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  1. INSTRUCTIONS. Select the opiate and route that you wish to convert from. Input the total daily dose in milligrams of the opiate you are converting from. Select the opiate you wish to convert to. The total daily dose will be displayed in the results bar. When to Use. Pearls/Pitfalls.

  2. Equianalgesic dosage conversion calculator. ClinCalc.com » Neurology » Opioid Equianalgesic Calculator. Total Daily (24 hr) Opioid Dose. Cross-tolerance: 25% reduction. Press 'Calculate' to view calculation results. Load an Example. About This Calculator.

  3. The calculator provides conversions from one opioid to another and/or from one route of administration to another, to be used as a guide only. It is not tailored to any specific pain syndrome or for utilisation by specific healthcare professionals.

  4. The Opioid Conversion Calculator is an indispensable tool for medical practitioners, pharmacists, and pain management specialists worldwide. Simplify complex opioid conversion tasks with confidence and precision, ensuring patient safety and optimal pain management.

  5. Morphine Milligram Equivalents (MME) Calculator. Calculates total daily morphine milligram equivalents. IMPORTANT. There is no completely safe opioid dose, and this calculator does not substitute for clinical judgment. Use caution when prescribing opioids at any dosage, and prescribe the lowest effective dose.

  6. OME calculations facilitate monitoring changes in opioid utilization over time. For this reason, UCSF employs an OME calculator in the APEX Pain Summary. OME calculations are needed to identify the need for mandated naloxone prescriptions when opioids are prescribed.

  7. Depending on age and prior side effects, most experts recommend starting a new opioid at 50-75% of the calculated equianalgesic dose, in the setting of well-controlled pain. Change 90 mg q 12 extended-release morphine to oral hydromorphone. Calculate the 24-hour current dose: 90 Q12 x 2 = 180 mg PO morphine/24 hrs.

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