Screening and diagnosis

Classification and risk stratification

Perioperative care

Quality improvement

Patient education

Nonpharmacologic interventions

Therapeutic procedures

Respiratory support

Follow-up and surveillance

Specific circumstances

Preventative measures

Medical management

Surgical interventions

Inpatient care

Diagnostic procedures

Diagnostic investigations

Insufficient evidence to make a recommendation.

Strongly favor this test or intervention.

The Opioid Dose Conversion tool is designed to help users convert dosages between different types of opioids. Users provide two inputs by selecting the opioid type they are converting from and the type they want to convert to, each chosen from a preset list of options.

This tool operates using a predefined conversion factor table that relates each opioid type with one another. Depending on the "from" and "to" opioid selections, the tool computes a conversion factor indicating the equivalent dosage of the target opioid type necessary to achieve a therapeutic effect similar to the original opioid and dosage.

Here's a glance at how you can interpret these results and perform conversions:

- **Codeine to Other Opioids:**
  - To Fentanyl buccal or sublingual (mcg): Conversion factor is 1.15
  - To Fentanyl transdermal (mcg/hr): Conversion factor is 0.0625
  - To Hydrocodone: Conversion factor is 0.15
  - Continue similarly for other drugs.

- **Fentanyl (buccal or sublingual) to Other Opioids:**
  - To Codeine: Conversion factor is 0.87
  - To Fentanyl transdermal (mcg/hr): Conversion factor is 0.054
  - To Hydrocodone: Conversion factor is 0.13
  - Continue similarly for other drugs.

- **Fentanyl Transdermal to Other Opioids:**
  - To Codeine: Conversion factor is 16
  - To Fentanyl buccal or sublingual (mcg): Conversion factor is 18.5
  - To Hydrocodone: Conversion factor is 2.4
  - Continue similarly for other drugs.

- **Hydrocodone to Other Opioids:**
  - To Codeine: Conversion factor is 6.67
  - To Fentanyl buccal or sublingual (mcg): Conversion factor is 7.7
  - To Fentanyl transdermal (mcg/hr): Conversion factor is 0.42
  - Continue similarly for other drugs.

- **Hydromorphone to Other Opioids:**
  - To Codeine: Conversion factor is 33.3
  - To Fentanyl buccal or sublingual (mcg): Conversion factor is 38.5
  - To Fentanyl transdermal (mcg/hr): Conversion factor is 2.08
  - Continue similarly for other drugs.

- **Methadone to Other Opioids:**
  - To Codeine: Conversion factor is 31.33
  - To Fentanyl buccal or sublingual (mcg): Conversion factor is 36.15
  - To Fentanyl transdermal (mcg/hr): Conversion factor is 1.96
  - Continue similarly for other drugs.

- **Morphine to Other Opioids:**
  - To Codeine: Conversion factor is 6.67
  - To Fentanyl buccal or sublingual (mcg): Conversion factor is 7.7
  - To Fentanyl transdermal (mcg/hr): Conversion factor is 0.42
  - Continue similarly for other drugs.

- **Oxycodone to Other Opioids:**
  - To Codeine: Conversion factor is 10
  - To Fentanyl buccal or sublingual (mcg): Conversion factor is 11.54
  - To Fentanyl transdermal (mcg/hr): Conversion factor is 0.625
  - Continue similarly for other drugs.

- **Oxymorphone to Other Opioids:**
  - To Codeine: Conversion factor is 20
  - To Fentanyl buccal or sublingual (mcg): Conversion factor is 23.1
  - To Fentanyl transdermal (mcg/hr): Conversion factor is 1.25
  - Continue similarly for other drugs.

- **Tapentadol to Other Opioids:**
  - To Codeine: Conversion factor is 2.67
  - To Fentanyl buccal or sublingual (mcg): Conversion factor is 3.08
  - To Fentanyl transdermal (mcg/hr): Conversion factor is 0.167
  - Continue similarly for other drugs.

- **Tramadol to Other Opioids:**
  - To Codeine: Conversion factor is 1.33
  - To Fentanyl buccal or sublingual (mcg): Conversion factor is 1.54
  - To Fentanyl transdermal (mcg/hr): Conversion factor is 0.083
  - Continue similarly for other drugs.

These conversion factors allow practitioners to translate dosages across different opioid medications accurately. The purpose of these conversions is to ensure patient safety and maintain equivalent analgesic effects when switching opioid drugs. Each conversion must be carefully considered alongside clinical judgment, as individual patient response may vary.

The Opioid Dose Conversion calculator, also known as the Opioid Equianalgesic calculator, is a tool used in the management of patients who are on opioid therapy for pain control. This calculator is used to convert the dose of one opioid to the equivalent dose of another opioid, allowing for safe and effective switching between different opioids. It is particularly useful in patients with chronic pain, cancer pain, or those undergoing palliative care. 

The calculator takes into account the potency of different opioids and the patient's current opioid dose to provide an equivalent dose of a different opioid. It is important to note that this calculator should not be used in opioid-naive patients, as it assumes a degree of opioid tolerance. Additionally, the calculator does not account for individual variations in opioid metabolism and response, so clinical judgment is still required in dose adjustments.

Opioid Dose Conversion

Chronic arthritic pain

General counseling

Indications for specialist referral

Psychosocial interventions

Weight loss

Orthotics

Stepped care approach

Sleep interventions

Cannabinoids

Analgesic therapy

Pain assessment

General principles

Physical activity

Updated 2024 APA guidelines for nonpharmacological treatment of chronic musculoskeletal pain


Chronic arthritic pain

Background

Overview

Guidelines

Key sources