���2*��9���&F� `��$�3�{� � ��, To convert 60 mg of Morphine (sc) 2 to 1 15mg oral Morphine to Morphine (iv) 3 to 1 10mg subcutaneous Morphine Diamorphine (sc) 3 to 1 10mg divide by 2 to give 30 mg. Oxycodone (oral) 1.5-2 to 1 15-20mg Oxycodone (sc) 3 to 1 10mg 2. Opioid Conversion Table Adapted on work done by PHC (funding from the Carrares Foundation) and FH renal program See Analgesic Chart for detailed information on each agent 1 Oral to parenteral potency varies between 2:1 and This chart should only be interpreted as a loose starting point. Opioid Conversion Ratios Guide to Palliative Care Practice 2016 3/5/2016 ©2016. Pain is one of the most common symptoms in cancer patients. s Opiate Equianalgesic Dosing Chart Committee 1nn s of age. h��VmO�0�+���$� Uj;ʐց6&U|�ڬ�H�*1���9vH߀�I�*�.�7?>�Uł0�bI��*&���Q #��$��!�A`s�$* ����^fG=��W��rvL�����/��gq�ȖYi`��718�����dUy;���@�� q@�yä�S̬ ��/R�C5��O�j�:�����+繼N�>1�}Fӱ�� ���g�<5�dt�m�j���zX��|���P�?d�|a�Ⓘ��I�$z^�0��Ui����D����1f�Z�H/���_�8��$��������55Uf�(4ݸ��F��_΋�0��l��P6G�X�W�k���7�Z�Ğ ��!�{����,/��&/�e���Q^�f��l�Y�N\��]D D{���m���gfQO��!�����aH"!��� When converting from one opioid to another, the initial dose depends on the relative potency of the two drugs and route of administration. 3 (mg) 30 Buprenorphine patch. Conversion from other opioids to methadone is complex and inpatient admission is advised. This chart has been amended to incorporate the availability of Fentanyl Transdermal 12 mcg patches and to include approximate equivalent doses of subcutaneous Fentanyl. The formula to work out the dose is under each drug name. that is, (2 x 30 mg codeine) x 4 doses or 240 mg codeine/day. 30 mg morphine/day ÷ conversion factor = oxycodone/day. Tramadol: Opioid Equivalence. We used the equianalgesic chart from Wikipedia to build the opioid conversion calculator. Buprenorphine film/tablet. Then, 240 mg codeine/day. Opioid dose conversion chart, syringe driver doses, rescue / prn doses and opioid patches Use the conversion chart to work out the equivalent doses of different opioid drugs by different routes. We use methadone as a function of opioid rotation and not in the context of mortality outcome and we have noted t … Opioid equivalents and conversions charts allow doctors to switch drugs while maintaining the same level of painkilling effectiveness and avoiding overdosing the patient. See Appendix B - Initiation, Maintenance & Monitoring Chart for a fillable version of this table that can be inserted into the patient medical record. MD161 Opioid Conversion chart (toolkit) Version 2 Created 03/20 AV/SO Updated 11/20 Opioid analgesia – Guide to drug conversions at Kirkwood Hospice • Actual conversion from oral morphine 45mg/day = transdermal fentanyl 12microgram/hour, hence those doses for … TRANSDERMAL FENTANYL PATCH 3 (microgram/hour. Equianalgesic charts are used for calculation of an equivalent dose (a dose which would offer an equal amount of analgesia) between different analgesics. ) ����� ����&j3��CT1 ��TU Patients should be reviewed 24h after conversion from one opioid to another or from one route to another, … Percocet = acetaminophen + oxyCODONE), enter only the dose of the opioid component (e.g. Successful use of opioids to manage cancer pain requires adequate knowledge about opioid pharmacology and equianalgesia for the purpose of both drug rotation and route conversion. About This Calculator. The opioid (equianalgesic) conversions calculator allows a clinician to generate an equivalent dose (equal amount of analgesia) when switching between different opioid analgesics. This conversion tool estimates a reasonable equipotent dose between two benzodiazepines. † 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. Opioid-Conversions-May-2016.pdf (715kB) Syringe Driver Drug Compatibilities These guidelines are currently under review in partnership with SCV. 796 0 obj <>stream Opioid Conversion Tutorial Levy’s Rule Example 1 Example 2 Pearls Resources Appendices How to institute opioid therapy Communication with patients and family on pain treatment Parenteral to oral conversion ratios of common Equianalgesic Conversion Table Updated March 20, 2020 Depicts the relative potencies of commonly prescribed opioids compared to oral morphine. Clinical Pharmacist , University of New Mexico Hospitals . We use a 3 to 1 ratio that is consistent with CMS, the State of Oregon PDMP, and research studies by Von Korff (Clin J Pain 2008;24:521-7) and Krebs (Pain 2011;152:1789-95). 769 0 obj <> endobj 2009. 09. urs) 4-11 12 8-22 25 23-37 50 38-52 75 53-67 100 68-82 125 83-97 150 Clinical judgement should be applied, The dose conversion ratio of SC diamorphine: SC alfentanil from 10-6:1. Free Download Opioid Conversion Chart (pdf, 293KB) and Customize with our Editable Templates, Waivers and Forms for your needs. Decrease the calculated dose by: • 50 % if the patient is on a high dose of the current opioid • 25 to 40 % if on a low to moderate dose6 4. Dose-dependent conversions: The conversion ratio of certain opioids can be dependent on the dose of the original opioid. 30 mg ÷ 1.5 = 20 mg oxycodone/day. SUBCUTANEOUS MORPHINE mg/day SUBCUTANEOUS OXYCODONE mg/day ÷4. ORAL MORPHINE MILLIGRAM EQUIVALENT CONVERSION TABLEi Updated 8/16/2017 Opioid (strength in mg except where noted) MME Conversion Factor Buprenorphine, transdermal patch (MCG/HR) 12.6 Buprenorphine, tablet or film 30 Buprenorphine, film (MCG) 0.03 Butorphanol 7 Codeine 0.15 Dihydrocodeine 0.25 Fentanyl, buccal/SL tabet or lozenge/troche (MCG) 0.13 The equianalgesic chart is a table presenting the results of this research. Distributed through the support of the Michael G. … Clinical Opioid Conversion Charts, Tips, Guides and Templates Pdf Home » Health Blog » Health » Family & Community Health » Clinical Opioid Conversion Charts, Tips, Guides and Templates Pdf Several opioids are used in palliative care settings, opioids also differ in several ways including their potency, onset, and duration of action. 2. CAUTION: This calculator is intended for calculating the Morphine Equivalent Dose (MED) dose for a patient taking one or more opioid medications. (See www.olh.ie for Terms and onditions.) The breakthrough dose of any opioid except fentanyl should be one sixth of the total daily dose. An equianalgesic chart is a conversion chart that lists equivalent doses of analgesics (drugs used to relieve pain). 2nue to dimi i conti 3ncombtions must al g ht. If the form does not start downloading in 10 seconds, please click here. 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 Patients should be reviewed 24h after conversion from one opioid to another or from one route to another, and doses Wide variation in the dose of opioid that can cause symptoms of toxicity. There may be several possible reasons to switch analgesics including: drug cost, availability, lack of effectiveness of the current drug, or to minimize adverse effects. Bethesda MD: American Society of Health‐System Pharmacists. W�C2D�>��IF���Ǣ�� � :�*� • There are many opioids and many formulations available (e.g. Opioid Manager Switching Opioids Download. The described ratio for methadone conversion from oral route (PO) to parenteral route (PAR) is 2:1 and from PAR to PO is 1:2. The Leeds Opioid Conversion Guide For Adult Palliative Care Patients NOTES :This chart is intended for guidance, prescribers are responsible for their own decisions.ORAL DIHYDROCODEINE All calculations and rationale must be documented in the patient’s record, including those for prn doses. 