Fentanyl morphine conversion

Common Questions and Answers about Fentanyl morphine conversion

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Avatar m tn Oral 24-hour Morphine (mg/day) Fentanyl Patch (mcg/hr) 225 to 314 mg/day 75 mcg/hr However, this is just a calculation based on the limited medical information I was presented. Since I do not have your liver and kidney status, it will be difficult for me to recommend the exact dosing regimen. Please consult your provider using this as a guideline. 2. If you are on Opana ER 30mg, why are you still taking Dilaudid?
614471 tn?1221179194 ive just come off fentanyl patches onto the morphine so i can taper down, my aunt who died was addicted to heroin so i know a bit about it so i just wanted to know the equivalent so i can understand roughly how much morphine im taking. thank you to anyone that can help. kind regards, carrie.
Avatar f tn I have read many different equianalgesic conversion tables but most are just calculated guesses. Fentanyl is the most difficult of drugs to convert in this manner and many equianalgesic calculators dont even botherl One i believe to be fairly accurate can be found here http://www.thedrugmonitor.com/analgesics.html#fentanylpatch On this site they convert various fentanyl doses into an equivalent morphine dose.
890735 tn?1261421725 Hi, I am not sure of the exact conversion rate but Fentanyl is 40 times stronger than morphine so taking that into consideration it sounds correct. Also doctors normally start Pt's out on the 25mc of Fentanyl and then titrated up as needed. Rarely is a Pt started out on higher doses. This way your put on the lowest amount that will treat your pain. Tolerance issues being considered the lowest dose is the best. I hope this answers your question.
Avatar m tn There are many other meds available at much lower doses. Fentanyl is approx 88 times stronger than morphine. I am just bewildered as to why he would start with 50mcg, maybe it was a mistake. The advice above is very good. Especially in the summer, you need to watch that the patch stays on, because they fall off and then you have to make sure that your mother doesn't get overheated, because the medicine can be released at a much faster rate...
1326023 tn?1274867436 I found a few charts and they are all basically similar. 315-404mgs of morphine is equivilant to about 100 mcg of fentanyl. Thats oral morphine. The IV morphine chart is different. I do know that fentany is one of the strongest opiate medications available.. I believe it is much stronger than oral morphine. At least that is what I have heard and read. I also saw a show on TLC (Dr. G Medical Examiner) and she also stated fentanyl is the strongest opiate medication you can be prescribed.
Avatar f tn And the dangers with Fentanyl, especially as it comes in Micrograms and not milligrams...it makes conversion even more tricky. We live in a world where there are people who scour the internet all day and read sites like this and use them in ways that they shouldn't...I am NOT trying to say you, or even the OP...but this is why I don't post things like the conversion tables or things in that way as I don't ever want to say that it's ok to use them ourselves... So...
Avatar f tn Her solution was to say she would prescribe the same morphine equivalent medication of morphine sulphate, but she wrote a prescription for thirty morphine equivalents less than the fentanyl patches. My pharmacist did not stock the medication and thought she meant to prescribe something for breakthrough pain. When I told him this was not the case, he offered to call the facility.
Avatar n tn I don't know abt. the patch, it seems like it would prolong the withdrawl. Possibly delay the inevitable but give some relief. Are you withdrawling voluntarily or till your next prescription ? Usually by day 5 a person starts to feel better and alot of the really bad stuff is over. I really do think the fentanly is a bad idea but I know how being addicted goes, we just want it to go away. I hope the best for you and I wish I knew more abt. your situation to give a good opinion.
326947 tn?1252591233 I was on the 25mcg patch coming from 180mg of morphine a day. The conversion was low, and it never worked for me in over a month.
Avatar f tn I have never heard of a morphine patch. I have only heard of Fentanyl, or duragesic patches. I am sure they are similar though. They could have euphoria, itching, nausea, dilated pupils, sweating, overall sense of well being, constipation, etc. What have you noticed?
Avatar f tn I have recently found out that I have a few things going wrong with my back. I have been going to a pain management/spinal doctor for the past 2 months and am on Oxycodone, Kadian, Neurotin(sp?), & have just started the 12mcg patch of Fentanyl today (5/8/09). I am wondering what can I expect from this patch - the good, the bad & the ugly? I am not a newbie to oral pain meds as I was in a pretty bad car accident 11 years ago where I crushed part of my knee & messed up my leg.
