Pain Management

West of Scotland Chronic Pain Education Group

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24 hrs:
250 mg

is equianalgesic to any one of the following:

(dose -25% makes allowance for pharmacological variation)

Oral Opioid	24 hr dose	(dose -25%)
Morphine Oral	500 mg	375 mg
Codeine Oral	5000 mg	3750 mg
Dihydrocodeine Oral	5000 mg	3750 mg
Oxycodone Oral	250 mg	187 mg
Tramadol Oral	3333 mg	2500 mg
Hydromorphone Oral	66 mg	50 mg
Tapentadol Oral	1250 mg	937 mg
Methadone Oral	n/a mg	n/a mg
SC Opioid	24 hr dose	(dose -25%)
Fentanyl SC	3333 mcg	2500 mcg
Diamorphine SC	166 mg	125 mg
Alfentanil SC	16666 mcg	12500 mcg
Hydromorphone SC	33 mg	25 mg
Oxycodone SC	125 mg	93 mg
IV Opioid	24 hr dose	(dose -25%)
Morphine IV	166 mg	125 mg
Fentanyl IV	1666 mcg	1250 mcg
Patch Opioid	24 hr dose	(dose -25%)
Fentanyl Patch	166 mcg/h	125 mcg/h
Buprenorphine Patch	194 mcg/h	145 mcg/h
Epidural Opioid	24 hr dose	(dose -25%)
Morphine Epidural	16 mg	12 mg
Intrathecal Opioid	24 hr dose	(dose -25%)
Morphine Intrathecal	1666 mcg	1250 mcg