OPIOID CONVERSIONS

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Conclusion • Avoid combo agents • Bowel regimen • Rescue dose -10-20% total daily dose • Incomplete X-tolerance between opioids • When changing agents, reduce by ½-⅔ • Methadone = good • Do not ever stop a pt’s long-acting opioid • Remember $$
Resources Palliative Care Consult Team - Call N4N (6-1295) - Page–Dr. Swetz, Dr. Patel, Pat Coyne - Place consult in Cerner – Pain CNS
Page 1 and 2: OPIOID CONVERSIONS Sarah Beth Harri
Page 3 and 4: • Equianalgesic ratios serve as r
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

OPIOID CONVERSIONS

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