Paediatric Palliative Care Guidelines
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Edition/Revision: 1.0
Archived

Oral morphine equivalents - Archived

Table 2
Oral morphine equivalents

Opioid

Potency relative to oral morphine

Notes

Morphine PO

1

 

Morphine SC / IV

2

 

Diamorphine SC / IV

3

 

Fentanyl transdermal, OFTC, SC or IV

150

Absorption from mouth is transmucosal not enteral.  Rapidly cleared.

Codeine PO

0.1

Conversion to morphine inconsistent no longer recommended in PPM.

Tramadol PO

0.2

Non-opioid analgesic effects may make tramadol more potent in practice

Buprenorphine transdermal

60

 

NB There is variability in both published evidence and in individual patients. Data is derived mainly from adults with cancer.

Edition/Revision: 1.0
Created 18 Jul 2013 - Archived
Validated 19 Jul 2013 by Ian Back
Last modified 15 Apr 2024
Mon 15 Apr 2024 20:33:59 GMT +0100 (DST)
Last modified 15 Apr 2024