25 mcg fentanyl patch equivalent
[PDF File]Principles and Practice of opioid rotation/switching
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Fentanyl 25mcg/hr patch equivalent to 90mg oral morphine/d (variable 80-100mg) Oxycodone/naloxone 20/10mg 1 tablet q8hrs =60mg oxycodone/day equivalent to 90mg oral morphine/d BUT every patient is different so this is not an exact science and extreme caution has to be exercised!!! Example : Fentanyl patch adherence
[PDF File]CP.PMN.127 Fentanyl IR (Abstral, Actiq, Fentora, Lazanda ...
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with the 100 mcg dose. Abstral is not equivalent on a mcg per mcg basis with all other fentanyl products; therefore, do not switch patients on a mcg per mcg basis from any other fentanyl product. The safety and efficacy of doses higher than 800 mcg have not been evaluated. Maximum two doses for each episode of breakthrough pain. Patients
FENTANYL TRANSDERMAL SYSTEM CII
Oct 01, 2004 · Fentanyl transdermal system should ONLY be used in patients who are already receiving opioid therapy, who have demonstrated opioid tolerance, and who require a total daily dose at least equivalent to fentanyl transdermal system 25 mcg/h. Patients who are considered opioid-tolerant are those who have been taking, for a week or longer, at least ...
[PDF File]SUMMARY OF PRODUCT CHARACTERISTICS 1. NAME OF …
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transdermal patch of 25.5 cm2 contains 15.3 mg fentanyl. Excipient with known effect: Contains soya oil. ... 25, 50, 75, and 100 mcg/h fentanyl to the systemic circulation, which represent about 0.3, 0.6, 1.2, 1.8, and 2.4 mg per day respectively. ... tramadol, and codeine) that are to be titrated until an analgesic dosage equivalent to ...
[PDF File]FENTANYL TRANSDERMAL SAFE PRESRIING A STI KY PRO …
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The minimum strength of fentanyl patch available is 12.5 mcg, so the patient must have been taking an approximate total daily dose of 45 mg long-acting morphine (or other opioids), equivalent to at least 12.5 mcg of fentanyl.1,16 This dose can be titrated upwards, …
[PDF File]Severn Hospice Opioid Conversion Table For Use in Adult ...
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Patch strength Stable pain only PCF6 pg 417 Change every 3 days Patch strength Stable pain only 407 Approx. equivalent 24 hour total dose (mg) 5 2.5 10 5 5 Butrans 15 7.5 5 Butrans 20 10 10 Butrans 5 15 30 2.5 15 1.25 10 2.5 7.5 15 1.25 7.5 12mcg/hr 15 Butrans 1
[PDF File]GOLDEN RULE: WHEN CHANGING FROM ONE OPIOID TO …
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# Transdermal fentanyl and buprenorphine patches are prescribed in micrograms (mcg)/hour. Equivalent doses are based on the 24 hour dose of fentanyl or buprenorphine received from a patch. See product literature for further information. * Based on buprenorphine to morphine ratio of 1:70-83.
[PDF File]Guidelines For The Use Of Fentanyl Patches
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25mcg/hr fentanyl patch ≡ 90mg oral morphine Divide the total amount of morphine by 6 to estimate the breakthrough dose. E.g. A patient is on a 50mcg/hr fentanyl patch. This is roughly equivalent to 180mg oral morphine a day. His breakthrough dose is therefore 180/6 = 30mg oral morphine.
Generic Duragesic (fentanyl) patches
Jan 28, 2020 · 100 mcg/hour products. The FDA deemed these products bioequivalent and therapeutically equivalent to the reference drug, Duragesic Transdermal Systems.1 Duragesic is manufactured by Alza Corporation and distributed by Janssen Pharmaceutica Products. Alza is also manufacturing a generic fentanyl patch which is identical to Duragesic but is ...
[PDF File]Fighting the Good Fight: How to Convert Opioids Just Right!
