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HIGH ALERT: Please review policy carefully.
Search results for:
morphine
morphine
Brand names: Morphine Sulfate, Morphine Sulfate ER
| Form | Strength | ANAN | ASMP | LACH | LALK | LOHH | LOLR | LOWC | SDSD | SESE | SFSF | Formulary Status |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CONCENTRATE, ORAL | 20 mg/mL | |||||||||||
| SOLUTION, INJECTABLE | 0.5 mg/mL preservative-free; 1 mg/mL preservative-free; 2 mg/mL preservative-free; 4 mg/mL preservative-free; 5 mg/mL preservative-free; 8 mg/mL preservative-free; 10 mg/mL preservative-free; 50 mg/mL | |||||||||||
| SOLUTION, ORAL | 10 mg/5 mL | |||||||||||
| TABLET, EXTENDED RELEASE, ORAL | 15 mg/8 to 12 hr; 30 mg/8 to 12 hr; 60 mg/8 to 12 hr; 100 mg/8 to 12 hr | |||||||||||
| TABLET, ORAL | 15 mg; 30 mg |
High Alert Drug
: Policy
Last updated: Apr. 26, 2024
- Black Box Warning: Injection PreserveFree: 24-hour observation following epidural/intrathecal administration
- Black Box Warning: Controlled/Extended Release: Addiction, Abuse, and Misuse; Life-Threatening Respiratory Depression; Accidental Exposure; Neonatal Opioid Withdrawal Syndrome
- Do Not Crush: Enteric-coated (a; not pudding) Capsule
- Do Not Crush: Extended-release (a) Capsule - Note: may add contents of capsule to apple juice or applesauce but NOT chocolate
- Do Not Crush: Extended-release (a) Capsule - Note: do not give via N/G tube
- Do Not Crush: Extended-release (b) Tablet
- Therapeutic Interchange: T.I.
- Do Not Tube-LALK
Morphine for injection (e.g. syringes, vials, PCAs, etc) high-alert
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments
Demerol Conversion
Meperidine (Demerol)
Morphine
Hydromorphone (Dilaudid)
12.5 mg
1 mg
0.25 mg
25 mg
2.5 mg
0.5 mg
50 mg
5 mg
1 mg
>75
Call
Call
Other doses (below 75 mg)
Round-down after converting using 0.13 multiplier. Pharmacist may round-down to the nearest standard dose Morphine.
Round-down after converting using 0.02 multiplier. Pharmacist may round-down to the nearest standard dose Dilaudid.
Formulary; restricted to use in prevention of drug-induced or blood product-induced rigors (e.g. amphotericin B, platelets) and treatment of post-op shivers.
PCA/IV/PO/IM use non-formulary for all other indications. Call provider and recommend above conversion.
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments
Analgesics
Medication Ordered
Brand Name
Available Dosages
Frequency
Formulary Medication
Equivalent Dose
Frequency
Hydrocodone/
Acetaminophen
Lortab
5 mg / 500 mg
Same as ordered
Norco
5 mg / 325 mg
Same as ordered
7.5 mg / 500 mg
7.5 gm / 325 mg
10 mg / 500 mg
10 mg / 325 mg
Oxymorphone extended-release
Opana ER
5-7.5mg
BID
MS Contin
15mg
BID
10-15mg
30mg
20-30mg
60mg
40mg
100mg
Tapentadol
Nucynta
50-75mg
Same as ordered
OxyIR
10mg
Same as ordered
100mg
15mg
***Opana ER can be continued if it is a patient’s own home medication if dose cannot be matched by what is stocked by the hospital (Note: Patient’s supply must be verified to ensure they have enough to accommodate length of stay)
morphine