Fentanyl 25 mcg morphine equivalent
[DOC File]St Peter's Hospice
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Jul 01, 2016 · Astramorph-PF (morphine, injection) > 120 mg/day. Dilaudid # (hydromorphone) > 32 mg/day. Drug. PA for dose limits. Dolophine (methadone oral) All quantities for new starts; > 30 mg/day high-dose PA restriction regardless of stability. Duragesic # (fentanyl 12, 25, 50 mcg/hr transdermal system) > 50 mcg/hr and PA > 10 patches/month
[DOCX File]Date of check - SPS
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Micrograms/hr Equivalent dose . oral. morphine/24 hours Equivalent dose . subcutaneous. morphine / 24 hrs PRN . subcutaneous. dose of morphine Fentanyl 25 mcg/hr ~60-90mg/24hrs 30-45mg/24hrs 5-7.5mg 1hourly Buprenorphine 20 mcg/hr ~30-50mg/24hrs 15-25mg/24hrs 2.5-5mg 1hourly Steroids
[DOCX File]Opioids > 50 mg Morphine Equivalent Daily Dose (MEDD)
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Oral 24-hour morphine equivalent (mg/day) Fentanyl transdermal (mcg/hr) 60 -134 25 135-224 50 225-314 75 315-404 100 405-494 125 495-584 150 585-674 175 675-764 200 765-854 225 855-944 250 945-1034 275 1035-1124 300 *Note: Do not use this table to convert from fentanyl transdermal system to other opioid analgesics because these conversion ...
[DOC File]Fentanyl Transdermal System (TDS) Informational Summary
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14 mcg/hr 12.5 mcg/hr *According to this conversion table, every 90 mg/d (range, 60–134 mg/d) of oral morphine or equivalent converts to approximately 25 mcg/h of transdermal fentanyl (but not necessarily vice versa).
[DOC File]Equianalgesic Chart (Changes in italics)
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A common question is how to change a patient from oral morphine to a fentanyl patch. Fentanyl patches are indicated in patients with stable pain who have difficulty swallowing, unacceptable side effects with oral morphine or other opiates e.g. oxycodone; renal failure, persistent nausea and vomiting, gastrointestinal obstruction or …
Opioid Calculator - Conversion Data and Methods
As a general rule, when converting to fentanyl from another opioid, use about 25mcg/h of fentanyl transdermally for every 90 mg of oral morphine equivalent. Appropriate dosage increments should be based on the daily use of supplemental opioids with the equivalency of morphine 45 milligrams/day orally to a 12.5 micrograms/hour increase in the ...
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