Principles of analgesic use in the treatment of acute pain and cancer pain 5 th ed. Oral hour morphine equivalent.
While these equianalgesic tables are current the "best" solution, their limitations should be emphasized:. Currently, there are no empirical studies converting fentanyl to morphine.
Patient is receiving a total of 5 mg of parenteral hydromorphone in a hour period via a PCA pump. Contact the Pain Service for other alternatives. Richard Scott, Professor Emeritus in the Department of Sociology, shares a very personal story of the last stages of life of his beloved brother Charles Scott. Accuracy in equianalgesic dosing. N Engl J Med. Because transdermal fentanyl has a delayed onset and onset of peak activity, consider titrating every 3 days.
Incomplete cross-tolerance can occur due to variability in opioid binding. Lower doses should be used initially, then titrated up to achieve pain relief.
Equianalgesic dosage conversion calculator
Incomplete cross-tolerance is a reduction in equianalgesic dose when changing from one opioid to another. If a patient with chronic pain is on meperidine, convert patient to an equianalgesic dose of one of the other opioids listed in this table. Department of Health and Human Services. Physician Assisted Death Training In order to increase knowledge about how best to respond to and alleviate the suffering of seriously ill patients, we have created a free training module on Physician Assisted Death.
American Society of Health-System Pharmacists. Because equianalgesic tables are inherently inaccurate, dose titration to optimal effect is essential.
Doses should be titrated according to individual response. Principles of analgesic use in the treatment of acute pain and cancer pain.