OPIOID DOSING FOR EQUIVALENT ANALGESIA
Drug |
Dosage |
Morphine (Immediate release) |
10mg q4h |
Morphine (Controlled release – e.g. MS Contin, Kadian) |
30mg q12h |
Hydromorphone (Immediate release – e.g. Dilaudid) |
2 – 4mg q4h |
Hydromorphone (Controlled release – e.g. Hydromorph Contin) |
6mg q12h |
Hydromorphone (Extended release – e.g. Jurnista) |
12mg q24h |
Oxycodone (Immediate release – e.g. Oxy IR, Percocet) |
5 – 10mg q4h |
Oxycodone (Controlled release – e.g. Oxy Contin) |
20 – 30mg q12h |
Oxymorphone (Immediate release – e.g. Opana) |
5mg q6h |
Oxymorphone (Extended release – e.g. Opana ER) |
10mg q12h |
Hydrocodone (Immediate release – e.g. Vicodin) |
10 – 15mg q4h |
Codeine |
60mg q4h |
Methadone |
Variable – patient tolerance, short-term vs chronic dosing; approx. 7.5mg/24h |
Meperidine |
50mg q4h (Acute use only: <48 hrs ) |
Fentanyl patches |
25 µg/hr |