NARCOTIC CONVERSION CHART

 

How to use this chart:    First determine the patient's previous 24 hour regimen for any of the agents listed below.  All dosages in the same row are therapeutically equivalent. Example: Patient is receiving Oxycodone 5-10mg po q4h = 30-60 mg/day . Using the table below, the equivalent dose of  Fentanyl patch would be 25 mcg.

Codeine

Fentanyl Patch

Hydromorphone

Meperidine

Methadone

Morphine

Oxycodone

Oral

IV

(Patch)

Oral

IV

Oral

IV

Oral

IV

Oral

IV

Oral

IV

150-447

104-286

25 mcg

5.6-17

1.2-3.4

-

60-165

15-44

8-22

45-134

8-22

22.5-67

12-33

448-747

287-481

50 mcg

17.1-28

3.5-5.6

-

166-278

45-74

23-37

135-224

23-37

67.5-112

33.1-56

748-1047

482-676

75 mcg

28.1-39

5.7-7.9

-

279-390

75-104

38-52

225-314

38-52

112.5-157

56.1-78

1048-1347

677-871

100 mcg

39.1-51

8-10

-

391-503

105-134

53-67

315-404

53-67

157.5-202

78.1-101

1348-1647

872-1066

125 mcg

51.1-62

10.1-12

-

504-615

135-164

68-82

405-494

68-82

202.5-247

101.1-123

1648-1947

1067-1261

150 mcg

62.1-73

12.1-15

-

616-728

165-194

83-97

495-584

83-97

247.5-292

123.1-147

1948-2247

1262-1456

175 mcg

73.1-84

15.1-17

-

729-840

195-224

98-112

585-674

98-112

292.5-337

147.1-168

2248-2547

1457-1651

200 mcg

84.1-96

17.1-19

-

841-953

225-254

113-127

675-764

113-127

337.5-382

168.1-191

2548-2847

1652-1846

225 mcg

96.1-107

19.1-21

-

954-1065

255-284

128-142

765-854

128-142

382.5-427

191.1-213

2848-3147

1847-2041

250 mcg

107.1-118

21.1-24

-

1066-1178

285-314

143-157

855-944

143-157

427.5-472

213.1-236

3148-3447

2042-2236

275 mcg

118.1-129

24.1-26

-

1179-1290

315-344

158-172

945-1034

158-172

472.5-517

236.1-258

3448-3747

2237-2431

300 mcg

129.1-141

26.1-28

-

1291-1403

345-374

173-187

1035-1124

173-187

517.5-562

258.1-281