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          

VIEW MORE Opioid Agonists
CLASS
280808
High Alert Drug : Policy

Comments:

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)

 

Drug Name Common Side Effects

morphine

  • sedation
  • constipation (may require treatment)
  • consult with provider before increasing dose or stopping medication

Last updated: Apr. 26, 2024


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Our Lady of the Lake Regional Medical Center
225-765-4434
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225-374-1380
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985-369-4290
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337-470-2866
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337-470-5070
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601-200-6000
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318-966-3461