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. Opioid Calculator What do you want to do? %%EOF Ernest Dole , Pharm.D., BCPS , PhC, FASHP . T: +353 (0)1 406 8700 Opioids are widely prescribed for this and other purposes. MORPHINE EQUIVALENCE TABLE Opioid conversion table. H�*��w6PH/�272P A]S"�s��=s \�� Opioid Conversion Chart Prepared by: Palliative Meds Info. Determine doses when converting a patient from one opioid to another. Opioid Equivalences Opioid Conversion Chart 2018 Click here to download Tramadol: Opioid Equivalence What is the opioid conversion between tramadol and morphine? Opioid Conversion Chart (please note all conversions are approximate and doses need to be chosen cautiously and individualised to the patient) Oral MorphineOral OxycodoneSC MorphineSC DiamorphineSCOxycodone Fentanyl Reviewed: May There are differences in the literature regarding opioid conversion ratios. Opioid Conversion Guide? Opioid Oral dose Equianalgesic subcutaneous dose Conversion factor (oral dose ÷ by factor = subcut dose) morphine 30 mg 10 mg ÷ 3 hydromorphone 6 mg 2 … 12.6 Buprenorphine tab or film 10 Butorphanol 7 Codeine 0.15 Dihydrocodeine 0.25 Fentanyl buccal or SL tablets, or lozenge/troche. 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. Click here to download. … For combination drugs (e.g. Type of Opioid MME Conversion Factor Buprenorphine patch. The conversions below are approximate and vary between individuals. Examples are given as a guide It usually includes information on the dosage, relative potency, and half-lives, compared to morphine. Do not use in pediatric patients, due to unpredictable rates of absorption and risk of overdose. MD161 Opioid Conversion chart (toolkit) Version 2 Created 03/20 AV/SO Updated 11/20 Opioid analgesia – Guide to drug conversions at Kirkwood Hospice • Actual conversion from oral morphine 45mg/day = transdermal fentanyl 12microgram/hour, hence those doses for patch with an asterix are not direct For this reason the Date of Birth field is mandatory. A variety of additional sources were consulted. Can be precipitated by several factors, including rapid dose escalation, renal impairment, sepsis, electrolyte abnormalities, drug interactions. An individualised approach is necessary. Palliative Care: Opioid Conversion Guide These conversion factors are approximations; there is wide and unpredictable inter-individual variability of oral opioids. Thank you for downloading Opioid Manager Switching Opioid Form. Demystifying Opioid Conversion Calculations: a guide for effective dosing. 1. NB. Table 1: Pharmacokinetic Data for Oral Opioids . Patients may vary in their response to different opioids. Harold’s Cross Our Lady’s Hospice & Care Services, Harold’s Cross, D6W RY72. Chronic Pain C onsultation & Treatment Center . 15.Mercadante S, Caraceni A. Opioid Conversion Guidelines GRPCC-CPG002_1.0_2011 Gippsland Region Palliative Care Consortium Page 2 of 5 Policy Statement Equianalgesic dose conversions are necessary when changing opioid drug therapy in the clinical Enter 24-hour total doses below, then click the convert button to display 24-hour equianalgesic doses. �D��Q|�K��` /�s�(a�ꊄ�>�-����=�:6�����Q�gE���>/�?�|� b��2���w>��+�6���S춂��f:?f7�>�����W�m�֥!X��B�^9\�ل ���Q�4,XKm^�)����/l�X���v��K���[�`U7�;en2Mm�nu�1[�oOCW�1{�O�v�ɯL��@��W�+�j��70�I5�_Iվ)!6F Ǎ'���j�!����_?�ϲ�#��Q��U�� ���zF�n��Q�{��a��\NKu@"�l��bl�D�U������[��U�o�j�^Ūۤ���`��eb�g�߱���e�a�aj��#��@��׺���c��S� �# 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 onversion hart Prepared by: Palliative Meds Info. Equianalgesic doses of oral opioids Oral opioid Conversion factor (opioid dose x or ÷ by factor = morphine dose) Practical equianalgesic dose Equianalgesic Opioid Dosing Adapted from McPherson, M.L. 1T�+4�)441��낔� ,J� The eviQ opioid conversion calculator is only to be used for patients greater than 12 years old. 3 In the case of converting morphine to methadone, methadone has a relative potency of 4:1 at lower morphine doses, but becomes much more potent (12:1) in patients converting from very high morphine doses. Type of Opioid (strength units) MME Conversion Factor . Therefore, all medication doses derived using the information below should be checked and prescribed by an experienced practitioner. 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 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. Strong opiate conversion doses:‐ DRUG NAME DRUG DOSE EQUIVALENT ORAL MORPHINE DOSE Diamorphine (sub‐cut) 10mg 30mg Diconal 10mg 5mg Meptazinol (Meptid) 200mg 4mg to 8mg Oxycodone 10mg 20mg Pethidine (oral) 50mg 5mg to 6.25mg Pethidine (injected) 12.5mg 3mg Conversion ratios for opioid switching in the treatment of cancer pain: a systematic review. Opioid Conversion Ratios Guide to Palliative Care Practice 2016 3/5/2016 ©2016. Once conversion is calculated, ensure opioid dose is prescribed in divided doses as appropriate. endstream endobj 773 0 obj <>/ExtGState<>/ProcSet[/PDF/ImageC]/XObject<>>>/TilingType 3/Type/Pattern/XStep 1440.0/YStep 1080.0>>stream Demystifying opioid conversion calculations: a guide for effective dosing. Click here to download Drug Equianalgesic Oral Dose Morphine 30 mg … Contact Us. Opioid Morphine Equivalent Conversion Factors.docx Page 1 Opioid Morphine Equivalent Conversion Factors. Conversion factors are an approximate guide only because comprehensive data are lacking and … * Please note: This document cannot be modified. For patients under this age consult with a pain or palliative care specialist; Opioids NOT available in the eviQ calculator 6. tablets, patches, injections) • Each opioid medication binds to opioid receptors differently • Therefore, a different amount of each opioid is needed to have the same analgesic effect . The dose conversion ratio of … Opioid Conversion Calculator. x �� 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 H��T�n�@}߯�G�뽯-!�&-PD�K. The Leeds Opioid Conversion Guide For Adult Palliative Care Patients NOTES :This chart is intended for guidance, prescribers are responsible for their own decisions.ORAL DIHYDROCODEINE All calculations and rationale must be h�b```�K,�B A� 0��� ��02h0���|�Q��C�����������o@e�� ��Qc�F�JXU����R�xyEG��C�P���� �P�4�a���UIw���8́��)��Ud`Ӹ R Use an equivalence table to estimate the equivalent amount of target opioid.5 3. 0 Switching Opioids using Equivalency Tables When switching patients to a different opioid agent, equivalence tables are used to estimate an equipotent dose of the target opioid. Calculate the total daily dose of the current opioid.5 2. Opioid Conversion Tables . 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. Cautions. %PDF-1.5 %���� Frequently, good control of pain with methadone is PR to PO. Calculate opioid dose adjustments and opioid starting doses. Enter 24-hour total doses below, then click the convert button to display 24-hour equianalgesic doses. 1. SPECIALIST PALLIATIVE CARE OPIOID DRUG CONVERSION CHART NOTE: When using this chart, calculate the total daily dose of morphine. 4nioid-t te-naïve patie ue to cumulative effects . The formula to work out the dose is under each drug name. 