Select formulation based on previous response, adverse effects, and comorbid conditions. For moderate pain, an opioid agonist eg, hydrocodoneoxycodone can be used.
Equianalgesic dosage conversion calculator
Agency for Health Care Policy and Research. As a clinician, it is important to note that there are significant limitations to equianalgesic conversions and tables. No evidence-based guidelines for opioid choices with rotation. National Comprehensive Cancer Network.
Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. If you log out, you will be required to enter your username and password the next time you visit.
Clinicians should review PDMP data when starting opioid therapy for chronic pain and periodically during opioid therapy for chronic pain, ranging from every prescription to every 3 mo. The recommendations included the following: Reassess efficacy and adverse effects at 60 minutes. Assess the pain level before initiating therapy. Become skilled in providing culturally effective care: This website also contains material copyrighted by 3rd parties.
Chronic Pain Education Group
A thorough pain assessment is vital to the initial evaluation of a patient and must be performed to guide treatment decisions. If a patient with chronic pain is on meperidine, convert patient to an equianalgesic dose of one of the other opioids listed in this table.
Slideshow in Review: Clinicians should continue opioid therapy only if there is clinically meaningful improvement in pain and function that outweighs risks to patient safety. Most Popular Articles According to Pharmacist s. Monitor clinical response and adverse effects.