108 PCN Methadone Notes 2

  • This table incorporates:
    • Incomplete cross tolerance
    • Variations in metabolism
    • Imperfections in equianalgesic tables
  • Do not decrease after conversion
OME mg/24 hrs Morphine to Methadone Ratio
Less than 100 3:1
101-300 5:1
301-600 10:1
601-800 12:1
801-1000 15:1
Greater than 1000 20:1

Oral methadone to IV methadone = 2:1

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Reference Notes for Palliative Care Consultation Copyright © 2018 by Robert F. Johnson MD, MEd is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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