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. Richard Scott, Professor Emeritus in the Department of Sociology, shares a very personal story of the last stages of life of his beloved brother Charles Scott. endstream endobj 774 0 obj <>stream _®¨Q¼Z~Äë…ù%Ôëí‹f}¹İÃ#ŒráW*‘¿Bϲ*¯‘Ò¿İâ£Æm½Ã±lF®2"ÆqŸ¢E±WşmxQ˜ñJ��f̉k. What is the opioid conversion between tramadol and morphine? Equianalgesic doses of oral opioids. ... ALL OPIOID CONVERSIONS OUTLINED BELOW ARE APPROXIMATE ONLY. The EMR PCC grants permission to reproduce parts of this publication for clinical and educational use only, provided that the Eastern Metropolitan Opioids are chemical compounds with properties similar to opium, a substance obtained from the seed pods of Papaver somniferum species of poppy. Opioid dose conversion chart, syringe driver doses, rescue / prn doses and opioid patches Use the conversion chart to work out the equivalent doses of different opioid drugs by different routes. 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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 This chart should only be interpreted as a loose starting point. Opioid Conversion Ratios Guide to Palliative Care Practice 2016 3/5/2016 ©2016. Pain is one of the most common symptoms in cancer patients. s Opiate Equianalgesic Dosing Chart Committee 1nn s of age. h��VmO�0�+���$� Uj;ʐց6&U|�ڬ�H�*1���9vH߀�I�*�.�7?>�Uł0�bI��*&���Q #��$��!�A`s�$* ����^fG=��W��rvL�����/��gq�ȖYi`��718�����dUy;���@�� q@�yä�S̬ ��/R�C5��O�j�:�����+繼N�>1�}Fӱ�� ���g�<5�dt�m�j���zX��|���P�?d�|a�Ⓘ��I�$z^�0��Ui����D����1f�Z�H/���_�8��$��������55Uf�(4ݸ��F��_΋�0��l��P6G�X�W�k���7�Z�Ğ ��!�{����,/��&/�e���Q^�f��l�Y�N\��]D D{���m���gfQO��!�����aH"!��� When converting from one opioid to another, the initial dose depends on the relative potency of the two drugs and route of administration. 3 (mg) 30 Buprenorphine patch. Conversion from other opioids to methadone is complex and inpatient admission is advised. This chart has been amended to incorporate the availability of Fentanyl Transdermal 12 mcg patches and to include approximate equivalent doses of subcutaneous Fentanyl. The formula to work out the dose is under each drug name. that is, (2 x 30 mg codeine) x 4 doses or 240 mg codeine/day. 30 mg morphine/day ÷ conversion factor = oxycodone/day. Tramadol: Opioid Equivalence. We used the equianalgesic chart from Wikipedia to build the opioid conversion calculator. Buprenorphine film/tablet. Then, 240 mg codeine/day. Opioid dose conversion chart, syringe driver doses, rescue / prn doses and opioid patches Use the conversion chart to work out the equivalent doses of different opioid drugs by different routes. We use methadone as a function of opioid rotation and not in the context of mortality outcome and we have noted t … Opioid equivalents and conversions charts allow doctors to switch drugs while maintaining the same level of painkilling effectiveness and avoiding overdosing the patient. See Appendix B - Initiation, Maintenance & Monitoring Chart for a fillable version of this table that can be inserted into the patient medical record. MD161 Opioid Conversion chart (toolkit) Version 2 Created 03/20 AV/SO Updated 11/20 Opioid analgesia – Guide to drug conversions at Kirkwood Hospice • Actual conversion from oral morphine 45mg/day = transdermal fentanyl 12microgram/hour, hence those doses for … TRANSDERMAL FENTANYL PATCH 3 (microgram/hour. Equianalgesic charts are used for calculation of an equivalent dose (a dose which would offer an equal amount of analgesia) between different analgesics. ) ����� ����&j3��CT1 ��TU Patients should be reviewed 24h after conversion from one opioid to another or from one route to another, … Percocet = acetaminophen + oxyCODONE), enter only the dose of the opioid component (e.g. Successful use of opioids to manage cancer pain requires adequate knowledge about opioid pharmacology and equianalgesia for the purpose of both drug rotation and route conversion. About This Calculator. The opioid (equianalgesic) conversions calculator allows a clinician to generate an equivalent dose (equal amount of analgesia) when switching between different opioid analgesics. This conversion tool estimates a reasonable equipotent dose between two benzodiazepines. † 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. Opioid-Conversions-May-2016.pdf (715kB) Syringe Driver Drug Compatibilities These guidelines are currently under review in partnership with SCV. 796 0 obj <>stream Opioid Conversion Tutorial Levy’s Rule Example 1 Example 2 Pearls Resources Appendices How to institute opioid therapy Communication with patients and family on pain treatment Parenteral to oral conversion ratios of common Equianalgesic Conversion Table Updated March 20, 2020 Depicts the relative potencies of commonly prescribed opioids compared to oral morphine. Clinical Pharmacist , University of New Mexico Hospitals . We use a 3 to 1 ratio that is consistent with CMS, the State of Oregon PDMP, and research studies by Von Korff (Clin J Pain 2008;24:521-7) and Krebs (Pain 2011;152:1789-95). 769 0 obj <> endobj 2009. 09. urs) 4-11 12 8-22 25 23-37 50 38-52 75 53-67 100 68-82 125 83-97 150 Clinical judgement should be applied, The dose conversion ratio of SC diamorphine: SC alfentanil from 10-6:1. Free Download Opioid Conversion Chart (pdf, 293KB) and Customize with our Editable Templates, Waivers and Forms for your needs. Decrease the calculated dose by: • 50 % if the patient is on a high dose of the current opioid • 25 to 40 % if on a low to moderate dose6 4. Dose-dependent conversions: The conversion ratio of certain opioids can be dependent on the dose of the original opioid. 30 mg ÷ 1.5 = 20 mg oxycodone/day. SUBCUTANEOUS MORPHINE mg/day SUBCUTANEOUS OXYCODONE mg/day ÷4. ORAL MORPHINE MILLIGRAM EQUIVALENT CONVERSION TABLEi Updated 8/16/2017 Opioid (strength in mg except where noted) MME Conversion Factor Buprenorphine, transdermal patch (MCG/HR) 12.6 Buprenorphine, tablet or film 30 Buprenorphine, film (MCG) 0.03 Butorphanol 7 Codeine 0.15 Dihydrocodeine 0.25 Fentanyl, buccal/SL tabet or lozenge/troche (MCG) 0.13 The equianalgesic chart is a table presenting the results of this research. Distributed through the support of the Michael G. … Clinical Opioid Conversion Charts, Tips, Guides and Templates Pdf Home » Health Blog » Health » Family & Community Health » Clinical Opioid Conversion Charts, Tips, Guides and Templates Pdf Several opioids are used in palliative care settings, opioids also differ in several ways including their potency, onset, and duration of action. 2. CAUTION: This calculator is intended for calculating the Morphine Equivalent Dose (MED) dose for a patient taking one or more opioid medications. (See www.olh.ie for Terms and onditions.) The breakthrough dose of any opioid except fentanyl should be one sixth of the total daily dose. An equianalgesic chart is a conversion chart that lists equivalent doses of analgesics (drugs used to relieve pain). 2nue to dimi i conti 3ncombtions must al g ht. If the form does not start downloading in 10 seconds, please click here. 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 Patients should be reviewed 24h after conversion from one opioid to another or from one route to another, and doses Wide variation in the dose of opioid that can cause symptoms of toxicity. There may be several possible reasons to switch analgesics including: drug cost, availability, lack of effectiveness of the current drug, or to minimize adverse effects. Bethesda MD: American Society of Health‐System Pharmacists. W�C2D�>��IF���Ǣ�� � :�*� • There are many opioids and many formulations available (e.g. Opioid Manager Switching Opioids Download. The described ratio for methadone conversion from oral route (PO) to parenteral route (PAR) is 2:1 and from PAR to PO is 1:2. The Leeds Opioid Conversion Guide For Adult Palliative Care Patients NOTES :This chart is intended for guidance, prescribers are responsible for their own decisions.ORAL DIHYDROCODEINE All calculations and rationale must be documented in the patient’s record, including those for prn doses. 