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Conversion Off Fentanyl •Conversion Chart Ratio Morphine IV 10 mg = 100 mcg IV Fentanyl •Other methods Morphine IV 1 mg/hr = Fentanyl IV 25 mcg/hr •Infusions of > 48 hour duration •Conversion to alternative long-acting opioid –Initiate alternative long-acting ~12 hours after patch removal
[PDF File]Fentanyl patch PMe 20160107 - Sandoz Canada
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Sandoz Fentanyl Patch Page 1 of 48 PRODUCT MONOGRAPH N SANDOZ FENTANYL PATCH Fentanyl Transdermal Patches (Matrix) 12 mcg/h 25 mcg/h 37 mcg/h 50 mcg/h 75 mcg/h 100 mcg/h Opioid Analgesic Sandoz Canada Inc. Date of Revision: January 7, 2016 145 Jules-Léger Boucherville, Quebec, Canada J4B 7K8 Submission Control No: 190751
[PDF File]Opioid conversion guide - Department of Health
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used for calculating equivalent daily doses OR intermittent (or ‘when required’) doses ... lowest strength of each patch Opioid Patch strength ... buprenorphine . 5 microgram/hr . 12 mg/24 hrs . fentanyl . 12 microgram/hr . 30-45 mg/24 hrs . Sublingual preparation conversions . Opioid . Dose . Equianalgesic oral morphine dose for pain ...
[PDF File]PRESCRIBING IN PALLIATIVE CARE: A GUIDE TO …
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Aware Resource 150:1) resulting in a dose range of oral morphine per patch strength e.g. Fentanyl TD 25mcg/hr patch approximately= 60-90mg oral morphine/24hrs • It is suggested that for conversions from oral morphine to fentanyl patches, the lower doses of fentanyl should be used for patients
[PDF File]www.bpac.org.nz keyword: fentanyl Fentanyl patches
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an equianalgesic dose equivalent to a 25 mcg/hour fentanyl patch is achieved. Treatment is usually initiated with a short-acting immediate release opioid given every four to six hours. Usual starting doses are: Morphine 5 – 10 mg Oxycodone 5 mg The patient can then be converted to a 25 mcg/hour fentanyl patch.2 2. Medsafe.
[PDF File]ISMP Canada Safety Bulletin - Acclaim Health
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Fentanyl is a highly potent opioid. One transdermal fentanyl patch 25 mcg/hour provides comparable analgesia to a daily dose of 60 mg to 134 mg of oral morphine.6 Because of the risk of life-threatening hypoventilation, fentanyl patches are contraindicated for opioid-naïve patients. This drug should NOT
[PDF File]NAME OF PROVIDER OR SUPPLIER DOCTORS MEDICAL …
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the application of a 25 mcg/hr Duragesic (fentanyl) patch at 2 p.m. on September 30, 2007. Patient 400 received a total equivalent dose of 10 mg of oral morphine per day for two days or four percent of the total dose of 420 mg divided over seven days that would be required before a patient would be considered opioid tolerant.
[PDF File](adding 4hrly doses) 1.25-2
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used, or, if difficult to estimate, the equivalent of 2 or 3 stat doses can be used on the first day. 24 hour oral morphine (mg) Fentanyl patch strength (mcg) Breakthrough 4 hourly morphine (mg) <135 25 <20 135-224 50 25-35 225-314 75 40-50 315-404 100 55-65 405 …
[PDF File]MULTI-INCIDENT ANALYSIS A Multi-Incident Analysis on ...
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Dosage availability per patch Directions for the fentanyl patch was entered as apply 25 mcg along with 100 mcg, but it should have been 25 mcg along with a 50 mcg and 100 mcg. Requiring multiple patches from the same and/or various strengths to be dispensed at once to meet the total daily dose prescribed. Specify the total dose of fentanyl in
[PDF File]Fentanyl Transmucosal Products Monograph
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fentanyl 25 mcg / hour, oral oxycodone 30 mg / day, oral hydromorphone 8 mg / day, or an equianalgesic dose of another opioid for one week or longer. Updated version may be found at www.pbm.va.gov or vaww.pbm.va.gov 4
[PDF File]Good Practice Guidelines: Use of fentanyl transdermal patches
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equivalent to one fentanyl 25 micrograms/ hour patch. • Residents must have ^when required (PRN) normal release strong analgesia available for breakthrough pain once a fentanyl patch is prescribed (normally one sixth of the equivalent 24 - hour total oral morphine dose) Normal release morphine (tablets or liquid) is commonly used.
