Prescribing Flashcards
1
Q
How to get from morphine to diamorphine
A
10 mp morphine= 3.3 mg diamorphine
So divide by three to get from morphine to diamorphine
2
Q
How to get from oral morphine to oral oxycodone
A
10mg morphine= 6.6 mg oxycodone
So divide by 3 and times by 2
3
Q
What morphine dose to give to opiate naive patients
A
20-30 mg of modified release morphine sulphate tablets with 5mg oral morphine solution for breakthrough pain
Always coprescribe laxatives
4
Q
What eGFR determines opioid choice in cancer pain
A
30-60 -> mild-moderate renal impairment -> give oxycodone
<30 -> severe renal impairment -> give fentanyl / buprenorphine
5
Q
What is oramorph
A
Brand name for immediate release morphine
Comes in tablets
