Oxycodone to fentanyl patch conversion

    • Conversion of Opioid Medicines Dosages

      patch (mcg/hour) Fentanyl patch (mcg/hour) Morphine injection 24 hourly s/c (mg)* (mg) Diamorphine injection 24 hourly s/c (mg) Oxycodone injection 24 hourly s/c Alfentanil injection 24 hourly s/c (mg) 2.5 1.25 (soln) 10 10 5 5 0.5 5 2.5 (soln) 15 12 15 10 7.5 1

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    • [PDF File]Opioid Switching Tool


      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.

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    • Transdermal and Parenteral Fentanyl Dosage …

      total daily opioid dose at least equivalent to fentanyl transdermal system 25 mcg/h. Opioid-tolerant patients are those who have been taking daily, for a week or longer, at least 60 mg of oral morphine, 30 mg of oral oxycodone, or at least 8 mg of oral hydromorphone or an equianalgesic dose of another opioid. Fentanyl patch use in

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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. <60 → 12.5 60-134 → 25

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      OPIOID DRUG CONVERSION CHART NOTE: When using this chart, calculate the total daily dose of morphine. Once conversion is calculated, ensure opioid dose is prescribed in divided doses as appropriate. SUBCUTANEOUS MORPHINE mg/day SUBCUTANEOUS OXYCODONE mg/day ÷4 TRANSDERMAL FENTANYL PATCH 3 (microgram/hour ORAL OXYCODONE mg/day SUBCUTANEOUS

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    • [PDF File]Opioid conversion guide - Department of Health


      30 mg oxycodone/day x conversion factor = morphine/day . ... Opioid Patch strength . Equianalgesic oral morphine dose . buprenorphine . 5 microgram/hr . 12 mg/24 hrs . fentanyl . 12 microgram/hr . ... • There is no direct conversion for fentanyl lozenge to other opioids including morphine

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    • [PDF File]Opioid Conversion Chart - palliativedrugs.com


      Opioid Conversion Chart Morphine 4hrly (o) Morphine MR BD (o) Total 24h Morphine (o) (adding 4hrly doses) Oxycodone 4hrly (o) Oxycodone MR BD (o) Oxycodone 4hrly (sc) Total 24h (sc) Oxycodone Diamorphine 4hrly (sc) Total 24 h (sc) Diamorphine Fentanyl patch 72hrly 5mg 20mg 1 30mg 2.5mg 10mg 15mg 1.25-2.5mg 10mg 25mcg 10mg 30mg 60mg 5mg 20mg 5mg ...

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    • [PDF File]Opioid Conversion Chart - Ipswich and East Suffolk CCG


      Opioid Conversion Chart (please note all conversions are approximate and doses need to be chosen cautiously and individualised to the patient) Oral Morphine Oral Oxycodone SC Morphine SC Diamorphine SC Oxycodone Fentanyl patch 4 hourly dose (mg) 12 hourly dose (mg) 24 hour equivalent (mg) 4 hourly dose (mg) 12 hourly dose (mg) 24 hour ...

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    • [PDF File]Opioid Conversion Table - AAFP Home


      2. Convert to MMEs (oxymorphone conversion factor = 3) à40 X 3 = 120 MME 3. Determine MMEs of oxycodone (oxycodone conversion factor = 1.5) à 120/1.5 = 80 mg/d 4. Decrease dose by 25% à 25% of ...

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    • [DOC File]Drug Conversions


      = 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)

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      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).

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    • [DOCX File]Opioids > 50 mg Morphine Equivalent Daily Dose (MEDD)


      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.

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    • [DOC File]Fentanyl Transdermal System (TDS) Informational Summary


      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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    • [DOC File]Equianalgesic Chart (Changes in italics)


      Patients with a fentanyl patch: Use the opioid dose conversion chart in CFDP Clinical Guideline 8 to calculate the appropriate dose. When managing a patient with renal failure and alfentanil is unavailable, please seek specialist advice. Alternative options include fentanyl, hydromorphone and sometimes oxycodone.

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    • [DOC File]Lakewood Health System


      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.

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    • [DOC File]UKMi Q&A xx - SPS


      ( 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 …

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    • [DOC File]Can fentanyl patches be abused


      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 ...

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    • OxyContin Dosage Guide

      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

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    • New Drug Review, Xtampza ER Drug Monograph

      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).

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