Opioid Conversion Calculator 💊
Safe opioid dose conversions for palliative care based on Scottish Palliative Care Guidelines.
Overview
- Safe opioid dose conversions for palliative care patients
- Based on Scottish Palliative Care Guidelines conversion tables
- Includes safety considerations for frail and elderly patients
- Calculates breakthrough doses automatically
Key Conversions
- Weak opioids → Morphine: Divide by 10 (codeine, dihydrocodeine, tramadol)
- Morphine → SC Morphine: Divide by 2
- Morphine → SC Diamorphine: Divide by 3
- Morphine → Oral Oxycodone: Divide by 2
- Morphine → SC Oxycodone: Divide by 4
- Fentanyl patches: 30-60mg morphine = 12mcg/hr patch
- Fentanyl patches: 60-90mg morphine = 25mcg/hr patch
Safety Features
- 30% dose reduction for frail or elderly patients
- 30% dose reduction for patients with opioid toxicity
- Automatic breakthrough dose calculation (1/6th of daily dose)
- Dose rounding to avoid decimal places
- Clear safety warnings and specialist advice prompts
Important Notes
- These conversions are approximate guides only
- Always seek specialist advice if uncertain
- Start low and titrate gradually
- Monitor patients closely, especially frail/elderly
- Consider renal and hepatic function
- Breakthrough doses: 1/6th to 1/10th of daily dose
Reference
- Based on Scottish Palliative Care Guidelines - Opioid Conversion Tables
- Healthcare Improvement Scotland
- Always verify conversions with current guidelines
Related Topics
Opioid Conversion Calculator
Safe opioid dose conversions for palliative care
Important Safety Notice
These conversions are approximate guides only. Always seek specialist advice if uncertain. Doses should be conservative and rounded down. Monitor patients closely, especially those who are frail, elderly, or have renal/hepatic impairment.
Current Opioid
Target Opioid
Safety Considerations
Reference
Based on Scottish Palliative Care Guidelines - Opioid Conversion Tables
These conversions are approximate guides only. Always seek specialist advice if uncertain.