post... hang in there