Oral Opioid Dosing Equivalents and Conversions
Morphine to Fentanyl Patch Conversion . Each 2 mg PO morphine approximately equivalent to 1 mcg/hr fentanyl patch (e.g., morphine 100 mg/day → 50 mcg/hr patch applied q3days). Caution should be used in older adults or patients with cachexia—fentanyl is lipid soluble and requires subcutaneous fat for proper absorption. Opoid Taper . Typical ...
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Fentanyl is a very potent drug and doses are charted in micrograms. Subcutaneous fentanyl is useful in palliative patients with severe renal failure, in those who require low doses of opioids and in situations where transdermal patches are contraindicated because of unstable pain . …
• Although Fentanyl has been administered by subcutaneous or int ramuscular routes, ... Since Fentanyl is a potent, short-acting opiod that may depress maternal and neonatal respiration, Naloxone (Narc an™), should be re adily available for administration to the mother or neona te.
Fentanyl PCA. 10-50micrograms IV bolus, 5-10 minute lockout (start at 10microgram bolus, 5minute lockout) Opioid conversions Subcutaneous morphine = 2x as strong as oral morphine . Oxycodone = 2x as strong as oral morphine . Fentanyl patch: 24 hour oral morphine dose (in mg) ÷ 3 = hourly fentanyl patch dose (in mcg) (safe in renal impairment i ...
subcutaneous dose . Conversion factor (oral dose ÷ by factor = subcut dose) morphine . 30 mg . 10 mg . ÷ 3 . hydromorphone . ... • There is no direct conversion for fentanyl lozenge to other opioids including morphine • The recommended initial dose of lozenge is 200 micrograms • If pain is not relieved then the dose can be increased ...
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
Inject through a Saf-T-Intima (butterfly) or directly via subcutaneous needle. The Saf-T-Intima should be flushed with 0.2ml of water for injection after administration of medication. Can be administered via a continuous subcutaneous infusion pump (Niki T34). Intranasal administration Ensure patient is seated upright with head upright.
NUBAIN is a sterile solution suitable for subcutaneous, intramuscular, or intravenous injection. NUBAIN is available in two concentrations, 10 mg and 20 mg of nalbuphine hydrochloride per mL. Both strengths in 10 mL vials contain 0.94% sodium citrate hydrous, 1.26% citric acid anhydrous, and 0.2% of a 9:1