Palliative Care Nurse Practitioner Sydney Adventist Hospital
DRUG FORMULARY for JULIE EDWARDS
Palliative Care Nurse Practitioner
Julie Edwards
Palliative Care Nurse Practitioner Drug Formulary
SAH
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The formulary provides for the poisons and restricted substances that may be possessed, used, supplied or prescribed by JULIE EDWARDS as a Nurse
Practitioner under Section 17A of the Poisons and Therapeutic Goods Act 1966 (1) and the Poisons and Therapeutics Goods Regulation 2008 (2) It is the
Nurse Practitioners responsibility to use this formulary in conjunction with the most recent MIMS/MIMS Online (3), Australian Medicines Handbook (4) and
Therapeutic Guidelines: Palliative Care (5).
Any alteration must be submitted to the Chief Nursing and Midwifery Officer (CNMO) NSW for approval. This document is invalid if any alterations or
amendments are made without the approval from the CNMO NSW..
Introduction: The Palliative Care Nurse Practitioner (PCNP):
• Has the authority to prescribe, administer, use, supply and possess medications detailed in this PCNP Drug Formulary.
• Will utilise the most recent and appropriate resources to obtain information on compatibilities of drugs used in continuous subcutaneous infusions.
• May prescribe end of life medications on the community medication chart prior to discharge, for patients returning home, after consultation with and
approval from the patients treating specialist.
• May convert routes of administration
• Will document in the medical records whenever a medication change is made. A physical assessment will be included as part of the documentation
process.
• Will seek advice from the palliative care consultant to discuss appropriate management for complex patients and for those patients not responding
as expected to treatment changes.
Acknowledgement:This Formulary has been adapted from previous work developed by Judith Jacques - Nurse Practitioner Palliative Care - CCLHD;
Pauline Davis – Nurse Practitioner Palliative Care SWSLHD;Debbie White – Nurse Practitioner Palliative Care MNCLHD; Pauline Wilson - Palliative Care
Nurse Practitioner SWCN.
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Dosages are in accordance with the Therapeutic Guidelines Palliative Care and Australian Medicines Handbook.
PO = Oral; SL = Sublingual; SC = Subcutaneous; IM = Intramuscular; IV = Intravenous; PR = Per Rectum; TOP = Topical.
Drug
(Generic name)
Route
Therapeutic Class
Clinical Presentation
Poisons
Schedule
Analgesia
Non-opioid
PO
Paracetamol
Tablet/ caplet
Simple analgesic
1. Mild pain
Antipyretic
2. Co-analgesic
S2
3. Fever
500mg
Paracetamol
PO
Tablet
Simple analgesic
1. Mild to moderate pain
Antipyretic
2. Osteoarthritis
Simple analgesic
1. Mild to moderate pain (when oral route not available)
Antipyretic
2. Co-analgesic
S2
(modified release 665mg)
Paracetamol
Suppositories
PR
500mg
Julie Edwards
3. Fever
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Drug
(Generic name)
Route
Therapeutic Class
Clinical Presentation
Poisons
Schedule
Analgesia
Opioid
Paracetamol/Codeine
Phosphate
PO
Combination Simple Analgesic
Mild to moderate pain
S3
PO
Opioid analgesic
Moderate – Severe Pain
S4
PO
Opioid Analgesic
Moderate – severe breakthrough pain
S8
TOP
Opioid Analgesic
Severe pain
S8
Tablet
500mg/ 8mg
Paracetamol/Codeine
Phosphate
Tablet
500mg/ 30mg
Fentanyl
Lozenge
Various strengths
Fentanyl
Transdermal Patch
Patient education on placement and changing of patch.
