Global rph narcotic converter

This is an unprecedented time. It is the dedication of healthcare workers that will lead us through this crisis. Thank you for everything you do. Calc Function Calcs that help predict probability of a disease Diagnosis. Subcategory of 'Diagnosis' designed to be very sensitive Rule Out. Disease is diagnosed: prognosticate to guide treatment Prognosis. Numerical inputs and outputs Formula. Med treatment and more Treatment.

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Email Address. Password Show. Or create a new account it's free. Forgot Password? Sign In Required. To save favorites, you must log in. Creating an account is free, easy, and takes about 60 seconds. Log In Create Account. The principal investigators of the study request that you use the official version of the modified score here. While these equianalgesic tables are current the "best" solution, their limitations should be emphasized:. When switching between opioids, equianalgesic conversions may overestimate the potency of the new opioid due to incomplete cross-tolerance.

Incomplete cross-tolerance can occur due to variability in opioid binding. There is no evidence-based recommendation for an appropriate reduction. In patients receiving long-acting opioid formulations SR , transdermal , a "rescue" dose for breakthrough pain is recommended. In an inpatient setting, rescue doses can be provided IV every minutes.

Oral rescue doses can be offered as needed over the normal dosing interval of the drug typically every 4 hours. As stated above, because equianalgesic tables are inherently inaccurate, the availability of breakthrough doses is paramount. Because equianalgesic tables are inherently inaccurate, dose titration to optimal effect is essential.

Because transdermal fentanyl has a delayed onset and onset of peak activity, consider titrating every 3 days. Show AMA citation. Press 'Calculate' to view calculation results. Load an Example. Duragesic [package insert]. Practice guidelines for transdermal opioids in malignant pain.

PMID An alternative algorithm for dosing transdermal fentanyl for cancer-related pain. Oncology Williston Park. American Pain Society. Principles of analgesic use in the treatment of acute pain and cancer pain. Accuracy in equianalgesic dosing. J Pain Symptom Manage. Equianalgesic dose ratios for opioids. Opioid conversions in acute care. Ann Pharmacother.

Opioid rotation: the science and the limitations of the equianalgesic dose table.