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Bidirectional conversions: When converting between certain opioids, the direction of conversion (eg, morphine to hydromorphone versus hydromorphone to morphine) will produce a different conversion ratio.
Opioid Conversion Tables . Ernest Dole , Pharm.D., BCPS , PhC, FASHP . Clinical Pharmacist , University of New Mexico Hospitals . Chronic Pain C onsultation ...
However, conversion tables can and should inform clinical judgement about switching opioids and can help clinicians to avoid gross miscalculations. We provide here two examples of opioid equi-analgesic conversion tables (A6.2 and A6.3) that are adapted from a leading publication on this topic . They are presented merely as examples and should ...
10 mg/0.5mL, 20 mg/mL, 100 mg/5 mL. solution; 4 hours---Morphine Sulfate . 100 mg/5 mL; concentrate . solution---SEMI-SYNTHETIC; HYDROCODONE, C-II. Hydrocodone Bitartrate ER; 20 mg, 30 mg, 40 mg, 60 mg, 80 mg, 100 mg, 120 mg. 1; ER tablet. 24 hours-√-50 mg PO ; hydrocodone. IR tablet = 50 MME Hysingla™ ER; 20 mg, 30 mg, 40 mg, 60 mg, 80 mg ...
Opioid Conversion Table. This table serves as a general guide to opioid conversion. Utilization of a direct conversion without a detailed patient and medication assessment is not recommended and may result in over- or underdosing.
Listed below are methods for common conversions using standard published conversion ratios. The examples assume a change in drug or route at a time of stable pain control using equianalgesic doses. See Fast Fact #2 about conversions involving transdermal fentanyl; #75 and #86 about methadone.
CDC compilation of benzodiazepines, muscle relaxants, stimulants, zolpidem, and opioid analgesics with oral morphine milligram equivalent conversion factors, 2016 version. Atlanta, GA: Centers for Disease Control and Prevention; 2016. Available at http://www.pdmpassist.org/pdf/BJA_performance_measure_aid_MME_conversion.pdf.
