Tablet Driver
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Ceramic Glaze Drip Table Lamp
Drug | Oral/Rectal Route | Parenteral Route | Conversion Ratio to | Equianalgesic Dose of Oral Morphine |
Morphine sulfate | 30mg Oral morphine | 10mg of parenteral morphine | Parenteral morphine is 3 times as potent as oral morphine | 30mg Oral morphine |
Oxycodone | 20mg of oral oxycodone | NA | Oral Oxycodone is roughly 1.5 times more potent than oral morphine | 30mg Oral morphine |
Hydrocodone | 20mg of oral hydrocodone | NA | Oral hydrocodone is roughly 1.5 times more potent than oral morphine | 30mg Oral morphine |
Hydromorphone | 7mg of oral hydromorphone | 1.5mg of parenteral hydromorphone | Oral hydromorphone is about 4-7 times as potent as oral morphine Parenteral hydromorphone is 20 times as potent as oral morphine | 30mg Oral morphine |
Fentanyl | NA | 15 micrograms/hr | Transdermal fentanyl isapproximately 80 times as potent as morphine (This is based on studies converting from Morphine to fentanyl. Currently, there are no empirical studies converting fentanyl to morphine). | 30mg Oral morphine |
Meperidine Meperidine is nota 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. | 300mg of oral meperidine | 75mg of parenteral meperidine | Oral Morphine is about 10 timesmore potent than oral meperidine and about twice more potent as parenteral meperidine (mg for mg) | 30mg Oral morphine |