3 (mg) 30 Buprenorphine patch. Frequently, good control of pain with methadone is PR to PO. Opioid Conversion Table Adapted on work done by PHC (funding from the Carrares Foundation) and FH renal program See Analgesic Chart for detailed information on each agent 1 Oral to parenteral potency varies between 2:1 and 2 tablets qid. However, variation among patients in bioavailability of 796 0 obj <>stream It should not be used to determine doses when converting a patient from one opioid to another. 4 (mcg/hr) 12.6 Buprenorphine film (mcg) 0.03 Butorphanol (mg) 7 Codeine (mg) 0.15 Dihydrocodeine (mg) 0.25 Fentanyl buccal or SL tablets, or lozenge/troche. Drug Equianalgesic Oral Dose Morphine 30 mg … endstream endobj 774 0 obj <>stream Opioid Conversion Guidelines Updated 2015 Gippsland Region Palliative Care Consortium Page 2 of 7 Policy Statement Equianalgesic dose conversions are necessary when changing opioid drug therapy in the clinical setting. Opioids are chemical compounds with properties similar to opium, a substance obtained from the seed pods of Papaver somniferum species of poppy. endstream endobj startxref At higher doses these variations require the consideration of a reduction in the dose when converting from one strong opioid to another as there is a risk of sedative side effects. * Please note: This document cannot be modified. Conversion factors are an approximate guide only because comprehensive data are lacking and … Harold’s Cross Our Lady’s Hospice & Care Services, Harold’s Cross, D6W RY72. Opioid Conversion Chart This chart was compiled from several online sources. A PO morphine;transdermal fentanyl dose conversion ratio of 150:1 is used This chart has been amended to incorporate the availability of Fentanyl Transdermal 12 mcg patches and to include approximate equivalent doses of subcutaneous Fentanyl. endstream endobj 773 0 obj <>/ExtGState<>/ProcSet[/PDF/ImageC]/XObject<>>>/TilingType 3/Type/Pattern/XStep 1440.0/YStep 1080.0>>stream Wide variation in the dose of opioid that can cause symptoms of toxicity. endstream endobj 770 0 obj <>/Metadata 41 0 R/OCProperties<>/OCGs[785 0 R]>>/Outlines 45 0 R/PageLayout/SinglePage/Pages 764 0 R/StructTreeRoot 80 0 R/Type/Catalog>> endobj 771 0 obj <>/ExtGState<>/Font<>/Pattern<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 772 0 obj <>stream Use an equivalence table to estimate the equivalent amount of target opioid.5 3. If the form does not start downloading in 10 seconds, please click here. Opioid onversion hart Prepared by: Palliative Meds Info. _®¨Q¼Z~Äë…ù%Ôëí‹f}¹İÃ#ŒráW*‘¿Bϲ*¯‘Ò¿İâ£Æm½Ã±lF®2"ÆqŸ¢E±WşmxQ˜ñJ��f̉k. 09. urs) 4-11 12 8-22 25 23-37 50 38-52 75 53-67 100 68-82 125 83-97 150 If a patient is taking Panadeine Forte. Opioid Conversion Calculator. † There are special considerations for calculating Methadone (Methadose, Dolophine) MED, please view the following page for conversion factors and references: Methadone Conversion Factors This opioid dose calculator was developed by the Washington State Agency Medical Directors' Group to be used in conjunction with the Interagency Guideline on Prescribing Opioids for Pain. Free Download Opioid Conversion Chart (pdf, 293KB) and Customize with our Editable Templates, Waivers and Forms for your needs. This chart should only be interpreted as a loose starting point. Opioid Conversion Factor (convert to MMEs) Duration (hours) Dose Equivalent Morphine Sulfate (30mg) Codeine 0.15 4-6 200 mg Fentanyl (MCG/hr) 2.4 12.5 mcg/hr** Hydrocodone 1 3-6 30 mg Opioid Conversion Guide? The EMR PCC grants permission to reproduce parts of this publication for clinical and educational use only, provided that the Eastern Metropolitan Region Palliative When converting from one opioid to another, the initial dose depends on the relative potency of the two drugs and route of administration. Type of Opioid MME Conversion Factor Buprenorphine patch. Opioid Conversion Chart v24.11.15 RS Fentanyl (transdermal) patch strength in micrograms/hr Diamorphine (subcutaneous) mg/24hrs Morphine Sulphate (subcutaneous) mg/24hrs x Buprenorphine (transdermal) patch strength in Determine doses when converting a patient from one opioid to another. The opioid (equianalgesic) conversions calculator allows a clinician to generate an equivalent dose (equal amount of analgesia) when switching between different opioid analgesics. Patients should be reviewed 24h after conversion from one opioid to another or from one route to another, and doses The breakthrough dose of any opioid except fentanyl should be one sixth of the total daily dose. Patients may vary in their response to different opioids. Click here to download. For this reason the Date of Birth field is mandatory. %%EOF 12.6 Buprenorphine tab or film 10 Butorphanol 7 Codeine 0.15 Dihydrocodeine 0.25 Fentanyl buccal or SL tablets, or lozenge/troche. In order to increase knowledge about how best to respond to and alleviate the suffering of seriously ill patients, we have created a free training module on Physician Assisted Death.. Dr. W. 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