Various strengths
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Drug
(Generic name)
HYDROmorphone
Route
PO
Therapeutic Class
Opioid Analgesic
Clinical Presentation
1. Severe pain
Liquid
Poisons
Schedule
S8
2. Breakthrough pain
Tablet
HYDROmorphone
PO
Opioid Analgesic
1. Severe pain
S8
SC
Opioid Analgesic
1. Severe pain
S8
Sustained release tablet
HYDROmorphone
Injection
2. Breakthrough pain
3.Pain management; end of life care
Morphine
PO
Opioid Analgesic
1. Moderate to severe pain
(Immediate Release)
2. Breakthrough pain
Liquid / Tablet
3. Dyspnoea
Morphine
PO
Opioid Analgesic
1. Moderate to severe pain
(Sustained Release)
2. Dyspnoea
Tablet / Granules
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S8
S8
Drug
(Generic name)
Morphine Sulphate
Route
SC
Therapeutic Class
Opioid Analgesic
Clinical Presentation
1.Moderate to severe pain
Injection
Poisons
Schedule
S8
2. Breakthrough pain
3. Dyspnoea
Morphine Tartrate Injection
SC
Opioid Analgesic
1. Moderate to severe pain
S8
2. Breakthrough pain
3. Dyspnoea
Morphine 0.1%
TOP
Opioid Analgesic
1. Painful wound
Infused hydrogel
S8
2. Painful pressure area
Oxycodone
PO
Opioid Analgesic
1. Moderate to severe pain
S8
2. Breakthrough pain
IR (immediate release)
Tablet / capsule/ liquid
Various strengths
Oxycodone
PO
Opioid Analgesic
Moderate to severe pain
SR (sustained release)
Tablet
Various strengths
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Drug
(Generic name)
Oxycodone hydrochloride
and naloxone hydrochloride
dehydrate (Targin)
Route
Therapeutic Class
Clinical Presentation
Poisons
Schedule
PO
Opioid Analgesic
Moderate to severe pain
S8
IM/SC/ IV
Opioid Antagonist
Reversal of opioid overdose; opioid induced respiratory S4
depression: respirations < 8 min
Tablet
Various strengths
Opioid Antagonist
Naloxone
Injection
NB: Before use consider other causes of sedation or
delirium (eg: sepsis) (American Pain Society)
Anti-infectives
Amphotericin
PO
Antifungal
Oral/oesophageal candidiasis
S4
PO
Antifungal
Systemic candidiasis
S4
PO
Antifungal
Oropharyngeal candidiasis
S3
Lozenge
Fluconazole
Capsule
Miconazole 20mg/ ml
Gel (Daktarin)
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Drug
(Generic name)
Nystatin 100,000 units/ml
Route
Therapeutic Class
Clinical Presentation
Poisons
Schedule
PO
Antifungal
Oral / oesophageal candidiasis
S3
Sodium Bicarbonate
Mouthwash
TOP
Mouthwash
Oral candidiasis
Unscheduled
Sodium Hyaluronate Gel
TOP
Antifungal
oral lesions, oral mucositis/stomatitis
S3
TOP
Antifungal
Vulvovaginal candidiasis
S3
Clotrimazole 1%
Hydrocortisone 1%
TOP
Antifungal
Fungal infections, dermatitis
S3
Metronidazole Gel
TOP
Antibacterial
Malodorous malignant wounds
S4
Amoxycillin
PO
Penicillin
Exacerbation chronic bronchitis; pneumonia; sinusitis
S4
S4
Suspension
(Gelclair)
Clotrimazole
Vaginal Cream
Capsule, suspension
Broad spectrum
Amoxycillin with Clavulanic PO
Acid
Penicillin
URTI; Pneumonia, sinusitis,
Broad spectrum
UTI
Tablet; suspension
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Drug
(Generic name)
Cephalexin
Route
PO
Capsule; suspension
Therapeutic Class
Cephalosporin
Clinical Presentation
Poisons
Schedule
Staphylococcal and streptococcal infection in people S4
with mild – moderate penicillin allergy
Moderate Spectrum
UTI
Metronidazole
PO
Antibacterial
Systemic management of
wounds
malignant malodorous S4
PO
Macrolides
Upper and lower respiratory tract infection
S4
PO
Antibacterial
Acute uncomplicated urinary tract infection.
S4
SC
Anticholinergic
1. Patients not responding or unlikely to respond to S4
Hyoscine; for management of respiratory secretions in
the terminal phase.
Tablet / suspension
Roxithromycin
Tablet
Trimethoprim
Tablet
Anticholinergics
Glycopyrrolate
Injection
2. Management of respiratory secretions in conscious
and alert patients.
3. Management of drooling in MND patients
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Drug
(Generic name)
HyoscineButylbromide
Route
SC
Therapeutic Class
Antispasmodic Anticholinergic
Poisons
Schedule
Clinical Presentation
1. Management of respiratory secretions in the S4
conscious patient.
