Fentanyl to hydromorphone conversion
[DOC File]PROCESS OF CARE AT END OF LIFE - UAB
https://info.5y1.org/fentanyl-to-hydromorphone-conversion_1_fe478a.html
Dose Conversion morphine PO morphine IV morphine SQ morphine SL hydromorphone PO hydromorphone IV hydromorphone IM hydromorphone SQ oxycodone PO codeine PO methadone PO meperidine PO meperidine IV meperidine SQ meperidine IM fentanyl PATCH ... SQ morphine SL hydromorphone PO hydromorphone IV hydromorphone IM hydromorphone SQ oxycodone PO ...
[DOC File]Equianalgesic Chart (Changes in italics)
https://info.5y1.org/fentanyl-to-hydromorphone-conversion_1_18ccda.html
The next step is to convert 25 mg of oral hydromorphone to the daily oral morphine equivalent dose (DOMED). The equianalgesic chart indicates that 7.5 mg of oral hydromorphone is equal to 30 mg of oral morphine. The patient’s calculated dose of 25 mg of oral hydromorphone is …
[DOCX File]Opioids > 50 mg Morphine Equivalent Daily Dose (MEDD)
https://info.5y1.org/fentanyl-to-hydromorphone-conversion_1_15faf3.html
*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). Dosage conversions are only approximate.
[DOCX File]Lippincott Williams & Wilkins
https://info.5y1.org/fentanyl-to-hydromorphone-conversion_1_092ceb.html
Calculate new dose using ratios: 180/30 X 7.5 = 45 mg oral Hydromorphone/24 hours. Changing drug and route (e.g. oral morphine to IV hydromorphone) Example: Change from 90 mg q12 Extended Release Morphine to IV Hydromorphone as a continuous infusion.
[DOC File]Can fentanyl patches be abused
https://info.5y1.org/fentanyl-to-hydromorphone-conversion_1_4aa400.html
Most published opioid conversion tables have been derived from short-term studies in opioid-naive patients, which do not account for the influence of incomplete cross-tolerance between opioids (2). A dose reduction of at least 50% is recommended when switching at high doses (e.g. morphine or equivalent doses of 1g/24 hours or more), in elderly ...
[DOCX File]cdn-links.lww.com
https://info.5y1.org/fentanyl-to-hydromorphone-conversion_1_9c19dd.html
Appendices: 1. 0. B. rief protocol for initiating treatment with injectable . hydromorphone. and . diacetylmorphine. 2. 0. Induction. Protocols. Injectable ...
[DOC File]Lakewood Health System
https://info.5y1.org/fentanyl-to-hydromorphone-conversion_1_be6fdf.html
Codeine Fentanyl. Patch Hydromorphone Meperidine Methadone Morphine Oxycodone Oral* (Patch) Oral* IV* IV/IM* Oral* Oral* IV* Oral* 150 12 mcg 6 1 50 15 45 7 20 300 25 mcg 12 2 100 30 90 15 45 600 50 mcg 24 4 200 60 180 30 90 900 75 mcg 36 8 300 90 270 45 135 1200 100 mcg 44 10 450 120 360 60 180 1500 125 mcg 56 12 560 150 450 75 225 1800 150 ...
[DOCX File]hsrsna.com
https://info.5y1.org/fentanyl-to-hydromorphone-conversion_1_93b9da.html
Hydromorphone. Methadone. Heroin. Structure. Made from Morphine. Derivative of Morphine. Synthetic Opioid with prolonged duration of action (24 hrs) Synthetic Opioid produced by Acetylation of Morphine= Diacetylmorphine. Pharmacokinetics. E ½ x with PO = 3.5 hrs. Onset IV almost immediate. Peak = 5 – 20 min. DOA = 2-5 hours. 5x as potent as ...
[DOC File]Fentanyl Transdermal System (TDS) Informational Summary
https://info.5y1.org/fentanyl-to-hydromorphone-conversion_1_d37fd0.html
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 transdermal
[DOCX File]health.maryland.gov
https://info.5y1.org/fentanyl-to-hydromorphone-conversion_1_fcda6c.html
6MME conversion factor for fentanyl patches is 7.2 based on the assumption that one milligram of parenteral fentanyl is equivalent to 100 milligrams of oral morphine and that one patch delivers the dispensed micrograms per hour over a 24 hour day and remains in place for 3 days.
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