Show AMA citation. Press 'Calculate' to view calculation results. Load an Example. Duragesic [package insert]. Practice guidelines for transdermal opioids in malignant pain. PMID An alternative algorithm for dosing transdermal fentanyl for cancer-related pain. Oncology Williston Park. American Pain Society. Principles of analgesic use in the treatment of acute pain and cancer pain. Accuracy in equianalgesic dosing. J Pain Symptom Manage.
Equianalgesic dose ratios for opioids. Opioid conversions in acute care. Ann Pharmacother. Opioid rotation: the science and the limitations of the equianalgesic dose table. Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. It's free, easy and extremely importantI. Tweets by palliator. Subscribe Free Sign up now and get free updates on successful aging and end of life issues. Teaching Exercise 2: Converting from oral morphine to fentanyl transdermal patch Mr.
Convert to equivalent dose of fentanyl by dividing total 24 hour oral dose by Parenteral Fentanyl is times more potent than oral Morphine. Fentanyl attains therapeutic levels in hours. This is based on studies converting from Morphine to fentanyl. Currently, there are no empirical studies converting fentanyl to morphine. Meperidine is not a recommended drug in a palliative care setting and is to be avoided. If a patient with chronic pain is on meperidine, convert patient to an equianalgesic dose of one of the other opioids listed in this table.
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