Morphine oxycodone conversion

Common Questions and Answers about Morphine oxycodone conversion


Avatar m tn I am presently on pain management and take one 10 mg oxycotin twice daily and 22 mg oxycodone 4 times a day for break through pain. my dcotor tried switching me over to morphine ER 30mg twice a day and 5 mg oxycodone when needed for break through pain. what would be the correct conversion for the oxycodin and oxycondone and the morphine ER and morphine sulfate instant as I would rather be on the less potent drug and want to wean off the oxycodone and oxycodin.
401095 tn?1351395370 Meperidine (Demerol) 10-20mg.........Methadone 30-60mg.........Morphine 20mg..............Oxycodone (Oxycontin, Percocet) 10mg..............Oxymorphone (Numorphan) 200-300mg.....Propoxyphene (Darvocet) 150mg............Tramadol (Ultram, Ultracet) a guide only...
Avatar m tn Ask your doctor to do a liver function test (AST/ALT and ALP) while everyday on paracetamol and see for yourself. On the other hand, morphine, hydro/oxycodone (without paracetamol) in the doses you're taking, are highly unlikely to cause any liver toxicity.
199177 tn?1490502134 Buprenorphine (Bupe) 200mg............Codeine (Tylenol 2, 3, 4, etc) 30-60mg.........Diacetylmorphine (Heroin) (orally it = morphine, IV/IM/insuffilated it's 2x as strong) 100mg............Dihydrocodeine 30mg..............Hydrocodone (Vicodin, Lorcet, etc) 7.5mg.............Hydromorphone (Dilaudid) 37.5µg............Fentanyl (not sure on this one, anyone know the oral dose equivalence for Fentanyl?) 4mg................Levorphanol (Dromoran) 300mg............Meperidine (Demerol) 10-20mg.
Avatar n tn The abuse potential of oxycodone is equivalent to that of morphine. The usual indications for oxycodone are severe acute postoperative or posttraumatic pain and cancer pain. When oxycodone is administered, the same precautions should be taken as with morphine or other agonist opioids." "Oxycodone is an effective opioid analgesic for cancer pain.
Avatar f tn So I went from taking 12 5/325mg percocets a day to 5mgs of morphine sulfate 2times a day. And after 24hours, boy was I sick, horrible flue like symptoms, chills, shaking, sweats, fever, teeth chattering, it was like nothing I had ever experienced before! So I went to see my obgyn after 2days of that, she put me back on the percocet. But I still am left wondering, what the heck was that? Withdrawals? A bad reaction? I must say after reading on here, I think it was withdrawals!
Avatar f tn If you were getting adequate relief from the percocet, I don't know why he switched you to morphine to get away from tylenol, all he had to do was give you pure oxycodone in the immediate release form. It comes in dosages as low as 5mg, it's not like oxycontin, which is the time-release version. If I were you I would ask him about it. There is no point to taking something that isn't giving you any relief.
Avatar f tn The Fentanyl, which I'm on for my Long-Acting Med, is approximately 80 times stronger than Morphine. The Oxycodone (I use Percocet 10/325's for my BT Pain) is not as strong as the Fentanyl. Which meds are you on for your pain? As I said above, I'm very happy that you have found this site and I hope that you will enjoy the support that we offer here for you!! You might also, enjoy the Cancer Forum's. Here's the Link: http://www.medhelp.
Avatar m tn Since there is no entry for the patches, I modified it based on a conversion table I found. I was shocked to find out that the 100mcg fentanyl patch is equivalent to over 200mg of oxycodone per day!! HOLYCOW! I wish I was smarter BEFORE I let the doctors put me on that ****.
Avatar f tn but it is not really the effect they r comparing//but the strength...i do believe there is a conversion chart in avisg's journal...
Avatar f tn Hi Ddiane, Welcome to the Pain Mangement Forum. Your physician will be the best source to determine the correct conversion dosage. There are charts on the www that compare narcotic dose to narcotic dose but again your physician should be the one to make that determination. Fentanyl is approximately 80-100 times stronger than morphine, depending on who or what chart you beleive. However it is indisputably stronger than most opiates.
Avatar n tn 30 mg of Opana ER is roughly 60 mg of oxycodone or 90 mg of morphine. 10 mg of Opana ER is roughly 20 mg of oxycodone or 30 mg of morphine. You are actually getting 5 mg less of oxycodone through the switch from percocet to Opana ER. However, since Opana ER is an entirely different opioid formulation. There is probably some cross tolerance and your doctor applied a 20% cross tolerance factor when converting you from oxycodone to Opana ER.
Avatar n tn Oxycodone is about half as strong as Oxymorphone per mg. So you were talking 60mg of Oxycontin (Oxycodone) and going by a Opioid (Narcotic) analgesic converter you would need 30mg of Opana (Oxymorphone) to get the same pain releif and most likley the same to cover the withdrawl. You are now taking 10mg of Opana where 30mgs is what the converter says you need. You need to talk to your Dr. about dosage and don't take more than your Dr wrote the Opana for until he or she OKs it.
Avatar m tn For example, for some opiates, the administered medication is a 'prodrug' that must be converted to the active drug by the liver; an example is the conversion of codeine to morphine, which is more efficient in some people than in others. There is also wide variation in the degree of nausea produced by different medications in different people. I do not know of any evidence that hydromorphone is better tolerated overall than oxycodone.
198154 tn?1337790865 The Essentials Positive mindset A multivitamin Courage Determination An understanding that this is not forever. Diarrhea Immodium A.D. - 4-6mg loperamide per 50-60mg of oxycodone/hydrocodone. (May vary!) Try not to take this too often as it can make you REALLY constipated, but it can get rid of (in my experience as well as others) the majority of the physical withdrawal symptoms. Just remember that loperamide is an opiate, so it's better to only take if NEEDED.
