OPIOID CONVERSIONS

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Objectives 1. Review basic principles for prescribing for long and short acting po opioids. 2. Demonstrate competence in calculating opioid dose conversions using standard published conversion ratios. 3. Calculate starting dose of methadone using common clinical scenerios 4. Compare costs of different opioids when making prescription decisions
• Equianalgesic ratios serve as rough clinical guides • Always take into account: •Age • Renal/Hepatic/Pulmonary function • Opioid tolerance/ naivety
Page 1: OPIOID CONVERSIONS Sarah Beth Harri
Page 5 and 6: Mr. Smith (Case 1) Case 1: 10mg oxy
Page 7 and 8: Mr. Smith (Case 2) 10mg oxycodone 6
Page 9: Mr. Smith (Case 3) Total Oxycodone/
Page 12 and 13: Ms. Y 20 mg oxycodone X 5 doses = 1
Page 14 and 15: CHANGING OPIOID AGENTS PP: Remember
Page 16 and 17: Quick TIP • OXYCODONE MORPHINE E
Page 18 and 19: Mr. Z Convert MS IR Dilaudid 4-5 m
Page 20 and 21: Mr. C Oxycodone in 24 hrs = 40mg (S
Page 22 and 23: Mr. D 400mg (SR)+200mg (IR) = 600mg
Page 25 and 26: Ms. Y 24 hr morphine = 60mg X 6 dos
Page 27 and 28: Mr. Y MS Contin 100mg q8h = 300mg m
Page 29 and 30: CHANGING OPIOID ROUTE: SAME DRUG PP
Page 31 and 32: Mr. M EASY!! 20mg po methadone q8h
Page 33: Mr. A Oxycontin 120mg q12h = 240mg
Page 36 and 37: Ms. P 60mg IV 300mg IV 900 mg po di
Page 38 and 39: Cost Comparison DRUG COST per PILL
Page 40 and 41: Conclusion • Avoid combo agents

OPIOID CONVERSIONS

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