Hydromorphone (IV/IM/SC): 1.5 Hydromorphone (PO): 7.5 Levorphanol (acute PO): 4.0 Levorphanol (chronic PO): 1.0 Meperidine (IV/IM/SC): 75: Meperidine (PO): 300 Methadone (acute IV): 5.0 Methadone (acute PO): 10 Methadone (chronic PO): see table above Morphine (IV/IM/SC): 10 Morphine (acute PO): 60 Morphine (chronic PO): 30 Nalbuphine (IV/IM/SC
Class: Opioid analgesic. Indications: Severe pain, cough, †an alternative To convert from PO methadone to methadone SC/IV, halve the PO dose. For
1pt fentanyl IV ≈ mg hydromorphone IV ≈ mg hydromorphone po. ≈ mg morphine po. ≈ 60 mg methadone. Flexible dosing (i.e. titrated to
How would you replace it? – Equianalgesic: Morphine 30mg PO = Dilaudid 1.5mg IV – Methadone 8 mg PO = Methadone X mg PO IV. Morphine 1mg PO Morphine
Levorphanol (acute PO): 4.0 Levorphanol (chronic PO): 1.0 Meperidine (IV/IM/SC): 75: Meperidine (PO): 300 Methadone (acute IV): 5.0 Methadone (acute PO): 10 Methadone (chronic PO): see table above Morphine (IV/IM/SC): 10 Morphine (acute PO): 60 Morphine (chronic PO): 30 Nalbuphine (IV/IM/SC): 10 Oxycodone (PO): 20 Oxymorphone (IV/IM/SC): 1.0
Butorphanol (IM/IV): 2.0 Codeine (IM/IV): 120 Codeine (PO): 200 Fentanyl (IM/IV): 0.1 Fentanyl (Transdermal): 0.2 Hydrocodone (PO): 30 Hydromorphone (IV/IM/SC): 1.5 Hydromorphone (PO): 7.5 Levorphanol (acute PO): 4.0 Levorphanol (chronic PO): 1.0 Meperidine (IV/IM/SC): 75: Meperidine (PO): 300 Methadone (acute IV): 5.0 Methadone (acute PO): 10
Levorphanol (chronic PO): 1.0 Meperidine (IV/IM/SC): 75: Meperidine (PO): 300 Methadone (acute IV): 5.0 Methadone (acute PO): 10 Methadone (chronic PO): see table above Morphine (IV/IM/SC): 10 Morphine (acute PO): 60 Morphine (chronic PO): 30 Nalbuphine (IV/IM/SC): 10 Oxycodone (PO): 20 Oxymorphone (IV/IM/SC): 1.0 Oxymorphone (PO): 10
Parenteral Methadone: Dosing. 1. Convert opioid to oral methadone dose equivalent. 2. TDD of IV methadone is 50% of the TDD of PO methadone. 3
HYDROmorphone mg(IM/IV/SC), HYDROmorphone mg(PO), Kapanol mg(PO), Morphine Methadone: Dose conversion to/from other opioids and methadone is complex
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