How do you convert oxymorphone to oxycodone?

How do you convert oxymorphone to oxycodone?

As an example, for a patient receiving 190 mg of oxycodone (60 mg TID ER plus IR): 1. Use Table 1 for calculation (190 mg of oxycodone ¥ 0.5 = 90 mg of oxymorphone).

How do you calculate ome?

Case Example 2: Rotating opioid, Keeping the Same Route

1. Determine total daily dose of current opioid: (2.5 mg IV morphine per hour = 60 mg per 24 hours)
2. Calculate the 24-hour OME: 24-hour OME = 24-hour dose of current opioid X 30 /Number of equianalgesic units in current opioid. (

How do you calculate Equianalgesic morphine?

multiply IV dose by 3 to get equianalgesic IV dose. Calculating the equipotent dose: Example: Convert patient from morphine 30mg po q4h to hydromorphone IV. Step 1: Calculate current total daily usage of opioids. Morphine 30 mg /dose x 6 doses/day = 180mg/day.

How do I convert to Mme?

Use the formula: Strength per Unit X (Number of Units/ Days Supply) X MME conversion factor = MME/Day.

How is opioid Mme calculated?

Average MME/day assigned to the patient: MME is calculated by adding the total daily amount of each opioid that a patient takes, converting each value to MME using a conversion factor based on morphine, then calculating the average day rate.

What is the morphine equivalent of methadone?

300 mg morphine equivalent divided by 8 = 37.5 mg methadone per day. As the maximum starting dose recommended is 30 mg methadone per day, start at 15 mg twice a day or 10 mg three times a day.

How do you convert buprenorphine to Mme?

buprenorphine is equivalent to 75 milligrams of oral morphine and that one patch delivers the dispensed micrograms per hour over a 24 hour day. Example: 5 ug/hr buprenorphine patch X 24 hrs = 120 ug/day buprenorphine = 0.12 mg/day = 9 mg/day oral MME.

What is the maximum Mme per day?

3. Max Quantity Limits: Limit the quantity of opioids prescribed to 90 MME/day. Prescribers may request a PA for higher doses up to 200 MME/day. Note: MME refers to morphine milligram equivalent.

How is Mme day calculated?

How to calculate the Opana ER daily dose?

To calculate the estimated OPANA ER dose using Table 1: For patients on a single opioid, sum the current total daily dose of the opioid and then multiply the total daily dose by the conversion factor to calculate the approximate oral oxymorphone daily dose.

Why do I need an opioid conversion calculator?

The opioid (equianalgesic) conversions calculator allows a clinician to generate an equivalent dose (equal amount of analgesia) when switching between different opioid analgesics. There may be several possible reasons to switch analgesics including: drug cost, availability, lack of effectiveness of the current drug, or to minimize adverse effects.

How to calculate the conversion factor for oxycodone?

Convert to MMEs (oxymorphone conversion factor = 3) à40 X 3 = 120 MME Determine MMEs of oxycodone (oxycodone conversion factor = 1.5) à 120/1.5 = 80 mg/d Decrease dose by 25% à 25% of 80 = 20 à 80 – 20 = 60 Divide byinterval (q 12 hours) à60/2 = 30 The starting dose of extended release oxyco-done is 30 mg q 12h.