Morphine to fentanyl patch
[DOCX File]Doctor 2015 - Lejan JU
https://info.5y1.org/morphine-to-fentanyl-patch_1_34ffcf.html
Transdermal patch: long-acting form, 12 hours for onset, 48-72 hours half-life. 12 micrograms or 25 micrograms/ hour, 25 microgram fentanyl is equivalent to 50-60 mg of oral morphine in 24 hours, in other words, the fentanyl transdermal patch is equivalent to a high-dose morphine regimen.
[DOC File]Ladder for management of Chronic Pain
https://info.5y1.org/morphine-to-fentanyl-patch_1_10b26a.html
Consider: Fentanyl patch or Buprenorphine patch (See opioid equivalence tables ETOU2010) Equianalgesic Tables. These tables should be used in conjunction with Summary of Product Characteristics (SPC) for the brand of transdermal patch being used. Morphine PO 4 hourly Morphine SR PO BD Morphine SR PO 24 hourly Fentanyl Patch 72 hourly.
[DOC File]Ladder for management of Chronic Pain
https://info.5y1.org/morphine-to-fentanyl-patch_1_0a35f7.html
96 hourly Morphine PO 4hourly Morphine SR PO BD Butrans patch weekly - 2.5-5mg 10-20mg 10mcg - 5-10mg 20-30mg 20mcg 35mcg 10-15mg 30-50mg - 52.5mcg 15-25mg 50-75mg - 70mcg 20-30mg 60-100mg - 105mcg 30-50mg 100-150mg - 140mcg 40-60mg 120-190mg - Buprenorphine equianalgesia with oral morphine varies in the literature from 1:75 to 1:115.
[DOC File]Fentanyl Transdermal System (TDS) Informational Summary
https://info.5y1.org/morphine-to-fentanyl-patch_1_d37fd0.html
After discontinuing the fentanyl patch, titrate the new opioid according to the patient’s level of pain relief and tolerability. Take into consideration the fact that, after removal of the fentanyl patch, serum fentanyl concentrations decline gradually, falling about 50% in approximately …
[DOC File]www.harrogateandruraldistrictccg.nhs.uk
https://info.5y1.org/morphine-to-fentanyl-patch_1_0f29d1.html
Beware of small doses: a 25mcg/hour patch = 90mg of morphine per day. Fentanyl patches should be used only in people who have previously tolerated opioids as there is a risk of significant respiratory depression in those who are opioid naïve. Patches should be changed every 72 hours. Doses should not be changed more frequently than every 3 days.
[DOCX File]Opioids > 50 mg Morphine Equivalent Daily Dose (MEDD)
https://info.5y1.org/morphine-to-fentanyl-patch_1_a926cd.html
Fentanyl Transdermal Patch* 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]Drug Conversions - HOME - Bradford VTS
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Subcutaneous Morphine mg/day. Subcutaneous Oxycodone mg/day. Transdermal Fentanyl Patch µg/hour ÷ 2. x 5-10 ÷ 5-10. x 1.7 ÷ 1.7. x 10 ÷ 10. NOTE: The safest way to calculate opioid conversion is to convert to oral morphine and then convert back out again
[DOC File]MANAGEMENT OF CHRONIC NON-CANCER PAIN:
https://info.5y1.org/morphine-to-fentanyl-patch_1_2ae221.html
Sustained-release fentanyl patch: generic patch, Duragesic. The new 12 mcg patch is available only as Duragesic, whereas higher doses are also available in generic. Duragesic patches last 3 days in most people, although about 25 percent of patients require every 2-day dosing.
[DOC File]UKMi Q&A xx - SPS
https://info.5y1.org/morphine-to-fentanyl-patch_1_2de1f7.html
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 poor ...
[DOCX File]Date of check
https://info.5y1.org/morphine-to-fentanyl-patch_1_45c015.html
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 poor compliance with oral medication
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