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Breakthrough pain: For same opioid & route divide 24 hour opioid dose by 6

Marie Curie Glasgow. Conversion Chart. This is advice on conversion factors and dose equivalents. It is not a guideline on using opioids. If converting in the opposite direction multiply rather than divide.

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Breakthrough pain: For same opioid & route divide 24 hour opioid dose by 6

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  1. Marie Curie Glasgow Conversion Chart This is advice on conversion factors and dose equivalents. It is not a guideline on using opioids. If converting in the opposite direction multiply rather than divide. * Important -When changing to a different opioid it is usual to reduce the final opioid dose by one third: vigilance and provision for opioid toxicity and breakthrough pain is advised at this time. Contact Palliative care team for advice. ORAL MORPHINE mg/24hrs ORAL OXYCODONE mg/24hrs Divide by 2 * Divide by 2 Divide by 3 Divide by 2 SUBCUTANEOUSDIAMORPHINE mg/24hrs SUBCUTANEOUS OXYCODONE mg/24hrs SUBCUTANEOUS MORPHINE mg/24hrs Equivalent * FENTANYLPATCH microgram/hr • Breakthrough pain: • For same opioid & route divide 24 hour opioid dose by 6 • For Fentanyl patch: • Patch strength (microgram) divided by 5 = diamorphine dose (mg) for breakthrough • Fentanyl patches: • For further guidance refer to • http://www.palliativecareglasgow.info/fentfacts J Adam / C Mackay May 2006 Medicines Management Group

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