Hydromorphone to fentanyl patch conversion
While they are both opioids, the primary difference between the two is that morphine is a naturally occurring, plant-based substance, whereas fentanyl is entirely synthetic. Fentanyl is also significantly more potent, roughly 100 times stronger than morphine.
Dilaudid is actually many times stronger than morphine, but not as strong as Fentanyl. Fentanyl does not administer the medical punch that dilaudid does though. My wife has chronic pain from a number of diseases and she swears by the Fentanyl saying it is the best thing in her 25 years of chronic pain.
The brand names of fentanyl patches include Durogesic DTrans, Tilofyl and FENCINO. They are for long term cancer pain. You stick a fentanyl patch on your skin and the drug is absorbed into your body over a period of time.
[PDF File]Opioid Conversion Guidelines
Opioid Conversion Guidelines Reviewed: August 2013 Gippsland Region ... 1 SC Morphine 10mg = SC Hydromorphone 2mg SC Fentanyl to SC Sufentanil 10 : 1 SC Fentanyl 100mcg = SC Sufentanil 10mcg ... for a given Fentanyl Patch For a given Fentanyl Patch of x mcg/hr: BTD = x/5 micrograms of Sufentanil 2 hourly . Opioid Conversion Guidelines
Transdermal and Parenteral Fentanyl Dosage …
hydromorphone or an equianalgesic dose of another opioid. Fentanyl patch use in non-opioid tolerant patients has resulted in fatal respiratory depression. n Consult the prescribing information to determine the initial fentanyl patch dose. Overestimating the dose when converting patients from another opioid analgesic
[PDF File]FENTANYL PATCH PROTOCOL
All fentanyl patch orders must be reviewed by the entering pharmacist for the following ... Hydromorphone 7.5 mg 1.5 mg ... Fentanyl Dose Conversion guidelines Current analgesic Daily Dosage (mg/d) Oral morphine 60-134 135-224 225-314 315-404
[PDF File]Opioid Conversion Table - AAFP Home
There are a number of conversion charts available, so caution is needed when performing calculations. ... Fentanyl (MCG/hr) 2.4 12.5 mcg/hr** Hydrocodone 1 3 …
[DOC File]EMERGENCY MEDICINE Liverpool Hospital
Oxynorm, Endone (Quick) 7.5mg Hydromorphone Dilaudid 2 mg Methadone Physeptone 1mg Codeine Panadeine Forte 60-100mg Fentanyl Durogesic patch Variable 12 mcg= 15-50mg oral morphine Note this does not consider incomplete cross-tolerance. General rules for opiates. All mu receptor antagonists are equi-analgesic at appropriate doses.
Eg: If pain is stable on Hydromorphone NR 1.3mg 4-6 hrly, this is equivalent to a Fentanyl 12microgram/hr patch. Apply patch to clean, dry skin at 0900. It takes 12 hours for the patch to become effective, so continue with Hydromorphone 1.3mg at 6 hourly intervals until patient goes to bed.
[DOC File]Equianalgesic Chart (Changes in italics)
Methadone Conversion Ratios. Current DOMED Conversion ratio (morphine : methadone) Conversion factor (approximate % of DOMED) 1,000 mg 20 : 1 5% Example of conversion …
[DOC File]Lakewood Health System
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 ...
Fentanyl patches are an effective alternative to oral morphine and 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, hydromorphone; renal ...
Hydromorphone 4 20 . Levorphanol 7.5 15 . Meperidine 0.1 0.4 . Methadone 1.5 3 . Morphine 0.5 3 * To be used only for conversion to oral oxycodone. For patients receiving high-dose parenteral opioids, a more conservative conversion is warranted. For example, for high-dose parenteral morphine, use 1.5 instead of 3 as a multiplication factor.
[DOC File]Can fentanyl patches be abused
Most published opioid conversion tables have been derived from short-term studies in opioid-naive patients, which do not account for the influence of incomplete cross-tolerance between opioids (2). A dose reduction of at least 50% is recommended when switching at high doses (e.g. morphine or equivalent doses of 1g/24 hours or more), in elderly ...
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.
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]The Assessment of the Patient with Pain
Alternate agents include hydromorphone, fentanyl, or methadone if parenteral routes are necessary; alternate oral agents include hydrocodone, hydromorphone, or oxycodone. Transdermal fentanyl is an additional option when considering alternatives to morphine.
Nearby & related entries:
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.