Fentanyl patch equivalent to oxycodone
[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 …
OPIOID MANAGER SWITCHING OPIOIDS Morphine …
Oxycodone Hydromorphone Meperidine Methadone & Tramadol Transdermal fentanyl Equivalent Doses (mg) 30 200 20 6 300 Conversion to MEQ 1 0.15 1.5 5 0.1 Morphine Equivalence Table Dose Equivalents unreliable 60 – 134 mg morphine = 25 mcg/h 135 – 179 mg = 37 mcg/h 180 – 224 mg = 50 mcg/h 225 – 269 mg = 62 mcg/h 270 – 314 mg = 75 mcg/h 315 ...
[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.
Pain management in palliative care
Alternate potent opioids such as oxycodone, hydromorphone and fentanyl are now available in Australlia. These may be used at opioid initiation or if inadequate analgesia or unacceptable side effects occur with morphine (‘opioid substitution’) (Table 2). Transdermal fentanyl patches are a suitable
[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 Equianalgesic Dose Chart
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Fentanyl patch: 12.5, 25, 50, 75, 100 mcg/hr. See Fentanyl information below for initiating patch and patch to PO dosing. **CYP 3A4 inhibitors (amiodarone, -azoles, anti-retrovirals, erythromycin,
[PDF File]CP.PMN.127 Fentanyl IR (Abstral, Actiq, Fentora, Lazanda ...
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fentanyl/hour, at least 30 mg of oxycodone daily, at least 8 mg oral hydromorphone daily, or an equianalgesic dose of another opioid for a week or longer. • Fentanyl absorption with different formulations of transmucosal delivery systems can be substantially different. Patients should not be converted on a mcg per mcg basis between
[PDF File]Equianalgesic Dosing of Opioids for Pain Management
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k. The initial dose of transdermal buprenorphine (Butrans) for patients taking less than 30 mg of oral morphine or equivalent per day is a 5 mcg/hr patch applied once weekly (Canada: start with 5 mcg/hr patch in opioid-naïve patients, and 5-10 mcg/hr patch in patients taking up to 80 mg oral morphine equivalents per day). U.S.:
[PDF File]A GUIDE TO EQUIVALENT DOSES FOR OPIOID DRUGS
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Δ Fentanyl - * Fentanyl: A 12mcg/hr strength is available; but is licensed as a titrating dose NOT as a starting dose. If a patient has not been on an equivalent of 60-90mg of oral morphine per 24 hrs, seek specialist palliative care advice before commencing Fentanyl patch.
[PDF File]Duragesic Label Page 1 Full Prescribing Information FOR ...
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least equivalent to DURAGESIC 25 mcg/h. Patients who are considered opioid-tolerant are those who have been taking, for a week or longer, at least 60 mg of morphine daily, or at least 30 mg of oral oxycodone daily, or at least 8 mg of oral hydromorphone daily or an equianalgesic dose of another opioid.
[PDF File]ORAL MORPHINE MILLIGRAM EQUIVALENT CONVERSION …
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Fentanyl, buccal/SL tabet or lozenge/troche (MCG) 0.13 Fentanyl, film or oral spray (MCG) 0.18 Fentanyl, nasal spray (MCG) 0.16 Fentanyl, transdermal patch (MCG/HR) 7.2 Hydrocodone 1 Hydromorphone 4 Levomethadyl acetate 8 Levorphanol tartrate 11 Meperidine 0.1 Methadone 3 Morphine 1 Opium 1 Oxycodone 1.5 Oxymorphone 3 Pentazocine 0.37
[PDF File]FENTANYL PATCH PROTOCOL
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All fentanyl patch orders must be reviewed by the entering pharmacist for the following ... Oxycodone 30 mg 15 mg Oxymorphone 10 mg (PR) 1 mg Codeine 200 mg 130 mg ... ** All IM and po doses in this chart are considered equivalent to 10 mg of IM morphine in analgesic effect. This is based on
[PDF File]Oral Opioid Dosing Equivalents and Conversions
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Morphine to Fentanyl Patch Conversion . Each 2 mg PO morphine approximately equivalent to 1 mcg/hr fentanyl patch (e.g., morphine 100 mg/day → 50 mcg/hr patch applied q3days). Caution should be used in older adults or patients with cachexia—fentanyl is lipid soluble and requires subcutaneous fat for proper absorption. Opoid Taper . Typical ...
[PDF File]FOR USE IN OPIOID-TOLERANT PATIENTS ONLY DURAGESIC ...
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agonist, fentanyl. Schedule II opioid substances which include fentanyl, hydromorphone, methadone, morphine, oxycodone, and oxymorphone have the highest potential for abuse and associated risk of fatal overdose due to respiratory depression. Fentanyl can be abused and is subject to criminal diversion.
