Oxycodone to fentanyl patch conversion

    • 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 ...

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    • [PDF File]ORAL MORPHINE MILLIGRAM EQUIVALENT CONVERSION …

      https://info.5y1.org/oxycodone-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

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    • Pain management in palliative care

      Oxycodone (PO) 20 mg 1.5:1 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

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    • [PDF File]TAPENTADOL DOSE CONVERSION CHART

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_20811e.html

      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

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    • [PDF File]Fentanyl Transdermal Patch Guidelines for Use

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_8f2802.html

      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

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    • [PDF File]Equianalgesic Dosing of Opioids for Pain Management

      https://info.5y1.org/oxycodone-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.

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    • [PDF File][P] Fentanyl Patches - Palliative Care (Adults)

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_30175f.html

      The following doses and conversion factors are a guideline only and each patient must be assessed on an individual basis. Advice should be sought from the Palliative Care Team. 5.1 Suggested Starting Strength of Fentanyl Patch . Table 1. Starting strength and equivalent opioid doses. 1, 4. Fentanyl Patch (microgram/hr) Subcutaneous fentanyl ...

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    • [PDF File]A Guide to Equivalent Doses for Opioid Drugs

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_1d49cd.html

      • A PO morphine:transdermal fentanyl dose conversion ratio of 100-150:1 is used (PCF5 & BNF 100:1, Public Health Education Opioids 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

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    • [PDF File]Appendix A: Equianalgesic Conversion for Morphine

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_e3ad84.html

      Approximate Breakthrough Doses Recommended for Fentanyl Transdermal PatchA Breakthrough should be 10% of the total daily opioid dose Patch Strength mcg/hour Oral Morphine Immediate Release (mg) Oral Hydromorphone Immediate Release (mg) Oral Oxycodone Immediate Release (mg) 12 5 1 2.5 25 10 2 5 37 15 3 10 50 20 4 12.5 62 25 5 15 75 25 5 17.5 87 ...

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    • 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]Duragesic Label Page 1 Full Prescribing Information FOR ...

      https://info.5y1.org/oxycodone-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

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    • [PDF File]Oral Opioid Dosing Equivalents and Conversions

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_2442bf.html

      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 ...

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    • 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<15mL/min and unable to

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    • [PDF File]OPIATE CONVERSION DOSES

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_190b49.html

      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

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    • [PDF File]Opioid Conversion Chart - Our Lady's Hospice

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_9b9cc1.html

      # 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.

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    • [PDF File]090714 opioid conversions

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_c341fc.html

      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

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    • [PDF File]PALLIATIVE CARE OPIOID CONVERSION GUIDE

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_9b59ac.html

      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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    • [PDF File]SPECIALIST PALLIATIVE CARE OPIOID DRUG CONVERSION …

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_cd59d9.html

      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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    • Equianalgesic Dosing of Opioids for Pain Management

      Conversion Algorithm for instructions on converting from one opioid to another. ... Controlled-release oxycodone (OxyContin [U.S.], OxyNeo [Canada]) NA 20-30 NA 20-30 mg q 12 h NA 10 mg q 12 h9, j Oxymorphone (Opana [U.S.]) 1 10 0.3-0.4 mg q 4 h 5 mg q 6 h 0.5 mg

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    • Conversion of Opioid Medicines Dosages

      Oxycodone capsules/solution (OxyNorm ®) Oxycodone MR tablets (e.g. OxyContin ®) Worked Example of Conversion to MR Oral Opioid: • Calculate the total daily dosage of oral opioid. • Divide this by two. • Prescribe this dose twice daily. Example: A patient prescribed 20 mg 4 …

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

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_288bdc.html

      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 Oral Morphine Milligram Equivalent (MME) Conversion ...

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_48ab92.html

      However, since the fentanyl patch remains in place for 3 days, we have multiplied the conversion factor by 3 (2.4 X 3 = 7.2). In this example, MME/day for ten 25 µg/hr fentanyl patches dispensed for use over 30 days would work out as follows: Example: 25 ug/hr fentanyl patch X …

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    • [PDF File]Opioid Switching Tool

      https://info.5y1.org/oxycodone-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.

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    • [PDF File]Oral Opioid Dosing Equivalents and Conversions

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_22ea4d.html

      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 ...

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

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_6bd3af.html

      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

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_e46390.html

      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 Table - AAFP Home

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_2ddc52.html

      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 = …

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    • [PDF File]Opioid Conversion Guidelines

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_c64c80.html

      SC Morphine to SC Oxycodone 1-1.5 : 1 SC Morphine 10-15mg = SC Oxycodone 10mg IM Pethidine to SC Morphine 10 : 1 IM Pethidine 100mg = SC Morphine 10mg Subcutaneous to Other Opioid Conversions Subcutaneous to Other Ratio Example SC or SL Fentanyl to TTS Fentanyl 1 : 1 Fentanyl 600mcg/24 hr CSCI = Fentanyl patch 25mcg/hr

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    • [PDF File]Opioid Oral Morphine Milligram Equivalent (MME) Conversion ...

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_48ab92.html

      However, since the fentanyl patch remains in place for 3 days, we have multiplied the conversion factor by 3 (2.4 X 3 = 7.2). In this example, MME/day for ten 25 µg/hr fentanyl patches dispensed for use over 30 days would work out as follows: Example: 25 ug/hr fentanyl patch X (10 patches/30 days) X 7.2 = 60 MME/day.

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    • Transdermal and Parenteral Fentanyl Dosage Calculations and ...

      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 non-opioid tolerant patients has resulted in fatal respiratory depression. n Consult the prescribing information to determine the initial fentanyl patch dose.

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    • [PDF File]Opioid Conversion Chart

      https://info.5y1.org/oxycodone-to-fentanyl-patch-conversion_2_e46390.html

      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

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