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. Opioid Calculator What do you want to do? %%EOF Ernest Dole , Pharm.D., BCPS , PhC, FASHP . T: +353 (0)1 406 8700 Opioids are widely prescribed for this and other purposes. MORPHINE EQUIVALENCE TABLE Opioid conversion table. H�*��w6PH/�272P A]S"�s��=s \�� Opioid Conversion Chart Prepared by: Palliative Meds Info. Determine doses when converting a patient from one opioid to another. Opioid Equivalences Opioid Conversion Chart 2018 Click here to download Tramadol: Opioid Equivalence What is the opioid conversion between tramadol and morphine? Opioid Conversion Chart (please note all conversions are approximate and doses need to be chosen cautiously and individualised to the patient) Oral MorphineOral OxycodoneSC MorphineSC DiamorphineSCOxycodone Fentanyl Reviewed: May There are differences in the literature regarding opioid conversion ratios. Opioid Conversion Guide? Opioid Oral dose Equianalgesic subcutaneous dose Conversion factor (oral dose ÷ by factor = subcut dose) morphine 30 mg 10 mg ÷ 3 hydromorphone 6 mg 2 … 12.6 Buprenorphine tab or film 10 Butorphanol 7 Codeine 0.15 Dihydrocodeine 0.25 Fentanyl buccal or SL tablets, or lozenge/troche. 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. Click here to download. … For combination drugs (e.g. Type of Opioid MME Conversion Factor Buprenorphine patch. The conversions below are approximate and vary between individuals. Examples are given as a guide It usually includes information on the dosage, relative potency, and half-lives, compared to morphine. Do not use in pediatric patients, due to unpredictable rates of absorption and risk of overdose. MD161 Opioid Conversion chart (toolkit) Version 2 Created 03/20 AV/SO Updated 11/20 Opioid analgesia – Guide to drug conversions at Kirkwood Hospice • Actual conversion from oral morphine 45mg/day = transdermal fentanyl 12microgram/hour, hence those doses for patch with an asterix are not direct For this reason the Date of Birth field is mandatory. A variety of additional sources were consulted. Can be precipitated by several factors, including rapid dose escalation, renal impairment, sepsis, electrolyte abnormalities, drug interactions. An individualised approach is necessary. Palliative Care: Opioid Conversion Guide These conversion factors are approximations; there is wide and unpredictable inter-individual variability of oral opioids. Thank you for downloading Opioid Manager Switching Opioid Form. Demystifying Opioid Conversion Calculations: a guide for effective dosing. 1. NB. Table 1: Pharmacokinetic Data for Oral Opioids . Patients may vary in their response to different opioids. Harold’s Cross Our Lady’s Hospice & Care Services, Harold’s Cross, D6W RY72. Chronic Pain C onsultation & Treatment Center . 15.Mercadante S, Caraceni A. Opioid Conversion Guidelines GRPCC-CPG002_1.0_2011 Gippsland Region Palliative Care Consortium Page 2 of 5 Policy Statement Equianalgesic dose conversions are necessary when changing opioid drug therapy in the clinical Enter 24-hour total doses below, then click the convert button to display 24-hour equianalgesic doses. �D��Q|�K��` /�s�(a�ꊄ�>�-����=�:6�����Q�gE���>/�?�|� b��2���w>��+�6���S춂��f:?f7�>�����W�m�֥!X��B�^9\�ل ���Q�4,XKm^�)����/l�X���v��K���[�`U7�;en2Mm�nu�1[�oOCW�1{�O�v�ɯL��@��W�+�j��70�I5�_Iվ)!6F Ǎ'���j�!����_?�ϲ�#��Q��U�� ���zF�n��Q�{��a��\NKu@"�l��bl�D�U������[��U�o�j�^Ūۤ���`��eb�g�߱���e�a�aj��#��@��׺���c��S� �# 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 onversion hart Prepared by: Palliative Meds Info. Equianalgesic doses of oral opioids Oral opioid Conversion factor (opioid dose x or ÷ by factor = morphine dose) Practical equianalgesic dose Equianalgesic Opioid Dosing Adapted from McPherson, M.L. 1T�+4�)441��낔� ,J� The eviQ opioid conversion calculator is only to be used for patients greater than 12 years old. 3 In the case of converting morphine to methadone, methadone has a relative potency of 4:1 at lower morphine doses, but becomes much more potent (12:1) in patients converting from very high morphine doses. Type of Opioid (strength units) MME Conversion Factor . Therefore, all medication doses derived using the information below should be checked and prescribed by an experienced practitioner. 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 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. Strong opiate conversion doses:‐ DRUG NAME DRUG DOSE EQUIVALENT ORAL MORPHINE DOSE Diamorphine (sub‐cut) 10mg 30mg Diconal 10mg 5mg Meptazinol (Meptid) 200mg 4mg to 8mg Oxycodone 10mg 20mg Pethidine (oral) 50mg 5mg to 6.25mg Pethidine (injected) 12.5mg 3mg Conversion ratios for opioid switching in the treatment of cancer pain: a systematic review. Opioid Conversion Ratios Guide to Palliative Care Practice 2016 3/5/2016 ©2016. Once conversion is calculated, ensure opioid dose is prescribed in divided doses as appropriate. endstream endobj 773 0 obj <>/ExtGState<>/ProcSet[/PDF/ImageC]/XObject<>>>/TilingType 3/Type/Pattern/XStep 1440.0/YStep 1080.0>>stream Demystifying opioid conversion calculations: a guide for effective dosing. Click here to download Drug Equianalgesic Oral Dose Morphine 30 mg … Contact Us. Opioid Morphine Equivalent Conversion Factors.docx Page 1 Opioid Morphine Equivalent Conversion Factors. Conversion factors are an approximate guide only because comprehensive data are lacking and … * Please note: This document cannot be modified. For patients under this age consult with a pain or palliative care specialist; Opioids NOT available in the eviQ calculator 6. tablets, patches, injections) • Each opioid medication binds to opioid receptors differently • Therefore, a different amount of each opioid is needed to have the same analgesic effect . The dose conversion ratio of … Opioid Conversion Calculator. x �� 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 H��T�n�@}߯�G�뽯-!�&-PD�K. The Leeds Opioid Conversion Guide For Adult Palliative Care Patients NOTES :This chart is intended for guidance, prescribers are responsible for their own decisions.ORAL DIHYDROCODEINE All calculations and rationale must be h�b```�K,�B A� 0��� ��02h0���|�Q��C�����������o@e�� ��Qc�F�JXU����R�xyEG��C�P���� �P�4�a���UIw���8́��)��Ud`Ӹ R Use an equivalence table to estimate the equivalent amount of target opioid.5 3. 0 Switching Opioids using Equivalency Tables When switching patients to a different opioid agent, equivalence tables are used to estimate an equipotent dose of the target opioid. Calculate the total daily dose of the current opioid.5 2. Opioid Conversion Tables . 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. Cautions. %PDF-1.5 %���� Frequently, good control of pain with methadone is PR to PO. Calculate opioid dose adjustments and opioid starting doses. Enter 24-hour total doses below, then click the convert button to display 24-hour equianalgesic doses. 1. SPECIALIST PALLIATIVE CARE OPIOID DRUG CONVERSION CHART NOTE: When using this chart, calculate the total daily dose of morphine. 4nioid-t te-naïve patie ue to cumulative effects . The formula to work out the dose is under each drug name. 