Narcotics require different prescriptions than non- narcotics with the provision of different or additional information and duration limitations.

betäubungsmittel - narcotics
gerechte >> count(ed)
Schreibweise - spelling

Fentanyl Transdermal (FDA) - Drugs.com
www.drugs.com › Professionals › FDA PI
Assess each patient's risk prior to prescribing Fentanyl Transdermal system, and ... at least 30 mg of oral oxycodone daily, or at least 8 mg of oral hydromorphone daily, .... morphine dose and the corresponding Fentanyl Transdermal system dose. ...... The high drug content in extended-release formulations adds to the risk of ...

Butrans Patch - Drugs.com
www.drugs.com › Professionals › FDA PI
These 4 sites (each present on both sides of the body) provide 8 possible application sites ... BUTRANS 5 mcg/hour Transdermal System (dimensions: 45 mm by 45 mm) ..... Administration of BUTRANS or SC buprenorphine at 0.5 or 5 mg/kg caused ..... state for the corresponding doses [see Warnings and Precautions (5.7)].

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http://www.drugs.com/pro/butrans-patch.html#Section_5.4
Butrans Patch Dosage and Administration

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Principles Of Opioid Management - Fraser Health Authority
https://www.fraserhealth.ca/.../16FHSymptomGuidelines...
fentanyl patches or sufentanil for incident pain when using long acting (SR) .... (1, 8, 16). • Sustained release formulations have duration of analgesic effect of 8 to .... range of approximate dose equivalency of 6.25 to 20 mg of oral morphine. .... forms of opioids (morphine 20 to 50 mg per ml or hydromorphone 10 to 50 mg per.

Morphine Milligram Equivalent (MME) Calculator - NYC.gov
www.nyc.gov/html/doh/html/mental/MME.html
For each opioid, select the strength from the drop down menu and enter the number of tablets per day (for fentanyl transdermal, see instructions below). Remember to enter all opioids the patient is taking. The total daily morphine milligram equivalents (MME) will be displayed. ... per patch (each patch used for 3 days)


I read the Hungarian one and I am trying to explain a little bit. All these transdermal painkillers are usually for cancer and Parkinson patients (during my therapy I personally used plaster for very short time as the Contramal tablets and the contramal liquid (pump dose) provoked such strong vomiting that I could not take them. To avoid any drug addiction, the dose shall be very carefully set. The transdermal dose shall be calculated on the basis of morphin dose.

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For example, 12,5 mcg transdermal Fentanyl (in mcg/hr) equals 30,0 mg total daily morphine (morphine milligram equivalents=MME)

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http://www.nyc.gov/html/doh/html/mental/MME.html
The following source was used for morphine equivalent conversion factors per mg of opioid: Korff MV, Saunders K, Thomas Ray G, et al. De facto long-term opioid therapy for noncancer pain. Clin J Pain. 2008 Jul-Aug;24(6):521-7.

The following source was used for overdose risk associated with dosage: Dunn KM, Saunders KW, Rutter CM, et al. Opioid prescriptions for chronic pain and overdose: a cohort study. Ann Intern Med. 2010 Jan 19;152(2):85-92.

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Yes, now I am sure: it is in Hungary under the name of Durogesic transdermal plaster 100 µg/hour

"Durogesic 100 mikrogramm/óra transzdermális tapasz 16,8 mg fentanilt tartalmaz, a tapaszból óránként 100 mikrogramm fentanil" fel.http://www.hazipatika.com/gyogyszerkereso/termek/durogesic_2...

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Morphine Milligram Equivalent (MME) Calculator - NYC.gov
www.nyc.gov/html/doh/html/mental/MME.html
The total daily morphine milligram equivalents (MME) will be displayed. .... The following source was used for morphine equivalent conversion factors per mg of ...

(Opiate) Equianalgesia Conversion Calculator - ClinCalc
clincalc.com/Opioids/
Online calculator to convert equianalgesic doses of opioid narcotic analgesics ... Equivalent Opioid Calculator ... Bidirectional conversions: When converting between certain opioids, the direction of conversion (eg, morphine to hydromorphone ...

[PDF]Global Core Data Sheet
www.bpfk.gov.my/Biro/.../E12_Fentanyl_CDS(1).pdf
To convert paediatric patients from oral or parenteral opioids to [Fentanyl] transdermal ... the switch from oral morphine (or its equivalent) to fentanyl transdermal patches. The ...... betäubungsmittelgerechte Schreibweise.

conversion schedule: switch from oral morphine (or its equivalent) to Durogesic DTrans patches

narcotics conversion rate, conversion ratio

Switching from other opioids
When changing over from oral or parenteral opioids to fentanyl treatment, the initial dosage
should be calculated as follows:
1. The quantity of analgesics required over the last 24 hours should be determined.
2. The obtained sum should be converted to correspond to the oral morphine dosage using
Table 1.
3. The corresponding fentanyl dosage should be determined as follows:
a) using Table 2 for patients who have a need for opioid rotation (conversion ratio of oral
morphine to transdermal fentanyl equal to 150:1)
b) using Table 3 for patients on stable and well tolerated opioid therapy (conversion ratio of
oral morphine to transdermal fentanyl equal to 100:1)