Calculate PO morphine to PO oxycodone based on conversion table: 300 mg PO morphine = 15 mg PO morphine X = 200 mg PO oxycodone. X mg PO oxycodone 10 mg PO
IV morphine and PO morphine are NOT equivalent. IV morphine dose x 3 = PO morphine dose. 5. When transitioning from fentanyl to PO morphine please do the
300 mg PO morphine = 15 mg PO morphine X = 200 mg PO oxycodone. X mg PO ○ Fentanyl is 80 to 100 times more potent than morphine. Fentanyl is not
Table 1 Example: A patient is currently receiving 20 mg of IV morphine per day and the prescriber wishes to convert to PO oxycodone. 1) Using the IV morphine:PO morphine conversion ratio, convert to PO morphine: X = 60 mg PO morphine 20 mg IV morphine = 10 mg IV morphine X mg PO morphine 30 mg PO morphine 2) Using the PO morphine:PO oxycodone
Table 3 Example: A patient is currently taking 120 mg of oxycodone daily and the prescriber wishes to convert to transdermal fentanyl. 1) Using the PO oxycodone:PO morphine conversion ratio, convert to PO morphine: X = 180 mg PO morphine / day 120 mg PO oxycodone = 20 mg PO oxycodone X mg PO morphine 30 mg PO morphine
300 mg PO morphine = 15 mg PO morphine X = 200 mg PO oxycodone. X mg PO ○ Fentanyl is 80 to 100 times more potent than morphine. Fentanyl is not
potency ratio for PO tramadol and PO morphine to be 1:10 (i.e. tramadol 100mg. PO=morphine 10mg PO). In the PO opioid dose conversion ratios table a.
Tramadol po100mg = Morphine po 10mg. Tramadol po 100mg four times daily (400mg/24 hours) = Morphine po 40mg/24 hours. Codeine. Codeine po 30mg = Morphine po 3
How would you replace it? – Equianalgesic: Morphine 30mg PO = Dilaudid 1.5mg IV – Methadone 8 mg PO = Methadone X mg PO IV. Morphine 1mg PO Morphine
Regards, Jack