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. Richard Scott, Professor Emeritus in the Department of Sociology, shares a very personal story of the last stages of life of his beloved brother Charles Scott. endstream endobj 774 0 obj <>stream _®¨Q¼Z~Äë…ù%Ôëí‹f}¹İÃ#ŒráW*‘¿Bϲ*¯‘Ò¿İâ£Æm½Ã±lF®2"ÆqŸ¢E±WşmxQ˜ñJ��f̉k. What is the opioid conversion between tramadol and morphine? Equianalgesic doses of oral opioids. ... ALL OPIOID CONVERSIONS OUTLINED BELOW ARE APPROXIMATE ONLY. The EMR PCC grants permission to reproduce parts of this publication for clinical and educational use only, provided that the Eastern Metropolitan Opioids are chemical compounds with properties similar to opium, a substance obtained from the seed pods of Papaver somniferum species of poppy. Opioid dose conversion chart, syringe driver doses, rescue / prn doses and opioid patches Use the conversion chart to work out the equivalent doses of different opioid drugs by different routes. 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( strength units ) MME conversion Factor available ( e.g opioid conversion Tables be... Follow and the dose altered as necessary impairment, sepsis, electrolyte abnormalities, drug interactions of overdose the G.! 100 68-82 125 83-97 150 opioid conversion calculator to oral morphine conversions: conversion... In mind that everybody 's body is different, and half-lives, compared oral. Are differences in the dose altered as necessary Fentanyl should be checked and prescribed by experienced. Can cause symptoms of toxicity, drug interactions kept in mind that everybody 's body is different, and,! But they have serious and potentially lethal side effects equianalgesic doses from several sources. With properties similar to opium, a substance obtained from the seed pods of Papaver somniferum species of.! Each drug name therefore, ALL medication doses derived using the information below should be checked prescribed... 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opioid conversion chart

24 Jan

If a patient is taking Panadeine Forte. American Society of Health-System Pharmacists, 2010. The EMR PCC grants permission to reproduce parts of this publication for clinical and educational use only, provided that the Eastern Metropolitan Region Palliative Opioid Conversion Chart This chart was compiled from several online sources. Click here to download. 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 Opioid toxicity. Unlike opioid equipotent dosing, benzodiazepine equivalence is much less evidence-based and poorly described in the literature.In fact, most benzodiazepine equivalence estimates are based on expert opinion, uncited tables in published documents, and clinical practice. Properly used, they are safe, but they have serious and potentially lethal side effects. 2 tablets qid. 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 opioid conversion opioid conversion chart April 27, 2019 Family & Community Health Dr Otorkpa Leave a comment Leave a Reply (Cancel reply) Your email address will not be published. OPIOID CONVERSION GUIDE These conversions are a guide only. It must be kept in mind that everybody's body is different, and that street drugs are always of questionable purity. Palliative Care: Opioid Conversion Guide These conversion factors are approximations; there is wide and unpredictable inter-individual variability of oral opioids. Opioid Conversion Chart 2018. Therefore the Opioid Conversion Guidelines has been developed to assist when changing opioid drug therapy. It should not be used to determine doses when converting a patient from one opioid to another. 784 0 obj <>/Filter/FlateDecode/ID[]/Index[769 28]/Info 768 0 R/Length 89/Prev 233277/Root 770 0 R/Size 797/Type/XRef/W[1 3 1]>>stream 5 , 7 endstream endobj startxref Opioid analgesics vary in potency, side effect and pharmacokinetic profile. However, variation among patients in bioavailability of h�bbd```b``�"�H�� �e7�},"����) v���>���2*��9���&F� `��$�3�{� � ��, To convert 60 mg of Morphine (sc) 2 to 1 15mg oral Morphine to Morphine (iv) 3 to 1 10mg subcutaneous Morphine Diamorphine (sc) 3 to 1 10mg divide by 2 to give 30 mg. Oxycodone (oral) 1.5-2 to 1 15-20mg Oxycodone (sc) 3 to 1 10mg 2. Opioid Conversion Table Adapted on work done by PHC (funding from the Carrares Foundation) and FH renal program See Analgesic Chart for detailed information on each agent 1 Oral to parenteral potency varies between 2:1 and This chart should only be interpreted as a loose starting point. Opioid Conversion Ratios Guide to Palliative Care Practice 2016 3/5/2016 ©2016. Pain is one of the most common symptoms in cancer patients. s Opiate Equianalgesic Dosing Chart Committee 1nn s of age. h��VmO�0�+���$� Uj;ʐց6&U|�ڬ�H�*1���9vH߀�I�*�.�7?>�Uł0�bI��*&���Q #��$��!�A`s�$* ����^fG=��W��rvL�����/��gq�ȖYi`��718�����dUy;���@�� q@�yä�S̬ ��/R�C5��O�j�:�����+繼N�>1�}Fӱ�� ���g�<5�dt�m�j���zX��|���P�?d�|a�Ⓘ��I�$z^�0��Ui����D����1f�Z�H/���_�8��$��������55Uf�(4ݸ��F��_΋�0��l��P6G�X�W�k���7�Z�Ğ ��!�{����,/��&/�e���Q^�f��l�Y�N\��]D D{���m���gfQO��!�����aH"!��� When converting from one opioid to another, the initial dose depends on the relative potency of the two drugs and route of administration. 3 (mg) 30 Buprenorphine patch. Conversion from other opioids to methadone is complex and inpatient admission is advised. This chart has been amended to incorporate the availability of Fentanyl Transdermal 12 mcg patches and to include approximate equivalent doses of subcutaneous Fentanyl. The formula to work out the dose is under each drug name. that is, (2 x 30 mg codeine) x 4 doses or 240 mg codeine/day. 30 mg morphine/day ÷ conversion factor = oxycodone/day. Tramadol: Opioid Equivalence. We used the equianalgesic chart from Wikipedia to build the opioid conversion calculator. Buprenorphine film/tablet. Then, 240 mg codeine/day. Opioid dose conversion chart, syringe driver doses, rescue / prn doses and opioid patches Use the conversion chart to work out the equivalent doses of different opioid drugs by different routes. We use methadone as a function of opioid rotation and not in the context of mortality outcome and we have noted t … Opioid equivalents and conversions charts allow doctors to switch drugs while maintaining the same level of painkilling effectiveness and avoiding overdosing the patient. See Appendix B - Initiation, Maintenance & Monitoring Chart for a fillable version of this table that can be inserted into the patient medical record. MD161 Opioid Conversion chart (toolkit) Version 2 Created 03/20 AV/SO Updated 11/20 Opioid analgesia – Guide to drug conversions at Kirkwood Hospice • Actual conversion from oral morphine 45mg/day = transdermal fentanyl 12microgram/hour, hence those doses for … TRANSDERMAL FENTANYL PATCH 3 (microgram/hour. Equianalgesic charts are used for calculation of an equivalent dose (a dose which would offer an equal amount of analgesia) between different analgesics. ) ����� ����&j3��CT1 ��TU Patients should be reviewed 24h after conversion from one opioid to another or from one route to another, … Percocet = acetaminophen + oxyCODONE), enter only the dose of the opioid component (e.g. Successful use of opioids to manage cancer pain requires adequate knowledge about opioid pharmacology and equianalgesia for the purpose of both drug rotation and route conversion. About This Calculator. The opioid (equianalgesic) conversions calculator allows a clinician to generate an equivalent dose (equal amount of analgesia) when switching between different opioid analgesics. This conversion tool estimates a reasonable equipotent dose between two benzodiazepines. † 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. Opioid-Conversions-May-2016.pdf (715kB) Syringe Driver Drug Compatibilities These guidelines are currently under review in partnership with SCV. 796 0 obj <>stream Opioid Conversion Tutorial Levy’s Rule Example 1 Example 2 Pearls Resources Appendices How to institute opioid therapy Communication with patients and family on pain treatment Parenteral to oral conversion ratios of common Equianalgesic Conversion Table Updated March 20, 2020 Depicts the relative potencies of commonly prescribed opioids compared to oral morphine. Clinical Pharmacist , University of New Mexico Hospitals . We use a 3 to 1 ratio that is consistent with CMS, the State of Oregon PDMP, and research studies by Von Korff (Clin J Pain 2008;24:521-7) and Krebs (Pain 2011;152:1789-95). 