Morphine to dilaudid conversion

Common Questions and Answers about Morphine to dilaudid conversion


401095 tn?1351395370 If im on90mg of oral solution methodone how much dilaudid or oxy cotin would i need to switch
263830 tn?1209727898 you don't use strong narcotics to taper........ If you want to taper use Suboxone or Subutex in a two week program max..........
Avatar f tn My PM doc is switching me from MSContin ER 60 mg, 2 tabs - 3 times day and dilaudid 4 mg. 4 x day when needed for breakthrough pain. His conversion is for me to take Methadone 10 mg., 4 twice a day. I haven't yet figured out the best times to take the meds. I;ve tried 4:30 a.m. and 4:30 p.m. I'm finding that the switchover hasn't yet been the best pain reliever I've ever had.
Avatar m tn im on higher dose now and in conversion it says i need like 40 80 mg oxycontin to substitute?? i tried oral dilaudid but it gets me to nauseas. im worried if i use oxycontin ill end up on both. also is mscontin better to sub. for withdrawl than oxycontin. i figure i have to drop the dilaudid lower and take an extended release drug. any help on the best way to taper off this high dosage dilaudid by substituting. one person said use fentynol patch.
199177 tn?1490502134 #Pain Killer Equivalent Doses (Oral) 1.2mg.............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................
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 f tn it looks pretty close to the other conversion charts I have seen..but again..
Avatar m tn 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 n tn Willpower, inspiration, religious conversion, 12-step groups and all the rest are impotent compared to the physical damage done to my brain. For example, I couldn't have written the posts I did tonight without narcotics in my system. I self-detox every month, but, after all the classic withdrawal symptoms are long gone, the misery, disfunctuionality, vacant thinking and abject depression and despair are more than I can live with. There is no Lourdes for lifetime junkies.
Avatar m tn Opioid treatment regimens are very complicated, especially with dosing conversion and extended release formulations. Opioid therapy conversion needs to be very conservative, because opioid overdose can lead to respiratory depression and may be fatal. Please follow-up with your provider in working out the best possible pain management for you. First of all: 1. What is the dose of the fentanyl patch that you are applying? Is it the equivalent dose of what you are currently on?
Avatar n tn I do not want two positive dts for dilaudid, that won't look good. I am going to talk to her about my taper schedule to make sure that they want me to stick to that.
Avatar n tn Will start hearing more and more about it. It's hard to get a comparable conversion when switching.
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.
300207 tn?1227226322 Don't drive on morphine! You really need to call your doctor and tell her that the morphine is too strong. There are other forms of morphine (that aren't time controlled release) that are weaker than ms contin. Statex, for one. Is she doesn't listen to your concerns I would seriously think about finding a new one. Have you had any of the kidney stones analyzed to find out why you're getting so many?
1866508 tn?1333988213 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. So, if you take 20 mg of Norco every 4 to 5 hours, the norco is stronger than the current dose of Kadian you are taking, as over a 12 hour period, you would have taken 40-60 mg of norco (or 23 - 35mg morphine equivalent).
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.
Avatar m tn This means I change from oxycodone to morphine to hydromorphone, etc. when tolerance causes my dose to creep up too high, too quickly.. In these last 20 years I've used these long-acting opioids: Duragesic (fentanyl) patch, OxyContin, methadone, ms contin, and Exalgo (hydromorphone), along with short acting / immediate release opioids oxycodone, hydromorphone (Dilaudid), and morphine.
Avatar m tn Many doctors don't realize that the analgesic activity of codeine comes almost entirely through conversion to morphine at the liver by an enzyme referred to as 'G6PD' (glucose-6-dehydrogenase). There are varying levels of this enzyme in the general population, and hence varying responses to codeine. Some people find that Tylenol #3 gives them nothing but a headache; others get significant pain relief from the medication. More dangerous, though, are the effects of acetominophen on the liver.
Avatar f tn Let's calculate your equal analgesics using the opiiod calculator from the very smart folks at ... morphine 225mg / day is converted to about 50 micrograms / hour trandermal fentanyl.
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.
Avatar n tn Codeine is another frequently prescribed opioid in patients with cirrhosis. The analgesic effect from codeine is presumed to be secondary to its conversion to morphine via CYP2D6; thus, in patients with cirrhosis, serum levels can be even more variable." **** If opiates are required for pain control, lower doses and/or longer intervals between doses are needed to minimize risks. Hydromorphone and fentanyl may be the better choices.
Avatar m tn a good NEW behavior, eh?...however, have a look at this conversion chart, ok? Conversion table other drugs equivalent to sub/bupe Jul 24, 2008 - 8 comments #Pain Killer Equivalent Doses (Oral) 1.2mg.............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............
Avatar f tn She didn't want to really interfere with anything the NP has planned and suggested I go back up to my original dose for the breakthrough medication but I was really against doing that. She decided to switch me over to morphine IR 15 to 30 mg every 4 hours instead of the 30 mg oxycodone. I'll be switching over to this later today. I'm hoping it's going to help my pain. My withdrawals are fairly manageable.
Avatar f tn I must have sweat 10lbs off me which I don't mind...I think the morphine was causing me to hold water..... Anyway there is just so much conflicting informatin out there......I won't deny I am afraid of being on nothing as I can't function with the blahs, and I can't take an anti depressent.....I woke this mornign feeling so disoriented, but an hour after the sub and I felt better..... I have heard of hte 21 day limit or after that you are hooked and w/d's are awful if you want to taper...
1855076 tn?1337118903 That way you can see if your doctor did a 1 to 1 conversion to Opana or a titration down or up in Opana dosage. Private message me and I would be more than happy to help you understand how your dosage compares to the oxycodone you take. I hope your appointment with your PCP goes well on 2/3.
13440552 tn?1430171097 Then have to use threw out the day just so I dont start to feel like crap. I no longer take these to feel a buzz. I take them so I am not violently ill with the worst w/d 's I have ever had in my life. In my teens I experimented. After I had my girls I did NO DRUGS what so ever, didnt drink, honestly I couldn't understand how people could fall into addiction and not be able to help themselves. Now look at me right? ahah maybe its my karma for being such a judgmental *****.
Avatar m tn Am in lots of pain all day and was on 4 30mg roxis which really wasnt cutting it but was helping somewhat. Went to new doctor to try to get switched to something extended release and he suggested 2 20mg oxycontin..... Am I wrong or isnt it the normal procedure to take your daily dose of instant release meds, divide by two which would be 60 mg and then give that twice a day.
Avatar f tn I am on fentanyl 175/48 hrs. right now. not what I want it to be. I really need to find a solution. Thanks.
Avatar n tn My Dr has tried on several occasions to talk me into having a morphine pump surgically implanted in my abdomin to which I have declined. Maybe I am in the wrong forum. I don't know. What I do know is that you can call it addiction or call it dependence, my body is used to having these meds on a daily basis. Before I ever married husband #1, I wouldn't even take an extra strength Tylenol!
Avatar m tn and ignorantly went on subs and ignorantly jumped off the subs. I wanted to share a conversion chart I found here on MedHelp that shows you how much suboxone (buprenorphine or it's nickname "bupe") is equivalent (approximately of course) to many of the pain meds. I think it will help sure did me! Conversion table other drugs equivalent to sub Jul 24, 2008 from Avisg's Journal #Pain Killer Equivalent Doses (Oral) 1.2mg.............Buprenorphine (Bupe) 200mg..........