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  • Prescribing in palliative care | Medicines guidance | BNF | NICE
    Opioid dose conversion Prior to switching treatment, consider whether other options may be more appropriate (such as the use of adjuvant analgesics or modifying the management of undesirable effects)
  • Opioid Conversion Charts (Adults) 2024 Update
    Conversion between opioids and methadone is complicated and depends on starting dose and duration of administration Conversions to and from methadone should always be with specialist advice Conversion methods used by palliative care may vary from those used by pain specialists
  • Dose equivalents and changing opioids - Faculty of Pain Medicine
    Opioid rotation or switching may be considered if a patient obtains pain relief with one opioid and is suffering severe adverse effects When converting from one opioid to another, the initial dose depends on the relative potency of the two drugs and route of administration
  • A GUIDE TO OPIOID DOSE CONVERSIONS - nhstaysidecdn. scot. nhs. uk
    It may be necessary to change a patient from one opioid to another to achieve optimum analgesia with fewer side effects or if a route becomes compromised The table below gives an approximate (≈) conversion for different opioids and be used as a guide
  • Opioid opiate conversion tables – switching between opioid medicines . . .
    A guide to dose conversions FROM morphine TO second-line opioid analgesics used for moderate to severe pain Use the tables above as a guide The doses are approximate (≈) and not exact equivalent doses
  • PRESCRIBING IN PALLIATIVE CARE: A GUIDE TO EQUIVALENT DOSES FOR OPIOID . . .
    It is suggested that for conversions from oral morphine to fentanyl patches, the lower doses of fentanyl should be used for patients who have been on oral opioids for just weeks and the higher doses for people who have been on a stable and well tolerated oral opioid regimen for a longer period
  • Severn Hospice Opioid Conversion Table For Use in Adult Palliative Care
    Severn Hospice Opioid Conversion Table – For Use in Adult Palliative Care Patients • This is to be used as a guide Individual patients may metabolise different drugs at different rates If in doubt, ASK • Always calculate the dose using oral morphine as standard and adjust to patient and situation
  • FACTSHEET: OPIOID ANALGESIA
    factsheet: opioid analgesia Guide to drug conversions at The Kirkwood • Actual conversion from oral morphine 45mg day = transdermal fentanyl 12microgram hour, hence those doses for patch with an asterix
  • Home - Business Services Organisation (BSO) Website
    When switching opioids, a 25-50% reduction of the calculated dose of the new opioid is recommended, because tolerance to the initial opioid may not extend completely to other opioids Review the new regimen at 24 hours and adjust accordingly, using caution at higher doses For palliative care patients, ensure an "as required" opioid is prescribed
  • Opioid Conversion Chart
    • *: Check that the PRN dose of a suitable opioid is appropriate for the fentanyl patch • #: Other conversion factors are available such as via the PCF6 for conversion of oral to subcutaneous oxycodone ESNEFT has chosen to use the stated figures with a lower risk of toxicity





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