Pain Management


Equivalent Doses of Opioid agents 

Common Scenarios
  • 30 mg of PO morphine = 10 mg of IM morphine (1: 3 ratio)
  • 50 mg of PO dilaudid = 10 mg of IM dilaudid (5: 1 ratio of PO vs IM dialudid) = 75 mg of IM morphine (1: 7.5 ratio of IM dilaudid vs IM Morphine)  = 225 mg of PO morphine (1: 3 ratio of IM Morphine vs PO Morphine) = 100 mcg / hr of Fentanyl Patch

  • 50 mg of Oxycodone (short acting) = **** of PO morphine =  *** mcg / hr of Fentanyl Patch 
Calculators
4 classes of Opioid Analgesics
  • Strong Full Agonists: Fentanyl; Dilaudid; Morphine; Meperidine; Methadone; Oxycodone; Oxymorphone; 
  • Weak Full Agonists
  • Weak agonists / reuptake inhibitor
  • Partical Agonists and Mixed Agonist / antagonists  
Drugs for Pain Medical Letter 2010

Drugs for Pain Medical Letter 2010

Drugs for Pain Medical Letter 2010



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