300207 tn?1227226322 Smart move - I believe that it is basically morphine. The human body handles morphine a lot better that synthetic opioids like oxycodone, as the liver naturally produces small amounts of this natural substance.
Avatar m tn I used to stay up with her Crying and crying from the pain. They had her on all types of pain Meds from Morphine to oxycodone. All they would tell her is that she had Conversion Disorder at arrowhead hospital. Last week we went to another hospital and they said from the MRI that why did we wait so long for this severe Spinal Stenosis. I do not want my wife suffering anymore.
981443 tn?1250119402 It is approximately 6–8 times more potent than morphine, and is related to morphine in the same fashion that oxycodone is to codeine (being a derivative of thebaine). It differs from morphine in its effects in that it generates less euphoria, sedation, itching and other histamine effects. Depending on the individual patient, it can be either more or less nausea- and vomit-inducing than morphine.
3949693 tn?1370820195 My guess is that you are on to low of a fentanyl dosage, compared to your oxycontin (oxyneo is the same I think) and percocet dosage. They have conversion charts available on most medical websites. You can check it yourself before going back to the doctor. I wouldn't be afraid to tell him the patches aren't working, and that you think the dosage is to low, especially if the conversion charts "back you up". just don't "demand"a dosage increase, let the doctor be the doctor.
Avatar m tn 1 with oxycodone, which means that you use the same formula: mg Morphine = mg Hydrocodone * 2/3 Now that hydrocodone has moved to sched. II, we'll probably see an upward adjustment in the strength of hydrocodone, due to the politics of opiophobia. Usually, when one changes from a codeine-based opioid to a morphine or thebaine-based opiate, we see a phenomenon in analgesia called incomplete cross tolerance.
Avatar f tn I've made the switch from the oxycodone to the morphine last night. Woke up today feeling not so great, but I can do this. Next appointment is Monday morning where we'll review the taper and see where to go. I have to keep reminding myself I didn't get to these doses overnight and I'm not going to get rid of them overnight. The withdrawals for me are different than when I tried to go cold turkey. Still bad but not as severe.
Avatar f tn And the dangers with Fentanyl, especially as it comes in Micrograms and not 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...
1866508 tn?1333988213 Hi Mark, Kadian is morphine in long acting form. And Norco contains hydrocodone along with acetaminophen (tylenol). Based on the opioid conversion table, 17 mg of hydrocodone is equivalent to 10 mg of morphine. Therefore, 20 mg of Kadian is equivalent to about 34 mg of hydrocodone.
Avatar f tn ) for some medication for breakthrough pain (instant release, or fast acting) such as percocet, oxycodone, vicoden, etc. I like oxycodone for breakthru pain the best because there is no tylenol in it to worry about. Quick release morphine is also a very effective fast acting painkiller.
3039221 tn?1340464800 3 months ago an MRI revealed buldging discs (L4/5 and S1) and I have been taking Oxycodone and receiving epidural injections (which do not help). The pain is only getting worse all the time. My Neuro said I cannot be helped by surgery, but I have made an appointment with an Ortho to confirm that opinion. A few weeks ago he added Morphine to my meds, but the pain is simply increases every day.
Avatar m tn Methadone 30-60mg.........Morphine 20mg..............Oxycodone (Oxycontin, Percocet) 10mg..............Oxymorphone (Numorphan) 200-300mg.....Propoxyphene (Darvocet) 150mg............Tramadol (Ultram, Ultracet) This is from one of our older member's journals that I found REALLY helpful. It's "approximate", of course...but helpful. Maybe if you see this BEFORE your dr visit today you will be more equipped to discuss why you feel 24 mg/day is too much sub.
Avatar n tn It is spelt Codeine,and it really sucks,get the Hydrocodone or Dihydrocodeine,or the oxycodone or maybe oxymorphone,then again why not morphine?.Codeine makes me SICK.Did you know that even though Codeine is a "Natural" Opioid all of the Medical Supplies are actually made by Methylating Morphine in a Pharmaceutical laboratory(not exactly natural)is it then?. Go the Morphine,kill to get it if you have to,well maybe a few Opium Poppies anyway.
1264863 tn?1391121793 Using a fentanyl patch, or oxycodone, morphine, etc, is one solution, but you may end up with tolerance problems until your doses are very high. (In fairness, you may not have this problem -- no way to tell how you will respond). So your doctors are smart and looking out for you. Chances are you'll be trying fentanyl in your pump. Other medications used are morphine and hydromorphine. Sometimes a small dose of steroid is added.
1331804 tn?1336870958 5 times stronger than morphine; hence, 40 mg of oxycodone = 40*1.5 mg of morphine per day (i.e., 60 mg) for breakthrough pain. I also take 60 mg of morphine sulfate ER total per day split in 30 mg doses every 12 hours. If you add the morphine equivalent dose of oxycodone (i.e., 60 mg) with the 60 mg of morphine sulfate ER you get 120 mg per day. Now, converting that to Opana ER. Opana ER is 3x stronger than morphine; hence, 120 mg of morphine = 120/3 mg of Opana ER per day (i.e., 40 mg).
Avatar f tn The major discovery is that the classic opioids like morphine, oxycodone, fentanyl, and Dilaudid (hydromorphone) break down into metabolites that are 'hyperalgesic', that is, molecules that can actually cause pain when they accumulate under conditions of chronic administration. This might explain the experience of switching to more and more potent opioids which in turn produce more and more hyperalgesic molecules, and so a vicious cycle develops. Methadone is different.