Injection
2. Management of painful colic in malignant
obstruction
bowel
3. Reduction of gastric secretions
HyoscineHydrobromide
SC
Anticholinergic
Management of terminal respiratory secretions
S4
PO
Antidiarrhoeal
Diarrhoea
S3
PO
Antidiarrhoeal
Diarrhoea
S2
PO/ SC
Antihistamine
Nausea and Vomiting
S4
Injection
Antidiarrhoeals
Diphenoxylate 2.5 mg
Atropine Sulphate 25mcg
Tablet
Loperamide
Capsules
Antiemetics
Cyclizine
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Drug
(Generic name)
Dexamethasone
Route
Therapeutic Class
Clinical Presentation
Poisons
Schedule
PO/SC
Corticosteroid
Nausea and vomiting
S4
PO
Antiemetics
Nausea and vomiting
S4
Tablet / Injection
Domperidone
Tablet
Reflux
Haloperidol
PO/SC/ IV
Tablet / Injection
Antipsychotic
Nausea and vomiting
S4
Butyrophenone
Lorazepam
SL
Anxiolytic
Anticipatory Nausea and vomiting
S4D
Levomepromazine
SC
Antipsychotic, antiemetic
1. Nausea and Vomiting
S4
Injection
Metoclopramide
2. Terminal agitation
PO/ SC/ IV
Antiemetic
1. Nausea and vomiting
Tablet / Injection
2. Persistent hiccups
3. Reflux
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S4
Drug
(Generic name)
Prochlorperazine
Route
Therapeutic Class
Clinical Presentation
Poisons
Schedule
PO/ PR/
SC/ IM
Antiemetic
Nausea and vomiting
S4
PO/ IM/ SC
Antihistamine
1. Pruritis
S3
Tablet / Suppositories
Antihistamine
Promethazine
Tablet
2. Nausea and vomiting
Anti-inflammatory
Steroidal
Dexamethasone
PO/ SC/ IV
Corticosteroid
1. Pain associated with tumour related oedema
Injection
2. Cerebral Oedema
Tablet
3. Spinal cord compression
4. Superior vena cava obstruction
5. Acute airways obstruction / dyspnoea
6. Malignancy related gastrointestinal obstruction
7. Appetite stimulant and feeling of well being
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S4
Drug
(Generic name)
Prednisone
Route
PO
Therapeutic Class
Clinical Presentation
Corticosteroid
1. Airways obstruction / dyspnoea
Tablet
Poisons
Schedule
S4
2. Inflammatory disease
3. Appetite stimulate
Anti-inflammatory
steroidal
Celecoxib
Non
PO
Capsule
Non-steroidal anti-inflammatory
1. Pain
Selective COX-2 Inhibitor
2. Co-analgesic
S4
Cyclizine
PO/ SC
Antihistamine
nausea and vomiting
S4
Diclofenac
PO
Non-steroidal anti-inflammatory
1. Pain
S4
Nonselective
2. Co-analgesic
Non-steroidal anti-inflammatory
1. Pain
Nonselective
2. Co-analgesic
Tablet
Diclofenac
PR
Suppository
Ibuprofen
Tablet
PO
Non-steroidal
anti-inflammatory
Nonselective
1. Pain
2. Co-analgesic.
3. Fever
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S4
S2
Drug
(Generic name)
Ketoralac
Route
SC/ IM
Clinical Presentation
Poisons
Schedule
Non-steroidal anti-inflammatory
Severe pain
Nonselective
Always cover with PPI. Avoid if renal impairment,
peptic ulcer, oesophagitis, GORD
COX 2 inhibitor
Pain
S4
Non-steroidal anti-inflammatory
Pain – co-analgesic
S4
Nonselective
Related to inflammation, bony pain
PO
Antipsychotic
Delirium
S4
SC
Antispasmodic and motility agent
Colic related to bowel obstruction
S4
Injection
Meloxicam
Therapeutic Class
PO
Tablet
S4
Non-steroidal anti-inflammatory
Naproxen
PO/ PR
Tablet
Antipsychotics
Haloperidol
Tablet / Injection
Antispasmodics
Hyoscinebutylbromide
Injection
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Drug
(Generic name)
Hyoscinebutylbromide
Route
Therapeutic Class
Clinical Presentation
Poisons
Schedule
PO
Antispasmodic and motility agent
Colic related to bowel obstruction
S4
PO
Anxiolytic
Anxiety or panic associated with dyspnoea
S4D
Tablet
Anxiolytics
Benzodiazepines
Alprazolam
Tablet
Anticipatory nausea
Clonazepam
SL/ SC
Liquid/ injectable
Anticonvulsant
1. Anxiety
Anxiolytic
2. Myoclonus
Sedative
3. Seizure – prophylactic and acute treatment
S4D
4. Terminal agitation
Diazepam
Tablets
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PO
Anxiolytic
1. Anxiety
Muscle relaxant
2. Pain associated with skeletal muscle spasm
Anticonvulsant
3. Seizure
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S4D
Drug
(Generic name)
Lorazepam
Route
PO/ SL
Therapeutic Class
Anxiolytic
1. Anxiety or panic associated with dyspnoea
Tablet
Midazolam
Clinical Presentation
Poisons
Schedule
S4D
2. Agitation related to delirium not responding to
Haloperidol alone
SC
Injection
