The Wild, Wild World of Mathadone: Opioid Conversion Calculations and Methadone Dosing
This fast-paced session will review the principles behind opioid conversion calculations, including routes of administration and switching between dosage formulations and opioids. Doing the calculations by hand and interpreting the results in a patient-centric fashion is highly preferable to an online opioid conversion calculator, which frequently yields widely disparate dosing. As a bonus, we will be discussing how to rotate to methadone and dosing guidance for using methadone in an adjunctive role.
Learning Objectives
- Describe the rationale for rotating patients from one opioid to another when treating chronic pain
- Identify recent research on retrospective opioid conversions and it’s impact on use of an equianalgesic opioid resource
- Given a simulated patient, calculate a new opioid regimen using the same opioid but with a different dosage formulation or route of administration
- Given a simulated patient, calculate a new opioid regimen that reflects switching between opioids, dosage formulations and/or routes of administration
Additional Information
Attachment | Size |
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Slides and Disclosures | 867.82 KB |
Alexandra L. McPherson, PharmD, MPH
Palliative Care Clinical Pharmacy Specialist
MedStar Washington Hospital Center
Mary Lynn McPherson, PharmD, MA, MDE, BCPS
Professor and Executive Director, Advanced Post-Graduate Education in Palliative Care
University of Maryland School of Pharmacy
Stevensville, Maryland
Available Credit
- 1.00 AAFP
- 1.00 AANP
- 1.00 ACCME (All Other)
- 1.00 ACCME (MD/DO Only)
- 1.00 ACPE Pharmacy
- 1.00 ANCC
- 1.00 APA
Required Hardware/software
A computer with an internet connection
Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
Other additional software may be required such as PowerPoint or Adobe Acrobat Reader.