Hydromorphone to fentanyl patch conversion
[PDF File]Opioid Conversion Chart - Ipswich and East Suffolk CCG
https://info.5y1.org/hydromorphone-to-fentanyl-patch-conversion_2_288bdc.html
Please check that the PRN dose is appropriate for the patch strength e.g. a 25 microgram / hr fentanyl patch is equivalent to approx. 60mg of morphine / 24 hr hence a PRN dose of 10 mg oral morphine solution (or 2.5 to 5 mg diamorphine SC) is required.
Pain management in palliative care
Hydromorphone (PO) 6 mg 5:1 Hydromorphone (SC, IM, IV) 3 mg 10:1 Methadone (PO) 5 mg 6:1 (conversion ratio increases with higher doses of morphine, seek specialist advice) Tramadol (PO, SC, IM, IV) 300 mg 1:10 Codeine (PO) 360 mg 1:12 Fentanyl patch (topical) More complex – see conversion table in product disclosure (available on E-MIMS)
[PDF File]ORAL MORPHINE MILLIGRAM EQUIVALENT CONVERSION …
https://info.5y1.org/hydromorphone-to-fentanyl-patch-conversion_2_ff287d.html
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]Opioid Conversion Guidelines
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Oral Morphine to Oral Hydromorphone 5 : 1 Oral Morphine 5mg = Oral Hydromorphone 1mg ** Conversion to methadone from other opioids is complex, ... (BTD) for a given Fentanyl Patch For a given Fentanyl Patch of x mcg/hr: BTD = x/5 micrograms of Sufentanil 2 hourly e.g. for Durogesic 25: BTD = 25/5 i.e. 5 microgram Sufentanil 2 hourly ...
[PDF File]Opioid Switching Tool
https://info.5y1.org/hydromorphone-to-fentanyl-patch-conversion_2_c294e4.html
Fentanyl Patch: Use LEVY’s RULE: Patch strength (mcg / hr) = half total daily dose oral morphine (round down to nearest patch strength) MEq = 60 60 / 2 = 30 25mcg / hr fentanyl 6. Define new regime: regular unit doses / frequency & prn opioid medication E.g. 12 hourly dosing = daily dose / 2.
Opioid Equianalgesic Table
If converting from oral to IV hydromorphone, use a conversion ratio of 7.5:1.5, i.e. divide oral dose by 5 to get equianalgesic oral dose. ... Fentanyl mcg/h Patch q3d 25 25+12 50 50+12 75 75+12 100 125 150 175 200 225 250 275 300 • Not for acute pain
[PDF File]Fentanyl Transdermal Patch Guidelines for Use
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What strength fentanyl TD should be prescribed? Total daily morphine = 200 mg PO in 24 hours divided by 3 = 67 mg IV Conversion factor: Morphine 15 mg PO or 5 mg IV = Fentanyl 0.05 mg 𝒙 = . 𝒙= . 𝒎 𝑿 = . 𝒎𝒄 ÷ = 27.8 mcg/hr Recommend Fentanyl TD 25 mcg/hr patch
[PDF File]Duragesic Label Page 1 Full Prescribing Information FOR ...
https://info.5y1.org/hydromorphone-to-fentanyl-patch-conversion_2_ec0a29.html
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. The high content of fentanyl in the patches
[PDF File]Equianalgesic Dosing of Opioids for Pain Management
https://info.5y1.org/hydromorphone-to-fentanyl-patch-conversion_2_588f20.html
dosing. Or, for U.S. products only, see our PL Chart, Fentanyl Products for Breakthrough Pain. Some experts use this conversion in cancer patients: oral morphine 60 mg total daily dose = 25 mcg/hr fentanyl patch. Round up or down based on patient factors and available patch sizes.56 NA = not available.
[PDF File]Switching Opioids using Equivalency Tables
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patient can be provided with hydromorphone immediate release 2 mg with instructions to take one dose PRN breakthrough pain. o If patient is started on Hydromorph Contin 6 mg BID, the rescue dose is 10 to 15 % x 12 mg = 0.1 to 0.15 x 12 mg hydromorphone = 1.2 to 1.8 mg hydromorphone. The
OPIOID MANAGER SWITCHING OPIOIDS Morphine …
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 – 359 ...
