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Opioid Dose Equivalence - ANZCA

Morphinemg/day1 Anamorph, Kapanol (MR), MS Contin (MR), MS Mono (MR), Ordine, , OxyContin (MR), OxyNorm, Targin (MR)Hydromorphonemg/day5 Dilaudid, Jurnista (MR) , Codalgin, Panadeine, Panadeine Forte, Mersyndol, Nurofen Plus, , (MR) , Tramal, Tramadol SR (MR), Zydol, Zydol SR (MR), (MR)SUBLINGUAL PREPARATIONSB uprenorphinemg/day40 Suboxone, Subutex, Temgesic RECTAL PREPARATIONNote: Absorption from rectal administration is highly PREPARATIONSB uprenorphinemcg/hr2 NorspanFentanylmcg/hr3 Denpax, Durogesic, Dutran, Fenpatch, Fentanyl SandozPARENTERAL PREPARATIONSM orphine mg/day3 DBL morphine sulphate injection, DBL morphine tartrate injectionOxycodone mg/day3 OxyNorm FIHydromorphone mg/day15 Dilaudid FI, Dilaudid-HP FICodeine phosphate injection injection BPFentanyl fentanyl injection, SublimazeSufentanil mcg/day2 FACULTY OF PAIN MEDICINE ANZCA , DECEMBER 2014 Opioid dose Equivalence Calculation of oral Morphine Equivalent Daily dose (oMEDD) oMEDD (mg) = Current Opioid dose x Conversion factorCURRENT OPIOIDCONVERSION FACTORPROPRIETARY NAMESORAL (SWALLOWED) PREPARATIONSNote.

Practical Considerations 1) This opioid dose equivalence table is intended for comparison of different opioid regimens in individual patients or in patient cohorts. 2) Caution is required if opioid dose equivalence tables are used to guide opioid switching, as the administration of a calculated‘equivalent’ dose of the replacement …

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