Anxiolytic
1. Terminal restlessness
Hypnotic
2. Seizure
Sedative
3. Myoclonus
S4D
4. Agitation related to delirium
5. Sudden catastrophic event
6. Dyspnoea
Laxatives
Always prescribed with Opioids
Prophylaxis and Treatment of Constipation
Bisacodyl
PO
Tablet
Bisacodyl
Suppository
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Constipation
Unscheduled
Laxative
Constipation
Unscheduled
Stimulant
Soft faeces on rectal examination not responding to oral
laxatives
Laxative
Stimulant
PR
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Drug
(Generic name)
Docusate
Route
PO
Tablet
Docusate
tablets
Therapeutic Class
Clinical Presentation
Poisons
Schedule
Constipation
Unscheduled
Constipation
Unscheduled
Laxative
Constipation
Unscheduled
Osmotic
Hard faeces on rectal examination
Laxative
Constipation
Unscheduled
Constipation
Unscheduled
Unscheduled
Laxative
Stool softener
+
sennoside
B PO
Laxative
Softener+ stimulant
(Coloxyl with Senna) Tablet
Glycerol
PR
Suppositories
Lactulose
PO
Syrup
Osmotic
Liquid Paraffin
PO
Laxative
(Agarol)
Softener
Macrogol 3350, Potassium PO
Chloride,
Sodium
Bicarbonate,
Sodium
Chloride
Laxative
1. Constipation
Polyethylene glycol
2. Faecal Impaction
Laxative
1. Constipation
Osmotic
2. Faecal impaction
(Movicol) Powder
Macrogol 3350
(Osmolax)
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PO
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Unscheduled
Drug
(Generic name)
Methylnaltrexone
Route
Therapeutic Class
Clinical Presentation
Poisons
Schedule
SC
Laxative
Opioid induced constipation that has not responded to S4
other laxatives
Sorbital
3.125g,
sodium PR
citrate 450mg, sodium lauryl
sulfoacetate
45mg;(Microlax
Laxative
1. Constipation
Osmotic
2. Faecal impaction
Laxative
Constipation unresponsive to other treatments
Unscheduled
1. Refractory neuropathic pain
S4
Injection
Unscheduled
enema)
Sodium Phosphate
PR
(Fleet ready-to-use enema)
Osmotic
Neuropathic Agents
Gabapentin
PO
Antiepileptic
Tablet
2. Uraemic pruritus 2° to renal failure
3. Restless legs syndrome 2° to renal failure
Nortriptyline
PO
Antidepressant
Neuropathic Pain
Tablet
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S4
Drug
(Generic name)
Pregabalin
Route
Therapeutic Class
Clinical Presentation
Poisons
Schedule
PO
Antiepileptic
Neuropathic pain
S4
PO
Anticonvulsant
Neuropathic Pain
S4
PO/ IV
Proton Pump Inhibitor
1. Gastro-oesophageal reflux disease
S4
Tablet
Sodium Valproate
Tablet
Protein-pump inhibitors
Esomeprazole
Tablet/ Injection
Omeprazole
2. Protection from gastrointestinal irritation from antiinflammatory medication
PO/ IV
Proton Pump Inhibitor
Tablet/ Injection
Pantoprozole
S4
2. Protection from gastrointestinal irritation from antiinflammatory medication
PO/ IV
Proton Pump Inhibitor
Tablet/ Injection
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1. Gastro-oesophageal reflux disease
1. Gastro-oesophageal reflux disease
2. Protection from gastrointestinal irritation from antiinflammatory medication
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S4
Drug
(Generic name)
Route
Therapeutic Class
Clinical Presentation
Poisons
Schedule
Miscellaneous
Baclofen
PO
Skeletal muscle relaxant
1.Pain associated with skeletal muscle spasm – S4
particularly in MND
Tablets
2. Hiccups
Normal Saline 0.9%
SC/ IV
1. Dehydration
For infusion
2. Comfort measures
Normal Saline 0.9%
SC/ IV
1. Rehydration
KCL 30 mmol
2. Physiological K+ replacement
For infusion
Oxygen
Dyspnoea, breathlessness
Tranexamic Acid
PO
Antifibrinolytic
1. Profuse bleeding from malignant wound
Tablet
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2. Haemoptysis; vaginal or rectal bleeding secondary to
local tumour invasion
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S4
Notes:
1. Patients in the terminal phase of their disease will have the reduced ability or inability to swallow medications. The Palliative Care Nurse
Practitioner will reduce or cease oral medications and change to an alternate route as appropriate. This process is undertaken in an
informative, collaborative manner with the patient, family, carers and the treating Medical Practitioner(s). The same approach will also be taken
for the cessation of artificial nutrition and/or hydration.
