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For example, morphine is the gold standard-it is what every other opioid is compared to. Another reason for developing an opioid calculator is to address the complexity of converting from a long-acting agent to a shorter-acting agent. The calculator can easily and accurately make these calculations quickly. The conversions can involve complex mathematical equations. One problem with conversions is knowing the equivalent doses. Perkins: One benefit of the PPM opioid calculator is that it makes calculating equivalent doses very easy. As such, physicians will have the ability to switch their patient from one medication to another that might better benefit the patient in an easy, scientifically based, state-of-the-art approach.ĭr. So, by having this Website and this tool, clinicians will be able to-with the patient in the room-do a safe calculation based on the best published and available data. Very often patients are sitting in the examination room when a clinician finds out their patient can no longer take a certain medicine. So, why is this necessary? There are a variety of reasons a patient may need to switch opioids: from loss of insurance, change of insurance, or an insurance plan changing its prescription formulary to side effects, etc. Safety is trumping all other efforts with this.
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This tool has taken the most current data collected on individual drugs, and provided an easy-to-use, readily available tool for clinicians-whether pharmacists, physicians, or nurses-at the point of care so we can safely and effectively switch patients from one drug to another, with a significant emphasis on safety. Brennan: In the 21st century, we’ve come to recognize that people respond differently to different medications. PPM: What are the challenges facing physicians when prescribing opioids, or switching from one opioid to another? In other words, why is there a need for an opioid conversion calculator?ĭr. Brennan, MD, MS, Jeffrey Fudin, BS, PharmD, FCCP, and Ruth J. Here to discuss the calculator’s development and unique features are its three developers: Michael J. The result is the PPM Opioid Conversion Calculator, which is now available at no charge on our site. Practical Pain Management asked three pain experts to take on the momentous task of developing their “ideal” opioid conversion calculator-one based on the latest medical evidence-that would be easy to use at the point of care.
MORPHINE HALF LIFE HOW TO
One of the daily challenges facing healthcare providers is how to safely and accurately calculate appropriate opioid doses-either for opioid-naïve patients or when switching from one agent to another.