[PDF File]Opioid Equianalgesic Chart
https://info.5y1.org/hydromorphone-to-fentanyl-patch-conversion_2_ecad42.html
Hydromorphone 0.75 4 3-4 hours Meperidine** 50 150 2-3 hours Codeine 50 100 3-4 hours Hydrocodone 15 3-4 hours Fentanyl Transdermal Patch Opioid doses equivalent to 25mcg/hr fentanyl patch Drug Oral IV Morphine 45mg/24hr 15mg/24hr Hydromorphone 10mg/24hr 2mg/24hr Patch duration: 48-72 hours
[PDF File]GUIDELINES FOR OPIOIDS Equivalency Table of Opioids
https://info.5y1.org/hydromorphone-to-fentanyl-patch-conversion_2_ba4ee5.html
Therefore, the starting dose would by Hydromorphone 4 mg s.c. Q4h The prn dose would be Hydromorphone (4 mg X 6) /10 = 2 mg s.c. Q2h EXAMPLE C: CONVERSION OF MORPHINE TO FENTANYL TRANSDERMAL* entanyl is a continuous systematic delivery system dosed in mocrograms per hour. Conversion to equianalgesic doses is les
[PDF File]090714 opioid conversions
https://info.5y1.org/hydromorphone-to-fentanyl-patch-conversion_2_c341fc.html
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 patch (mcg/hr) 24 hour oral morphine dose (mg) Breakthrough oramorph dose (mg) 12 <60 5-10 25 35 61-90 10-15 37 52.5 91-134 15-20
[PDF File]TAPENTADOL DOSE CONVERSION CHART
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TAPENTADOL DOSE CONVERSION CHART Doses in this conversion chart are approximate equivalent doses only. Caution is always necessary. It should be noted that these equivalent doses relate to analgesic equivalence and not opioid equivalence due to the dual mechanism of action of tapentadol (mu-opioid receptor agonist and noradrenaline reuptake ...
[PDF File]Guidelines For The Use Of Fentanyl Patches
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Switching From Fentanyl Patch to Oral Morphine (or alternative opioid) 1. Remove patch. Ensure normal release morphine or alternative opioid is prescribed on an 'as required’ basis. Use advice from section “Breakthrough Analgesia” to obtain dose. 2. After 12 hours, prescribe a regular dose of normal release opioid 4-hourly in addition to the
[PDF File]FENTANYL PATCH PROTOCOL
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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]Equianalgesic Dosing of Opioids for Pain Management
https://info.5y1.org/hydromorphone-to-fentanyl-patch-conversion_2_588f20.html
dosing. Or, for U.S. products only, see our PL Chart, Fentanyl Products for Breakthrough Pain. Some experts use this conversion in cancer patients: oral morphine 60 mg total daily dose = 25 mcg/hr fentanyl patch. Round up or down based on patient factors and available patch …
OPIOID MANAGER SWITCHING OPIOIDS Morphine …
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 – 359 ...
[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 ...
Opioid Conversion Tables - ASHP
Opioid Conversion Tables . Ernest Dole , Pharm.D., BCPS , PhC, FASHP . Clinical Pharmacist , University of New Mexico Hospitals . Chronic Pain C onsultation & Treatment Center . Table 1: Pharmacokinetic Data for Oral Opioids . Starting Dose Onset Peak Duration Half life Codeine 30 - 60 mg q 4 hr 30 min 1.5 hr 6 hours 2-4 hr Morphine SA
[PDF File]090714 opioid conversions
https://info.5y1.org/hydromorphone-to-fentanyl-patch-conversion_2_c341fc.html
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 patch (mcg/hr) 24 hour oral morphine dose (mg) Breakthrough oramorph dose (mg) 12
[PDF File]Supplemental online content for: Comparing Patient ...
https://info.5y1.org/hydromorphone-to-fentanyl-patch-conversion_2_e91d37.html
eTable 1. Common Opioid Conversion Chart Opioid Parenteral Dose Oral Dose Morphine 10 mg 30 mg Hydromorphone 1.5 mg — Oxycodone — 15–20 mg Fentanyla 15 mcg/h — aFor transdermal patch conversions. JNCCN.org | Volume 19 Issue 10 | October 2021 Lin et al – 3
[PDF File]Part 2: Pain and Symptom Management Pain Management
https://info.5y1.org/hydromorphone-to-fentanyl-patch-conversion_2_34175f.html
Renal failure fentanyl transdermal or methadonea morphineb, codeine, meperidinec Compliance and convenience time release formulations (e.g., morphine, hydromorphone, oxycodone) Neuropathic pain oxycodone or methadoned (anecdotal evidence) Opioid naïve low dose morphine, hydromorphone or oxycodone fentanyl transdermal patch (risk of
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