Table 7. Common Opioids for Chronic Pain Management
Available Oral Strengths
Medication
Dosage
Clinical Considerations
Oxycodone, immediate release • Oxaydo • Roxicodone • Roxybond
Capsules: • 5 mg Tablets: • 5 mg • 7.5 mg • 10 mg • 15 mg • 20 mg • 30 mg
Initiate: • 5 to 15 mg PO every four to six hours.
Commonly used for breakthrough pain in patients receiving around-the-clock oxycodone.
Oral solution: • 5 mg/5 mL • 20 mg/5 mL • 100 mg/5 mL
Oxycodone extended- release tablets • OxyContin
Tablets: • 10 mg • 15 mg • 20 mg • 30 mg • 40 mg • 60 mg • 80 mg
Conversion from immediate-release oxycodone: • Calculate the total daily oxycodone dose. • Divide into two equal amounts and give orally every 12 hours. • Titrate the total daily oxycodone dose by 25% to 50% every one to two days. Conversion from immediate-release oxycodone: • Calculate the total daily oxycodone dose. • Divide into two equal doses. • Give orally every 12 hours; titrate the total daily oxycodone dose by 25% to 50% every one to two days.
Due to drug interactions, particular drugs may need to be avoided, or dosage adjustments may be necessary. During treatment with extended-release formulations, immediate-release formulations may be required for breakthrough pain. To convert from fentanyl transdermal patch to oxycodone: • 10 mg PO every 12 hours for each 25 mcg/hour fentanyl transdermal patch beginning 18 hours after removal of the fentanyl transdermal patch. Due to drug interactions, particular drugs may need to be avoided, or dosage adjustments may be necessary. Use an alternate medication for patients who require a dose less than 9 mg. The maximum dosage limit is 288 mg/day (equivalent to 320 mg oxycodone HCI). During treatment with extended-release formulations, immediate-release formulations may be required for breakthrough pain. Only for severe pain requiring an opioid analgesic when alternative therapy has been inadequate.
Oxycodone (as a base), extended- release capsules • Xtampza
Capsules: • 9 mg • 13.5 mg • 18 mg • 27 mg • 36 mg
Oxymorphone, immediate- release tablets • Opana Oxymorphone, extended- release tablets • Generic only
Tablets: • 5 mg • 10 mg
5 to 20 mg PO every four to six hours as needed.
Tablets: • 5 mg
Conversion from immediate-release oxymorphone: • Calculate the total daily oxymorphone dose, divide it into two equal doses, and give orally every 12 hours. • Titrate by 5 to 10 mg/dose every three to seven days as needed.
The conversion factor for daily oral opioids to oxymorphone, extended-release: • Oxymorphone: 1 • Hydrocodone: 0.5
• 7.5 mg • 10 mg • 15 mg • 20 mg • 30 mg • 40 mg
• Oxycodone: 0.5 • Morphine: 0.333 • Methadone: 0.5
Please do not use this information to convert oxymorphon, or extended-release to other opioids, as this will result in overestimation and possible fatal overdose. During treatment with extended-release formulations, immediate-release formulations may be required for breakthrough pain. Only for severe pain requiring an opioid analgesic when alternative therapy has been inadequate. The maximum dose of tapentadol immediate release is 700 mg/day on day one and 600 mg/day thereafter.
Tapentadol, immediate- release tablets • Nucynta
Tablets • 50 mg • 75 mg • 100 mg
Initiate: • 0 to 100 mg PO every 4 to 6 hours. • A second dose may be administered as soon as one hour after the first dose if pain control is not achieved. • Titrate dose as needed to the maximum dose.
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