These bidirectional differences are not captured in a traditional equianalgesic table.,; Dose-dependent conversions: The conversion ratio of. Opiate Equianalgesic Dosing Chart. Pharmacy & Therapeutics Committee. Note: Published tables vary in the suggest algesic to morphine. Clinical response is. TABLE 1: OPIOID EQUIANALGESIC TABLE. NB: It is important to recognize the limitations of opioid equianalgesic tables. Equianalgesic doses have been.

Author: Shaktir Visar
Country: Malaysia
Language: English (Spanish)
Genre: History
Published (Last): 17 February 2011
Pages: 167
PDF File Size: 7.81 Mb
ePub File Size: 13.84 Mb
ISBN: 351-5-80896-596-5
Downloads: 50456
Price: Free* [*Free Regsitration Required]
Uploader: Sagor

Tolerancesensitizationcross-tolerancemetabolismand hyperalgesia may be complex factors in some individuals. If equianalegsic IV, each 0. Repeated administration of a medication is also different from single dosing, as many drugs have active metabolites that can build up in the body.

Archived from the original on Accuracy in equianalgrsic dosing. The plasma elimination half-life of racemic tramadol increased from approximately six hours to seven hours upon multiple dosing. These include practical considerations such as lower cost or unavailability of a drug at the patient’s preferred pharmacy, or medical reasons such as lack of effectiveness of the current drug or to minimize adverse effects.

There are other concerns about equianalgesic charts. By using this site, you agree to the Terms of Use and Privacy Policy.


Department of Health and Human Services. Demystifying Opioid Conversion Calculations: Do not use this table to convert from fentanyl transdermal system to other opioid analgesics because these conversion dosage recommendations are conservative.

Contact the Pain Service for other alternatives. Home Academy Blog About.

A Guide for Effective Dosing. Values for the potencies represent opioids taken orally unless another route of administration is provided. Management of cancer pain: Retrieved December 28, The equianalgesic chart indicates that 1. Instantaneously from 5 – 15 sec IV ; 2 – 5 min IM. Practice guidelines for transdermal opioids in malignant pain. An alternative algorithm for dosing transdermal fentanyl for cancer-related pain.

Opioid (Opiate) Equianalgesia Conversion Calculator –

Effects of patch last for 18 – 24 hours after the patch is removed. Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain.

Patient care requires individualization based on patient needs and responses. Equianalgesic charts are used for calculation of an equivalent dose a dose which would offer an equal amount of analgesia between different analgesics. American Pain Society Carbamazepine Lacosamide Xhart anesthetics e. Adjust dosing to achieve patient comfort with minimal side effects.

Basal infusion rates are discouraged unless the patient has been taking scheduled opioids for more than one week. When converting from PCA administration, add the total amount of opioid that the patient received in the last 24 hours, including.



American Society of Health-System Pharmacists. Views Read Edit View history.

Methadone acute [17] [18]. Archived from the original on December 24, Cannabidiol Cannabis Nabilone Nabiximols Tetrahydrocannabinol dronabinol. Lower doses should be used initially, then titrated up to achieve pain relief. Equianalgesic dose ratios for opioids. Continue looking for other causes of sedation and respiratory depression.

Journal of Clinical Pharmacology. Because some listed analgesics are prodrugs or have active metabolitesindividual variation in liver enzymes e. The amount of opioid required to achieve comfort varies from patient to patient. Available at UIHC as: There is no evidence-based recommendation for an appropriate reduction. Pentazocine lactate IV [14].

Agonists abridged; see here for a full list: Updated March 12, The following table lists opioid and non-opioid analgesic drugs and their relative potencies. Calcium blockers Gabapentin Gabapentin enacarbil Pregabalin Ziconotide.

Because transdermal fentanyl has a delayed onset and onset of peak activity, consider titrating every 3 days. Accessed December 31, Press ‘Calculate’ to view calculation results.