Transcription of SPECIALIST PALLIATIVE CARE OPIOID DRUG CONVERSION …
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SPECIALIST PALLIATIVE CARE OPIOID DRUG CONVERSION …
SPECIALIST PALLIATIVE CARE. OPIOID DRUG CONVERSION CHART. NOTE: When using this chart, calculate the total daily dose of morphine. Once CONVERSION is calculated, ensure OPIOID dose is prescribed in divided doses as appropriate. subcutaneous . MORPHINE. mg/day subcutaneous . OXYCODONE ORAL OXYCODONE. X4 2 x2. mg/day mg/day x2. 4. 2. TRANSDERMAL. X3 subcutaneous . fentanyl PATCH 3. (microgram/hour DIAMORPHINE. mg/day 3 3. 10. ORAL TRANSDERMAL. BUPRENORPHINE PATCH. ORAL MORPHINE (microgram/hour strength). TRAMADOL mg / day mg/day x 10. 10. ORAL CODEINE* OR 30. subcutaneous . DIHYDROCODEINE. x10 ALFENTANIL. mg/day 30 mg/day * The conversions given are comparable doses but there is wide patient intervariability relating to OPIOID CONVERSION . Using the chart In renal impairment (GFR <30ml/min) morphine and In renal impairment (GFR <15ml/min) subcutaneous diamorphine in particular can accumulate.)
SUBCUTANEOUS ALFENTANIL mg/day * The conversions given are comparable doses but there is wide patient intervariability relating to opioid conversion. In renal impairment (GFR <30ml/min) morphine and diamorphine in particular can accumulate. Alternative opioids of choice are oxycodone po/sc, fentanyl and buprenorphine patches. If using other
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