Analgesia

 

Oral

Conversion factor

Dose

Morphine

 

10mg

Hydromorphone

0.2

2mg

Oxycodone

0.67

5-7.5mg

Tramadol

5

50mg

Tapentadol

3

30mg

Codeine

8

75-90mg

 

 

 

 

Patch

 

 

Buprenorphine (Norspan)

5ug/hr (weekly)

12mg of morphine

over 25 hours

Fentanyl (Durogesic)

12ug/hr every 3 days

35-40mg over 24hours

 

 

 

 

 

 

 

Some common conversions:

 

Tramadol max dose 300mg daily = 60mg morphine = 480mg codeine = 180mg tapentadol = 40mg oxycodone

 

 

Targin dosing is equivalent to oxycodone CR