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. 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. Buprenorphine film/tablet. 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. %PDF-1.5 %���� Can be precipitated by several factors, including rapid dose escalation, renal impairment, sepsis, electrolyte abnormalities, drug interactions. Click here to download Opioid-Conversions-May-2016.pdf (715kB) Syringe Driver Drug Compatibilities These guidelines are currently under review in partnership with SCV. Type of Opioid MME Conversion Factor Buprenorphine patch. Opioid Conversion Chart 2018. This conversion tool estimates a reasonable equipotent dose between two benzodiazepines. It usually includes information on the dosage, relative potency, and half-lives, compared to morphine. 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. Drug Equianalgesic Oral Dose Morphine 30 mg … 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). 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 … that is, (2 x 30 mg codeine) x 4 doses or 240 mg codeine/day. Opioid Manager Switching Opioids Download. s Opiate Equianalgesic Dosing Chart Committee 1nn s of age. 1. Opioid Conversion Ratios Guide to Palliative Care Practice 2016 3/5/2016 ©2016. Conversion Factor There is limited evidence and no consensus on the conversion factors to use for methadone. 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 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 3 Demystifying Opioid Conversion Calculations: a guide for effective dosing. 30 mg morphine/day ÷ conversion factor = oxycodone/day. However, variation among patients in bioavailability of Equianalgesic charts are used for calculation of an equivalent dose (a dose which would offer an equal amount of analgesia) between different analgesics. Determine doses when converting a patient from one opioid to another. Equianalgesic doses of oral opioids. �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� �# If a patient is taking Panadeine Forte. W�C2D�>��IF���Ǣ�� � :�*� When converting from one opioid to another, the initial dose depends on the relative potency of the two drugs and route of administration. Thank you for downloading Opioid Manager Switching Opioid Form. 5 , 7 784 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 An individualised approach is necessary. 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 Enter 24-hour total doses below, then click the convert button to display 24-hour equianalgesic doses. Click here to download. Patients should be reviewed 24h after conversion from one opioid to another or from one route to another, and doses … 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. Opioid Morphine Equivalent Conversion Factors.docx Page 1 Opioid Morphine Equivalent Conversion Factors. Equianalgesic Conversion Table Updated March 20, 2020 Depicts the relative potencies of commonly prescribed opioids compared to oral morphine. OPIOID CONVERSION GUIDE These conversions are a guide only.