Conversion oxycodone to fentanyl patch
[DOC File]Can fentanyl patches be abused
https://info.5y1.org/conversion-oxycodone-to-fentanyl-patch_1_4aa400.html
Convert to s/c pump (or in case of Fentanyl patch add CSCI, do not remove patch) following Guidelines for Pain Management, BUT consider increasing Opioid dose, e.g. give 30-50% more than the recommended equivalent dose (or for Transdermal Fentanyl add 30-50% of the equivalent dose).
New Drug Review, Xtampza ER Drug Monograph
Example conversion: Converting from morphine m/r 15mg bd to oral oxycodone: Total daily dose of morphine is 30mg. From Table 1, oxycodone potency equivalence = 1.5 – 2. Divide 30mg/1.5 = 20mg and 30mg/2 = 15mg. Therefore the approximate equivalent total daily dose of oral oxycodone is 15 - 20mg in divided doses.
Opioid Oral Morphine Milligram Equivalent (MME) Conversion Fact…
= 30mg Oxycodone PO over 24 hours = 15mg BD Oxycontin M/R. Oxycodone PO to Oxycodone SC: 20mg Oxycontin M/R PO BD = 40mg Oxycodone PO over 24 hours ÷ 2 = 20mg Oxycodone SC over 24 hours. Zomorph PO to Fentanyl TD: 45mg Zomorph PO BD = 90mg Zomorph PO over 24 hours ÷ 3.6 = 25 microgram per hour Fentanyl TD patch (change every 72 hrs)
[DOC File]Drug Conversions
https://info.5y1.org/conversion-oxycodone-to-fentanyl-patch_1_9bfe39.html
( Transdermal patch should be used only in opioid tolerant patients. Effects of patch last for 18 - 24 hours after the patch is removed. ( Use of IV fentanyl is restricted to Oncology, Burn Service, Palliative Care, Intensive Care Units or based on recommendation by the Pain Service. Appropriate monitoring is …
[DOCX File]Opioids > 50 mg Morphine Equivalent Daily Dose (MEDD)
https://info.5y1.org/conversion-oxycodone-to-fentanyl-patch_1_15faf3.html
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]Equianalgesic Chart (Changes in italics)
https://info.5y1.org/conversion-oxycodone-to-fentanyl-patch_1_18ccda.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
[DOC File]OPIOID ANALGESIA – DRUG CONVERSIONS AT KIRKWOOD …
https://info.5y1.org/conversion-oxycodone-to-fentanyl-patch_1_11a2c3.html
The conversion ratios are conservative and may result in overdosage if used to convert fentanyl to other opioids. Prescribe a short-acting opioid analgesic, to be taken by the patient as needed, when fentanyl is first started, since the onset of the analgesic effects of fentanyl may be delayed about 20 hours.
[DOC File]Fentanyl Transdermal System (TDS) Informational Summary
https://info.5y1.org/conversion-oxycodone-to-fentanyl-patch_1_d37fd0.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).
[DOCX File]Date of check - SPS
https://info.5y1.org/conversion-oxycodone-to-fentanyl-patch_1_45c015.html
Initial (conversion from other opioids): 9 mg every 12 hours with food. For conversion from transdermal fentanyl, approximately 9 mg every 12 hours should initially be substituted for each 25 µg/hr of fentanyl transdermal patch.
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