Fentanyl patch conversion
Conversion Table. 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 ...
[DOC File]UKMi Q&A xx - SPS
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) Breakthrough doses of opioids tend to be calculated by combining the total daily dose of opioid, then dividing by . 6 (six).
Direct conversion from oral morphine to transdermal fentanyl with a ratio of oral morphine to transdermal fentanyl of 100:1 was examined in 98 patients with cancer pain (). Regression analysis at the end of the study revealed a mean oral morphine to transdermal fentanyl ratio of 70:1 (14).
[DOC File]Equianalgesic Chart (Changes in italics)
If patient has a Fentanyl patch – continue patch and use ALFENTANIL or FENTANYL SC prn in addition. If patient is taking other regular opioids: Convert to continuous subcutaneous infusion* of ALFENTANIL/FENTANYL in syringe driver with ALFENTANIL/FENTANYL SC prn at 1/6 to 1/10 of the total 24 hour continuous subcutaneous infusion dose (seek ...
Fentanyl toxicity may be more subtle than morphine toxicity due to a lack of hallucinations, myoclonus etc. and can present as vagueness, drowsiness or ‘not feeling well’ (). After discontinuing a fentanyl patch, fentanyl levels fall gradually. It takes 17 hours or more for the plasma-fentanyl concentration to decrease by 50% (4-8,11-14).
( 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]Date of check
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.
Opioid Oral Morphine Milligram Equivalent (MME) Conversion Fact…
After discontinuing a fentanyl patch, fentanyl levels fall gradually. It takes around 20 (range 13-27) hours for the plasma-fentanyl concentration to decrease by 50% (4-14). Patients who experience serious adverse effects should have patches removed immediately and should be monitored for at least 24 hours after the patch is removed (4-12).
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]Lakewood Health System
Reapply a new patch every 7 days. ... Butec 10mcg is equivalent to ~ Morphine 15mg /24 hours orally (see opioid conversion charts or seek advice from palliative care) ... Reapply a new patch every 3 days. Fentanyl 12mcg is equivalent to ~ Morphine 30-45mg/24 hours. Fentanyl 25mcg is equivalent to ~ Morphine 60-90 mg /24 hour. Fentanyl ...
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