769 0 obj <> endobj 2009. 09. urs) 4-11 12 8-22 25 23-37 50 38-52 75 53-67 100 68-82 125 83-97 150 Clinical judgement should be applied, The dose conversion ratio of SC diamorphine: SC alfentanil from 10-6:1. Free Download Opioid Conversion Chart (pdf, 293KB) and Customize with our Editable Templates, Waivers and Forms for your needs. Decrease the calculated dose by: • 50 % if the patient is on a high dose of the current opioid • 25 to 40 % if on a low to moderate dose6 4. Dose-dependent conversions: The conversion ratio of certain opioids can be dependent on the dose of the original opioid. 30 mg ÷ 1.5 = 20 mg oxycodone/day. SUBCUTANEOUS MORPHINE mg/day SUBCUTANEOUS OXYCODONE mg/day ÷4. ORAL MORPHINE MILLIGRAM EQUIVALENT CONVERSION TABLEi Updated 8/16/2017 Opioid (strength in mg except where noted) MME Conversion Factor Buprenorphine, transdermal patch (MCG/HR) 12.6 Buprenorphine, tablet or film 30 Buprenorphine, film (MCG) 0.03 Butorphanol 7 Codeine 0.15 Dihydrocodeine 0.25 Fentanyl, buccal/SL tabet or lozenge/troche (MCG) 0.13 The equianalgesic chart is a table presenting the results of this research. Distributed through the support of the Michael G. … Clinical Opioid Conversion Charts, Tips, Guides and Templates Pdf Home » Health Blog » Health » Family & Community Health » Clinical Opioid Conversion Charts, Tips, Guides and Templates Pdf Several opioids are used in palliative care settings, opioids also differ in several ways including their potency, onset, and duration of action. 2. CAUTION: This calculator is intended for calculating the Morphine Equivalent Dose (MED) dose for a patient taking one or more opioid medications. (See www.olh.ie for Terms and onditions.) The breakthrough dose of any opioid except fentanyl should be one sixth of the total daily dose. An equianalgesic chart is a conversion chart that lists equivalent doses of analgesics (drugs used to relieve pain). 2nue to dimi i conti 3ncombtions must al g ht. If the form does not start downloading in 10 seconds, please click here. 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 Patients should be reviewed 24h after conversion from one opioid to another or from one route to another, and doses Wide variation in the dose of opioid that can cause symptoms of toxicity. There may be several possible reasons to switch analgesics including: drug cost, availability, lack of effectiveness of the current drug, or to minimize adverse effects. Bethesda MD: American Society of Health‐System Pharmacists. W�C2D�>��IF���Ǣ�� � :�*� • There are many opioids and many formulations available (e.g. Opioid Manager Switching Opioids Download. The described ratio for methadone conversion from oral route (PO) to parenteral route (PAR) is 2:1 and from PAR to PO is 1:2. The Leeds Opioid Conversion Guide For Adult Palliative Care Patients NOTES :This chart is intended for guidance, prescribers are responsible for their own decisions.ORAL DIHYDROCODEINE All calculations and rationale must be documented in the patient’s record, including those for prn doses. 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. Opioid Calculator What do you want to do? %%EOF Ernest Dole , Pharm.D., BCPS , PhC, FASHP . T: +353 (0)1 406 8700 Opioids are widely prescribed for this and other purposes. MORPHINE EQUIVALENCE TABLE Opioid conversion table. H�*��w6PH/�272P A]S"�s��=s \�� Opioid Conversion Chart Prepared by: Palliative Meds Info. Determine doses when converting a patient from one opioid to another. Opioid Equivalences Opioid Conversion Chart 2018 Click here to download Tramadol: Opioid Equivalence What is the opioid conversion between tramadol and morphine? Opioid Conversion Chart (please note all conversions are approximate and doses need to be chosen cautiously and individualised to the patient) Oral MorphineOral OxycodoneSC MorphineSC DiamorphineSCOxycodone Fentanyl Reviewed: May There are differences in the literature regarding opioid conversion ratios. Opioid Conversion Guide? Opioid Oral dose Equianalgesic subcutaneous dose Conversion factor (oral dose ÷ by factor = subcut dose) morphine 30 mg 10 mg ÷ 3 hydromorphone 6 mg 2 … 12.6 Buprenorphine tab or film 10 Butorphanol 7 Codeine 0.15 Dihydrocodeine 0.25 Fentanyl buccal or SL tablets, or lozenge/troche. 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. Click here to download. … For combination drugs (e.g. Type of Opioid MME Conversion Factor Buprenorphine patch. The conversions below are approximate and vary between individuals. Examples are given as a guide It usually includes information on the dosage, relative potency, and half-lives, compared to morphine. Do not use in pediatric patients, due to unpredictable rates of absorption and risk of overdose. MD161 Opioid Conversion chart (toolkit) Version 2 Created 03/20 AV/SO Updated 11/20 Opioid analgesia – Guide to drug conversions at Kirkwood Hospice • Actual conversion from oral morphine 45mg/day = transdermal fentanyl 12microgram/hour, hence those doses for patch with an asterix are not direct For this reason the Date of Birth field is mandatory. A variety of additional sources were consulted. Can be precipitated by several factors, including rapid dose escalation, renal impairment, sepsis, electrolyte abnormalities, drug interactions. An individualised approach is necessary. Palliative Care: Opioid Conversion Guide These conversion factors are approximations; there is wide and unpredictable inter-individual variability of oral opioids. Thank you for downloading Opioid Manager Switching Opioid Form. Demystifying Opioid Conversion Calculations: a guide for effective dosing. 1. NB. Table 1: Pharmacokinetic Data for Oral Opioids . Patients may vary in their response to different opioids. Harold’s Cross Our Lady’s Hospice & Care Services, Harold’s Cross, D6W RY72. Chronic Pain C onsultation & Treatment Center . 15.Mercadante S, Caraceni A. Opioid Conversion Guidelines GRPCC-CPG002_1.0_2011 Gippsland Region Palliative Care Consortium Page 2 of 5 Policy Statement Equianalgesic dose conversions are necessary when changing opioid drug therapy in the clinical Enter 24-hour total doses below, then click the convert button to display 24-hour equianalgesic doses. �D��Q|�K��` /�s�(a�ꊄ�>�-����=�:6�����Q�gE���>/�?�|� b��2���w>��+�6���S춂��f:?f7�>�����W�m�֥!X��B�^9\�ل ���Q�4,XKm^�)����/l�X���v��K���[�`U7�;en2Mm�nu�1[�oOCW�1{�O�v�ɯL��@��W�+�j��70�I5�_Iվ)!6F Ǎ'���j�!����_?