[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]Switching Opioids using Equivalency Tables
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equivalent multiply by: To convert from oral morphine multiply by: Morphine 30 mg 1 1 Codeine * 200 mg 0.15 6.67 Oxycodone 20 mg 1.5 0.667 Hydromorphone 6 mg 5 0.2 Meperidine ** 300 mg 0.1 10 Methadone Morphine dose equivalence not reliably established. Tramadol * Transdermal fentanyl 60–134 mg morphine = 25mcg/h
[PDF File]OPIATE CONVERSION DOSES
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Oxycodone 10mg 20mg Pethidine (oral) 50mg 5mg to 6.25mg Pethidine (injected) 12.5mg 3mg Patches conversion doses: r DRUG NAME DRUG DOSE EQUIVALENT ORAL MORPHINE DOSE Fentanyl 25 patch 25micrograms/hour 30mg to 134mg/24hours Fentanyl 50 patch 50 micrograms/hour 135mg to 224mg/24hours Fentanyl 75 patch 75 micrograms/hour 225mg to 314mg/24hours
[PDF File]Oral Opioid Dosing Equivalents and Conversions
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Morphine to Fentanyl Patch Conversion . Each 2 mg PO morphine approximately equivalent to 1 mcg/hr fentanyl patch (e.g., morphine 100 mg/day → 50 mcg/hr patch applied q3days). Caution should be used in older adults or patients with cachexia—fentanyl is lipid soluble and requires subcutaneous fat for proper absorption. Opoid Taper . Typical ...
[PDF File]090714 opioid conversions
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Oxycodone (oral) 1.5-2 to 1 15-20mg Oxycodone (sc) 3 to 1 10mg 2. To convert 30 mg of oral Alfentanil (sc) 30 to 1 1mg Morphine to oral Fentanyl (sc) 150 to 1 200mcg Oxycodone divide by 2 Hydromorphone (oral) 7.5 to 1 4mg To give 15mg Hydromorphone (sc) 15 to 1 2mg Transdermal opioids Fentanyl patch (mcg/hr) Buprenorphine
[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]A Guide to Equivalent Doses for Opioid Drugs
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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]PALLIATIVE CARE OPIOID CONVERSION GUIDE
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with an initial dose of morphine elixir (o r tablets) 10mg q4h regularly (or oxycodone IR 5-10mg q6h). Morphine oral (mg 24 hrs): Fentanyl patch (mcg/hr) Note: When converting to fentanyl from other opioids or subcutaneous morphine please use the appropriate conversion guide above to obtain the 24 hour oral morphine dose.
World Health Organization Model List of Essential Medicines
fentanyl* Transdermal patch: 12 micrograms/hr; 25 micrograms/hr; 50 ... *Alternatives limited to hydromorphone and oxycodone . WHO Model List of Essential Medicines 21st edition ... (equivalent to Na+ 150 mmol/L and Cl- 150 mmol/L); 5% glucose, 0.45% sodium chloride (equivalent to Na+ ...
[PDF File]Coversheet for Network Site Specific Group Agreed ...
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symptoms it may be advisable to discontinue the fentanyl patch and provide total analgesia via the syringe driver. Seek specialist palliative care advice. Discontinuing a fentanyl patch and converting to continuous infusion of analgesia via a syringe driver 1. Identify strength of fentanyl patch and calculate equivalent dose of SC
[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]Severn Hospice Opioid Conversion Table For Use in Adult ...
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Converting from po morphine m/r 30mg bd to po oxycodone: • Total daily dose of morphine is 60mg. • From Table below, oxycodone potency equivalence = 2. • Divide 60mg/2 = 30mg. • Therefore, the approximate equivalent 24-hr dose oral oxycodone is 30mg. • Prescribe oxycodone MR 15mg BD 12 hours apart. Morphine 1
[PDF File]FENTANYL PATCH PROTOCOL
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All fentanyl patch orders must be reviewed by the entering pharmacist for the following ... Oxycodone 30 mg 15 mg Oxymorphone 10 mg (PR) 1 mg Codeine 200 mg 130 mg ... ** All IM and po doses in this chart are considered equivalent to 10 mg of IM morphine in analgesic effect. This is based on
Opioid conversion chart 11thAug2014
• Fentanyl patch if pain is stable. • Oxycodone orally or by infusion if mild renal impairment • If patient is dying & on a fentanyl or buprenorphine patch top up with appropriate sc oxycodone or alfentanil dose & if necessary, add into syringe driver as per renal guidance • If GFR
[PDF File]DURAGESIC CII (Fentanyl Transdermal System)
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total daily dose at least equivalent to DURAGESIC ® 25 mcg/h. Patients who are considered opioid-tolerant are those who have been taking, for a week or longer, at least 60 mg of morphine daily, or at least 30 mg of oral oxycodone daily, or at least 8 mg of oral hydromorphone daily or an equianalgesic dose of another opioid.
[PDF File]Calculating Total Daily Dose of Opioids For Safer Dosage
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• 33 mg of oxycodone (~2 tablets of oxycodone sustained-release 15 mg) • 12 mg of methadone (
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