Opioid Conversion Table (for patients on chronic opioids)*
| Drug | Parenteral | Oral |
|---|---|---|
| Hydromorphone | 2 mg | 4 mg |
| Oxycodone | N/A | 20 mg |
| Fentanyl | 100 µg (0.1 mg) | N/A |
| Fentanyl Patch | ** see below | |
| Buprenorphine Patch | ** see below | |
| Methadone | N/A |
* As per PHC/VCH opioid conversion table (last update Jan 15/2010)
** Recommended conversion from PO daily Hydromorphone equivalent to Fentanyl and Buprenorphine
| Hydromorphone (mg/24 hrs) | Fentanyl (µg/hr) | Buprenorphine (µg/hr) |
|---|---|---|
| <6 | - | 5 |
| 6-12 | 12 | 10 |
| 13-26 | 25 | 20 |
| 27-35 | 37 | |
| 36-44 | 50 | |
| 45-53 | 62 | |
| 54-62 | 75 | |
| 63-71 | 87 | |
| 72-80 | 100 |