Opioid Conversion Chart
What is Opioid Conversion Chart?
An Opioid Conversion Chart is a useful tool in the field of medicine, specifically in pain management. It provides healthcare professionals with a standardized means of converting an existing opioid regimen to an equivalent dosage of a new opioid. This conversion is necessary when switching between different opioids or adjusting the dosage to ensure effective pain control.
What are the types of Opioid Conversion Chart?
There are several types of Opioid Conversion Charts available to healthcare professionals. Some of the commonly used types include:
Continuous Conversion Charts - These charts provide a continuous scale for converting the dosage between different opioids.
Dosing Equivalency Charts - These charts focus on providing equivalent dosages for different opioids, taking into account the potency and duration of action of each drug.
Specific Formulation Charts - These charts are tailored to specific opioid formulations, considering their unique characteristics and bioavailability.
How to complete Opioid Conversion Chart
Completing an Opioid Conversion Chart requires careful consideration and accurate calculations. Here is a step-by-step guide to help you complete the chart effectively:
01
Review the patient's current opioid regimen and note down the drug, dosage, frequency, and route of administration.
02
Consult a reliable Opioid Conversion Chart based on the specific type of opioid switch or dosage adjustment required.
03
Identify the new opioid drug and locate the corresponding conversion factor or ratio on the chart.
04
Calculate the equivalent dose of the new opioid by multiplying the current opioid dose with the conversion factor.
05
Adjust the calculated dose as per the recommended guidelines, taking into account factors such as individual patient response, tolerability, and previous dose adjustments.
06
Document the converted dosage accurately on the Opioid Conversion Chart, along with any additional notes or considerations.
07
Monitor the patient closely for any signs of inadequate pain control or opioid-related adverse effects, and make any necessary dose adjustments accordingly.
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Questions & answers
Is there a limit to opioid tolerance?
There is almost no limit to the development of opioid tolerance. After a year of opioid use one terminal cancer patient was using 5 fentanyl patches, 20 Demerol tablets, and continuous morphine suppositories. The limitless tolerance compares to a drug such as nicotine where three packs a day are usually the limit.
How is opioid potency determined?
The potency of any drug may be determined in terms of either a single dose, an infusion rate, or a drug concentration. The potency relative to another opioid differs for each of these measures because of differences in their disposition.
How do you transition from one opioid to another?
In most cases, when switching between different opioids, the calculated dose-equivalent must be reduced to ensure safety. The starting point for dose reduction from the calculated equi-analgesic dose is around 25-50%.
How do I know if I'm opioid tolerant?
The FDA defines a patient as opioid tolerant if for at least 1 week he or she has been receiving oral morphine 60 mg/day. transdermal fentanyl 25 mcg/hour. oral oxycodone 30 mg/day. oral hydromorphone 8 mg/day. oral oxymorphone 25 mg/day. or an equianalgesic dose of any other opioid.
What is the difference between opioid addiction and opioid tolerance?
Opioid tolerance occurs when a person using opioids begins to experience a reduced response to medication, requiring more opioids to experience the same effect. Opioid dependence occurs when the body adjusts its normal functioning around regular opioid use. Unpleasant physical symptoms occur when medication is stopped.
How do you change oxycodone to Oxycontin?
Conversion from Other Oral Oxycodone Formulations to OXYCONTIN If switching from other oral oxycodone formulations to OXYCONTIN, administer one half of the patient's total daily oral oxycodone dose as OXYCONTIN every 12 hours.
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