Avatar n tn Is this morphine or Fentanyl? Are you sure it's point 75 (.75) or is it 75? What is the admin. route?
Avatar m tn im not sure what mg but i expect him to start me on 15 of morphine. will the morphine help me? should i talk to him about another option such as percocet? im scared that the low beginning dosage will affect my quality and comfort even more.
Avatar m tn It is not a good idea to take non-prescribed narcs without your doctor's knowledge. A.) It can be dangerous. B.) If/when they find out, you'll be detoxing "really" fast. C.) It will mess up your detox schedule. It sounds like your doctor is doing the right thing. When reaching higher and higher, escalating dosages of opiates, the ratio of therapeutic benefit to side effects gets worse.
Avatar f tn I have been prescribed fentanyl and it wouldn't stay on me when I was active bc I'd sweat so my Dr changed me to Butrans 15 mcg plus 10mg of oxycodone for bt. I have 2 nerves left and right that are damaged , spinal stenosis, degenerative disc disease, and no fluid between S1-L5... Upon that I have a bakers cyst in my knee and damage to my left hip... I have been on 50 mcg of fentanyl and 6 ten mgs a day for btpm. My tolerance has become high bc I have been in pain since 1999.
Avatar n tn short story i beggeed them to take be taken of the patch Fentanyl, so i could go swimming my only true therphty i have in life. I was on a 50 mg patch and they stated me on a 15 mg morphine sulfate instead, i ened up in the hopsital a week laer becasue the pain level was to much for me to take. they.
Avatar n tn ve been using a lot because I already have a high tolerance to opiates, what I wanted to know is if withdrawal symtoms of Morphine are any worse than Tramadol, because I think I may need to progress to that eventually. I have permanent nerve damage.
Avatar f tn Hi gracie255, First, I want to welcome you to the PM (Pain Management) Forum and let you know that we are glad you found this Forum. We are all CP (Chronic Pain) Patients that help each other with our own expertise and experiences that we have developed through our own CP Issues. I read your Profile and I will add you to my Prayers!! Bless your heart, you are such a Brave Lady!! There's really not much of a comparison between the 2 meds.
Avatar f tn I detoxed of 75 mcg every 48 hours of Fentanyl. All I can say is go VERY slowly. What kind of patch do you have? Fentanyl withdrawal is a bit different than other opiates. Not as bad as methadone but pretty tough in it's own right. But it can be done. At times I tried to go too quickly and that was a huge mistake. follow the Thomas Recipe and above all, keep yourself as hydrated as possible. Best of luck. You can message me if you like.
Avatar m tn So I'm on the Fentanyl 25mcg patch, switched from 180mg of Morphine ER because of tolerance. As I've said here before, but reiterating for those who may not know, it doesn't work for me. The Fentanyl that is. It was pointed out that the dosage is most likely low and I should be on the 50mcg patch, but I'm not a big fan of the patch in general.
Avatar m tn My wife has been perscribed fentanyl patches and has been told not to eat grapefruit, does this apply to all citrus fruit ie.
Avatar n tn Fentanyl conversion is not a atraight conversion from one opiate to another. Because the delivery systems are very different- oral versus transdermal. It is very likely the conversion dosage rate is fine- however since you are going from oral meds to transdermal - it needs to build up in the bloodstream and the tissues so that you are receiving a steady dose.
Avatar n tn Literature suggests for a 24 hour morphine dose of 60-134mg you would need a 25mcg fentanyl patch. So you would be right around a starting patch of 50mcg. As you can clearly see, a 100mcg patch is at LEAST double the amount you would need. If I were you and truly considering patch, I wouldn't start any higher than a 50mcg. In fact, I'd start at a 25mcg and move up. Its always easier to take an extra pill for breakthrough pain than it is to remove a long acting opiod.
Avatar f tn You use it to convert your fentanyl dosage to an equivalent morphine dose, and then find the equivalent morphine dose to oxymorphone, Generally when converting between opiates, doctors will reduce the new medication strength by a certain percentage to account for incomplete cross tolerance, which is a boost in analgesia you get from rotating from one kind of opiate to another. You can find equal analgesic tables, and apps for calculating equivalent dosing online.
Avatar m tn gave me the percocets but gave me MS cotin 15 3 x a day. How is that going to compare to what i was on . Also i have had morphine in past an it doesnt agree with me i had reaction to it ! I need to find dr that will keep me on what i was on but how do i find one?