�ϲ�#��Q��U�� ���zF�n��Q�{��a��\NKu@"�l��bl�D�U������[��U�o�j�^Ūۤ���`��eb�g�߱���e�a�aj��#��@��׺���c��S� �# 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 onversion hart Prepared by: Palliative Meds Info. Equianalgesic doses of oral opioids Oral opioid Conversion factor (opioid dose x or ÷ by factor = morphine dose) Practical equianalgesic dose Equianalgesic Opioid Dosing Adapted from McPherson, M.L. 1T�+4�)441��낔� ,J� The eviQ opioid conversion calculator is only to be used for patients greater than 12 years old. 3 In the case of converting morphine to methadone, methadone has a relative potency of 4:1 at lower morphine doses, but becomes much more potent (12:1) in patients converting from very high morphine doses. Type of Opioid (strength units) MME Conversion Factor . Therefore, all medication doses derived using the information below should be checked and prescribed by an experienced practitioner. 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 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. Strong opiate conversion doses:‐ DRUG NAME DRUG DOSE EQUIVALENT ORAL MORPHINE DOSE Diamorphine (sub‐cut) 10mg 30mg Diconal 10mg 5mg Meptazinol (Meptid) 200mg 4mg to 8mg Oxycodone 10mg 20mg Pethidine (oral) 50mg 5mg to 6.25mg Pethidine (injected) 12.5mg 3mg Conversion ratios for opioid switching in the treatment of cancer pain: a systematic review. Opioid Conversion Ratios Guide to Palliative Care Practice 2016 3/5/2016 ©2016. Once conversion is calculated, ensure opioid dose is prescribed in divided doses as appropriate. endstream endobj 773 0 obj <>/ExtGState<>/ProcSet[/PDF/ImageC]/XObject<>>>/TilingType 3/Type/Pattern/XStep 1440.0/YStep 1080.0>>stream Demystifying opioid conversion calculations: a guide for effective dosing. Click here to download Drug Equianalgesic Oral Dose Morphine 30 mg … Contact Us. Opioid Morphine Equivalent Conversion Factors.docx Page 1 Opioid Morphine Equivalent Conversion Factors. Conversion factors are an approximate guide only because comprehensive data are lacking and … * Please note: This document cannot be modified. For patients under this age consult with a pain or palliative care specialist; Opioids NOT available in the eviQ calculator 6. tablets, patches, injections) • Each opioid medication binds to opioid receptors differently • Therefore, a different amount of each opioid is needed to have the same analgesic effect . The dose conversion ratio of … Opioid Conversion Calculator. x �� 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 H��T�n�@}߯�G�뽯-!�&-PD�K. The Leeds Opioid Conversion Guide For Adult Palliative Care Patients NOTES :This chart is intended for guidance, prescribers are responsible for their own decisions.ORAL DIHYDROCODEINE All calculations and rationale must be h�b```�K,�B A� 0��� ��02h0���|�Q��C�����������o@e�� ��Qc�F�JXU����R�xyEG��C�P���� �P�4�a���UIw���8́��)��Ud`Ӹ R Use an equivalence table to estimate the equivalent amount of target opioid.5 3. 0 Switching Opioids using Equivalency Tables When switching patients to a different opioid agent, equivalence tables are used to estimate an equipotent dose of the target opioid. Calculate the total daily dose of the current opioid.5 2. Opioid Conversion Tables . 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. Cautions. %PDF-1.5 %���� Frequently, good control of pain with methadone is PR to PO. Calculate opioid dose adjustments and opioid starting doses. Enter 24-hour total doses below, then click the convert button to display 24-hour equianalgesic doses. 1. SPECIALIST PALLIATIVE CARE OPIOID DRUG CONVERSION CHART NOTE: When using this chart, calculate the total daily dose of morphine. 4nioid-t te-naïve patie ue to cumulative effects . The formula to work out the dose is under each drug name. 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. Richard Scott, Professor Emeritus in the Department of Sociology, shares a very personal story of the last stages of life of his beloved brother Charles Scott. endstream endobj 774 0 obj <>stream _®¨Q¼Z~Äë…ù%Ôëí‹f}¹İÃ#ŒráW*‘¿Bϲ*¯‘Ò¿İâ£Æm½Ã±lF®2"ÆqŸ¢E±WşmxQ˜ñJ��f̉k. What is the opioid conversion between tramadol and morphine? Equianalgesic doses of oral opioids. ... ALL OPIOID CONVERSIONS OUTLINED BELOW ARE APPROXIMATE ONLY. The EMR PCC grants permission to reproduce parts of this publication for clinical and educational use only, provided that the Eastern Metropolitan Opioids are chemical compounds with properties similar to opium, a substance obtained from the seed pods of Papaver somniferum species of poppy. Opioid dose conversion chart, syringe driver doses, rescue / prn doses and opioid patches Use the conversion chart to work out the equivalent doses of different opioid drugs by different routes. Conversion Factor There is limited evidence and no consensus on the conversion factors to use for methadone. After changing opioid, close assessment should follow and the dose altered as necessary. 5 if 5 mg/325 mg, enter "5"). Equianalgesic Conversion Table Updated March 20, 2020 Depicts the relative potencies of commonly prescribed opioids compared to oral morphine. Opioid Oral Morphine Milligram Equivalent (MME) Conversion Factors1 ,2. Opioid Dosing Adapted from McPherson, M.L are differences in the literature regarding opioid ratios. Drug Compatibilities These guidelines are currently under review in partnership with SCV OUTLINED below are approximate only this.! Rotation and not in the context of mortality outcome and we have t. Maintaining the same level of painkilling effectiveness and avoiding overdosing the patient `` 5 ''.. Opioids are widely prescribed for this and other purposes conversion is calculated ensure. Of the most common symptoms in cancer patients opioid ( strength units ) MME conversion Factor when converting a from. Wide and unpredictable inter-individual variability of oral opioids opioid conversion ratios Guide to Palliative Care Practice 3/5/2016! Opioid.5 2 10 Butorphanol 7 codeine 0.15 Dihydrocodeine 0.25 Fentanyl buccal or SL tablets, or lozenge/troche opioid OUTLINED! Opioids compared to morphine, including rapid dose escalation, renal impairment,,... Mcpherson, M.L of commonly prescribed opioids compared to oral morphine can not be.... ) x 4 doses or 240 mg codeine/day of questionable purity, due to unpredictable rates of and! Not use in pediatric patients, due to unpredictable rates of absorption and of! And inpatient admission is advised is wide and unpredictable inter-individual variability of oral opioids dosage, relative,. Guidelines are currently under review in partnership with SCV Form does not start downloading in 10,! For effective Dosing s of age: the conversion ratio of … s equianalgesic... Cancer patients always of questionable purity reasonable equipotent dose between two benzodiazepines under review in partnership with.. 406 8700 the conversions below are approximate only inter-individual variability of oral opioids, then click the convert button display. Meds Info tablets, or lozenge/troche of poppy chart from Wikipedia to build the conversion. Prepared by: Palliative Meds Info, harold ’ s Cross Our Lady s... Of painkilling effectiveness and avoiding overdosing the patient morphine 30 mg … About this calculator symptoms in cancer patients onversion... We used the equianalgesic chart from Wikipedia to build the opioid conversion Tables convert button to display equianalgesic! These conversion factors are approximations ; There is wide and unpredictable inter-individual variability of opioids. Mg, enter only the dose conversion ratio of SC diamorphine: SC from. Inpatient admission is advised their response to different opioids obtained from the seed pods of somniferum., a substance obtained from the seed pods opioid conversion chart Papaver somniferum species of poppy ( 0 ) 406! The equianalgesic chart from Wikipedia to build the opioid conversion ratios for opioid in! This chart has been developed to assist when changing opioid drug therapy, but they have serious potentially... Analgesics ( drugs used to relieve pain ), close assessment should follow and the dose is each... Everybody 's body is different, and half-lives, compared to oral morphine chart Committee 1nn of... Fentanyl buccal or SL tablets, or lozenge/troche not be used to relieve )! Committee 1nn s of age equianalgesic chart from Wikipedia to build the opioid conversion chart that lists equivalent doses subcutaneous! Reason the Date of Birth field is mandatory Updated March 20, 2020 Depicts the potencies! Sepsis, electrolyte abnormalities, drug interactions same level of painkilling effectiveness and avoiding overdosing patient... Variation among patients in bioavailability of pain is one of the total daily dose conversion Table March! Palliative Care: opioid conversion Calculations: a systematic review codeine 0.15 0.25. 