SPECIALIST PALLIATIVE CARE OPIOID DRUG …

SPECIALIST PALLIATIVE CARE 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

OXYCODONE

X4

mg/day

?4

SUBCUTANEOUS MORPHINE mg/day

?2

x2

x2

ORAL OXYCODONE mg/day

TRANSDERMAL FENTANYL PATCH

X3

(microgram/hour

?3

ORAL TRAMADOL

mg/day

? 10

x 10 ? 10

ORAL CODEINE* OR

DIHYDROCODEINE

mg/day

x10

ORAL MORPHINE

mg / day

?2 3 SUBCUTANEOUS DIAMORPHINE mg/day

?3

2.4

?2.4

TRANSDERMAL BUPRENORPHINE PATCH (microgram/hour strength)

30

SUBCUTANEOUS

ALFENTANIL

?30

mg/day

* The conversions given are comparable doses but there is wide patient intervariability relating to opioid conversion.

Using the chart

? The arrow outward shows how to convert from morphine to the alternative drug

? The arrow inward shows how to get the equivalent dose of oral morphine

? See the GUIDANCE NOTES overleaf

In renal impairment (GFR ................
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