[PDF File]OPIOID DISPENSING GUIDELINES
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Transdermal Fentanyl 25 mcg/hour Oral Oxycodone 30 mg/day Oral Hydromorphone 8 mg/day Oral Oxymorphone 25 mg/day Note: Patients are considered opioid tolerant when on these doses or an equianalgesic dose of another opioid for at least one week *Pharmacists should always question immediate past medication use at these doses prior to
[PDF File]Calculating Total Daily Dose of Opioids For Safer Dosage
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• Fentanyl: dosed in mcg/hr instead of mg/day, and absorption is affected by heat and other factors . HOW SHOULD PROVIDERS USE THE TOTAL DAILY OPIOID DOSE IN CLINICAL PRACTICE? • Use caution when prescribing opioids at any dosage and prescribe the lowest effective dose.
[PDF File]Pg BuTrans Patch - RxFiles
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Fentanyl Patch - - 12 mcg/hr $42 Initial BuTrans patch dose + something for breakthruif on previous opioid. 5 mcg/hr 5 mcg/hr 5-10 mcg/hr Estimate of Eventual BuTrans® Patch Strength 5 mcg/hr $60 10 mcg/hr $105 20 mcg/hr * $185 *Monograph does not recommend starting …
[PDF File]Opioid Conversion Table - BC Renal
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3 Fentanyl transdermal patch is not recommended in opioid-naïve patients. Previous opioid should be tapered over first 12 hours of fentanyl as absorption is delayed. Recommended conversion from oral daily hydromorphone equivalent to fentanyl is as follows: 4 Codeine is not recommended in the management of chronic pain in dialysis patients.
[PDF File]PRODUCT MONOGRAPH
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25 mcg/h 50 mcg/h 75 mcg/h 100 mcg/h Opioid Analgesic PART I: HEALTH PROFESSIONAL INFORMATION SUMMARY PRODUCT INFORMATION Route of Administration Dosage Form / Strength Nonmedicinal Ingredients Transdermal Patch Five strengths with 2.1, 4.2, 8.4, 12.6, and 16.8 mg fentanyl per patch, delivering 12, 25, 50, 75, and 100
[PDF File]UnitedHealthcare Pharmacy Clinical Pharmacy Programs ...
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Duragesic 25 mcg/hr : 50 mcg q 72 hrs (1/2 patch/day equivalent) 15 15 (0.5/day) ... Duragesic 75 mcg/hr : 50 mcg q 72 hrs (1 patch/day equivalent) 10 10 (0.33/day) Duragesic 100 mcg/hr . 50 mcg q 72 hrs (1 patch/day equivalent) 10 10 (0.33/day) hydromorphone ... Fentanyl Patch 37.5 mcg/hr^ 50 mcg q 72 hrs (1/2 patch/day equivalent) 10 15 (0.5 ...
[PDF File]ACMT and AACT Position Statement: Preventing Occupational ...
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comparably to fentanyl, although exact bioavailability was not determined [25]. However, incidental dermal absorption is unlikely to cause opioid toxicity. If bilateral palmar surfaces were covered with fentanyl patches, it would take approximately 14 minutes …
[PDF File]PRINCIPLES OF ANTINEOPLASTIC THERAPY
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Fentanyl Transdermal Duragesic®: Do not use for opioid naïve patients. Available as 25, 50, 75, 100 mcg/hour patch Follow conversion charts from manufacturer 48 hours 25 mcg/hr Methadone *** Dolophine® 3.3 mg SC/IV 10-15 mg PO 4 hours (1st dose) 2.5-10 SC/PO Morphine Controlled Release MS Contin® Non-formulary Oramorph®
[PDF File]Morphine Milligram Equivalents
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fentanyl 25 mcg/hr patch 19200 fentanyl 37.5 mcg/hr patch 37952 fentanyl 50 mcg/hr patch 19201 fentanyl 62.5mcg/hr patch 37947 fentanyl 75 mcg/hr patch 19202 fentanyl 87.5 mcg/hr patch 37948 fentanyl cit otfc 1,200 mcg 19193 fentanyl cit otfc 1,600 mcg 19194 fentanyl citrate otfc 200 mcg 19204 fentanyl citrate otfc 400 mcg 19206
[PDF File]Opioid Oral Morphine Milligram Equivalent (MME) …
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However, since the fentanyl patch remains in place for 3 days, we have multiplied the conversion factor by 3 (2.4 X 3 = 7.2). In this example, MME/day for ten 25 µg/hr fentanyl patches dispensed for use over 30 days would work out as follows: Example: 25 ug/hr fentanyl patch X (10 patches/30 days) X 7.2 = …
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