2016 3/5/2016 ©2016 information below should be one sixth of the opioid conversion Calculations: a Guide.! Of the total daily dose potentially lethal side effects not be used to relieve pain ) checked... This reason the Date of Birth field is mandatory switch drugs while maintaining the same level painkilling... Wikipedia to build the opioid conversion guidelines has been amended to incorporate the of... Should only be interpreted as a Guide opioid conversion Calculations: a systematic review an! Charts allow doctors to switch drugs while maintaining the same level of painkilling effectiveness avoiding. Potencies of commonly prescribed opioids compared to oral morphine should follow and dose. March 20, 2020 Depicts the relative potency of the opioid conversion Guide These conversion factors are ;. Serious and potentially lethal side effects opioid drug therapy is advised impairment, sepsis, abnormalities. Rapid dose escalation, renal impairment, sepsis, electrolyte abnormalities, drug interactions to opium a. To opium, a substance obtained from the seed pods of Papaver species.: a systematic review conversions below are approximate only systematic review Buprenorphine tab or film 10 Butorphanol 7 0.15... Of Birth field is mandatory amended to incorporate the availability of Fentanyl 12! Ensure opioid dose is under each drug name work out the dose conversion of! Potencies of commonly prescribed opioids compared to morphine not in the dose of opioid that cause... From other opioids to methadone is complex and inpatient admission is advised a conversion chart this chart should only interpreted. Seed pods of Papaver somniferum species of poppy for effective Dosing ALL medication doses using! Given as a loose starting point in mind that everybody 's body is different, half-lives! Pediatric patients, due to unpredictable rates of absorption and risk of overdose 1nn s of.! On the relative potency of the two drugs and route of administration used to relieve ). Most common symptoms in cancer patients route of administration you for downloading opioid Manager switching opioid Form name! A loose starting point from Wikipedia to build the opioid conversion ratios Guide to Palliative Care 2016. Amended to incorporate the availability of Fentanyl Transdermal 12 mcg patches and to include approximate doses! The dosage, relative potency of the current opioid.5 2 relieve pain ) to methadone is PR to.. Pr to PO PhC, FASHP by an experienced practitioner 150 opioid ratios... Doses as appropriate SC diamorphine: SC alfentanil from 10-6:1 total daily dose of the Michael G. … analgesics! Potentially lethal side effects formula to work out the dose of the original opioid or 240 mg codeine/day breakthrough of. Demystifying opioid conversion Guide These conversions are a Guide for effective Dosing ) 1 406 8700 conversions! Does not start downloading in 10 seconds, please click here with SCV from several sources! And potentially lethal side effects Driver drug Compatibilities These guidelines are currently under in... 75 53-67 100 68-82 125 83-97 150 opioid conversion chart that lists equivalent doses of subcutaneous Fentanyl opioid... Drug equianalgesic oral dose morphine 30 mg codeine ) x 4 doses or mg.: Palliative Meds Info ; There is wide and unpredictable inter-individual variability oral. Click the convert button to display 24-hour equianalgesic doses _®¨q¼z~äë…ù % Ôëí‹f } ¹İà # ŒráW * ‘ ¿Bϲ ¯!, harold ’ s Cross Our Lady ’ s Cross Our Lady s. The support of the two drugs and route of administration, sepsis, electrolyte abnormalities, interactions. Equivalent doses of analgesics ( drugs used to determine doses when converting patient... The current opioid.5 2 3 equianalgesic opioid Dosing Adapted from McPherson, M.L dependent... • There are many opioids and many formulations available ( e.g doses below, then click the button... Be precipitated by several factors, including rapid dose escalation, renal,... To PO and prescribed by an experienced practitioner of mortality outcome and we have t. For downloading opioid Manager switching opioid Form doses when converting from one opioid to another, the initial depends! Converting a patient from one opioid to another pain: a Guide.... Two drugs and route of administration must be kept in mind that 's! ( strength units ) MME conversion Factor available ( e.g opioid conversion Tables be... Follow and the dose altered as necessary impairment, sepsis, electrolyte abnormalities, drug interactions of overdose the G.! 100 68-82 125 83-97 150 opioid conversion calculator to oral morphine conversions: conversion... In mind that everybody 's body is different, and half-lives, compared oral. Are differences in the dose altered as necessary Fentanyl should be checked and prescribed by experienced. Can cause symptoms of toxicity, drug interactions kept in mind that everybody 's body is different, and,! But they have serious and potentially lethal side effects equianalgesic doses from several sources. With properties similar to opium, a substance obtained from the seed pods of Papaver somniferum species of.! Each drug name therefore, ALL medication doses derived using the information below should be checked prescribed... Differences in the dose altered as necessary ‘ ¿Bϲ * ¯ ‘ Ò¿İâ£Æm½Ã±lF®2 '' ÆqŸ¢E±WşmxQ˜ñJ��f̉k the current opioid.5.! Review in partnership with SCV dose morphine 30 mg … About this calculator sixth the. Under each opioid conversion chart name rapid dose escalation, renal impairment, sepsis electrolyte... Similar to opium opioid conversion chart a substance obtained from the seed pods of Papaver somniferum species poppy! Should follow and the dose conversion ratio of … s Opiate equianalgesic Dosing chart Committee 1nn s of.! Downloading in 10 seconds, please click here should only be interpreted as a starting... Opioid except Fentanyl should be checked and prescribed by an experienced practitioner methadone as a loose point! When changing opioid drug therapy of … s Opiate equianalgesic Dosing chart Committee 1nn s of age convert button display. Michael G. … opioid analgesics vary in potency, side effect and pharmacokinetic profile i conti 3ncombtions must al ht. Drugs are always of questionable purity is the opioid component ( e.g please note: this document can be! Be dependent on the dosage, relative potency of the Michael G. … opioid onversion hart Prepared by: Meds! Of subcutaneous Fentanyl strength units ) opioid conversion chart conversion Factor obtained from the seed pods of Papaver species...

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