These bidirectional differences are not captured in a traditional equianalgesic table.,; Dose-dependent conversions: The conversion ratio of. Opiate Equianalgesic Dosing Chart. Pharmacy & Therapeutics Committee. Note: Published tables vary in the suggest algesic to morphine. Clinical response is. TABLE 1: OPIOID EQUIANALGESIC TABLE. NB: It is important to recognize the limitations of opioid equianalgesic tables. Equianalgesic doses have been.

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Agonists abridged; see here for a full list: Patient is receiving a total of 5 mg of parenteral hydromorphone in a hour period via a PCA pump.

Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. Practice guidelines for transdermal opioids in malignant pain. American Pain Society Pharmacologic treatment of cancer pain. Contact the Pain Service for other alternatives.

Use of this table for conversion from fentanyl to other opioids can overestimate the dose of the new agent and may result in an overdosage. Patient care requires individualization based on patient needs and responses.


Because equianalgesic tables are inherently inaccurate, dose titration to optimal effect is essential. Views Equianapgesic Edit View history. Opioid Analgesics These are general guidelines.

Opioid (Opiate) Equianalgesia Conversion Calculator –

Interactions with other drugsfood chhart drinkand other factors may increase or decrease the effect of certain analgesics and alter their half-life. From Wikipedia, the free encyclopedia. Accuracy in equianalgesic dosing. Basal infusion rates are discouraged unless the patient has been taking scheduled opioids for more than one week.

There is no evidence-based recommendation for an appropriate reduction. The following table lists opioid and non-opioid analgesic drugs and their relative potencies. Principles of analgesic use in the treatment of acute pain and equianaogesic pain 5 th ed.

Refer to Nursing Policies 8. Methadone is different from most opioids considering its potency can vary depending on how long it is taken.

Equianalgesic conversions used in this calculator are based on dhart American Pain Society guidelines and critical review papers regarding equianalgesic dosing. American Society of Health-System Pharmacists.


As a clinician, it is important to note that there are significant limitations to equianalgesic conversions and tables.

Retrieved December 28, These variables are rarely included in equianalgesic charts. As stated above, because equianalgesic tables are eqquianalgesic inaccurate, the availability of breakthrough doses is paramount.


There are several reasons for switching a patient to a different pain medication. Opioid Equivalency Table morphine, oral. An alternative algorithm for dosing transdermal fentanyl for cancer-related pain.

Continue looking for other causes of sedation and respiratory depression. Principles of analgesic use in the treatment of acute pain and cbart pain.

Because transdermal fentanyl has a delayed onset and onset of peak activity, consider titrating every 3 days. Acute use, 1—3 days, yields a potency about 1. Because some listed analgesics are prodrugs or have active metabolitesindividual variation in liver enzymes e.