References:
1. Poisons and Therapeutic Goods Act (1966) Section 17A http://www.austlii.edu.au/au/legis/nsw/consol_act/patga1966307/
2. Poisons and Therapeutic Regulation (2008) http://www.legislation.nsw.gov.au/sessionalview/sessional/sr/2008-392.pdf
3. MIMS Online: http://proxy36.use.hcn.com.au/Search/Search.aspx
4. Australian Medicines Handbook (2011) AMH Adelaide
5. Therapeutics Guidelines, Palliative Care Version 3 (2010)
eviQ Opioid Calculator https://www.eviq.org.au/OpioidCalculator.aspx
Therapeutic Guidelines, Analgesia Version 5 (2007)
Therapeutic Guidelines, Psychotropic Version 6 (2008)
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Available Opioid Formulations and Equivalency
https://www.eviq.org.au/OpioidCalculator.aspx
The following is a list of the currently available opioid formulations in Australia. Preparations are available as immediate release or as modified
released formulations.
Modified-release formulations should never be crushed or chewed, as this destroys their release properties and can result in a large dose being
absorbed over a short period.
Please note that all conversions listed are a guide only and may vary according to the clinical situation, condition of the patient and previous analgesic
requirements.
Opioid
Buprenorphine
Codeine
Trade name
Release Rate
Formulation
Oral morphine (PO) equivalent dose*
Norspan®
Slow Release
5, 10 and 20 mcg/hr transdermal (TD)
50 mg PO morphine = 20 mcg TD patch
patch
Codeine
Immediate
30 mg tablets
7.5 mg PO morphine = 60 mg PO codeine
Codeine/Paracetamol
Immediate
eg.Panadeine Forte®**
30/500 mg tablets
2 tablets = 7.5 mg PO morphine
Codeine/Paracetamol
eg.Panadeine®**
Immediate
8/500 mg tablets
2 tablets = 2 mg PO morphine
Slow Release
12, 25, 50, 75 and 100 mcg/hr
transdermal (TD) patch
Conversions from transdermal fentanyl to
other opioids are imprecise and poorly
studied. The calculator uses conversion
figures provided by the manufacturer.
Immediate
50 mcg/ml injection
25 mg PO morphine= 100 mcg fentanyl
®
Durogesic
Fentanyl
Fentanyl
Sublimaze
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Dilaudid®
Immediate
Hydromorphone
Morphine
2, 4 and 8 mg tablets
10 mg PO morphine = 1.67 mg PO Dilaudid
1 mg/ml oral liquid
10 mg PO morphine = 1.67 mg PO Dilaudid
2 mg/ml and 10 mg/ml injection
20 mg PO morphine = 1 mg IV Dilaudid
Dilaudid-HP®
Immediate
10 mg/ml injection
20 mg PO morphine= 1 mg IV Dilaudid
Jurnista® ***
Slow Release
4, 8, 16, 32 and 64 mg tablets
4 mg PO Jurnista = 24 mg PO morphine
Sevredol®
Immediate
10 and 20 mg tablets
Direct equivalent
Anamorph®
Immediate
30 mg tablets
Direct equivalent
Ordine®
Immediate
1mg, 2mg, 5mg and 10mg/ml oral
solution
Direct equivalent
Kapanol®
Slow Release
10, 20, 50 and 100 mg capsules
Direct equivalent
Momex-SR®
Slow Release
10, 30, 60, 100 mg tablets
Direct equivalent
MS Mono®
Slow Release
30, 60, 90 and 120 mg capsules
Direct equivalent
MS Contin
Suspension®
Slow Release
20, 30, 60, 100 and 200 mg sachets
Direct equivalent
MS Contin®
Slow Release
5, 10, 15, 30, 60, 100 and 200 mg
tablets
Direct equivalent
Morphine sulfate
Immediate
5, 10, 15, 30 mg/ml injection
25 mg PO morphine = 10 mg IV morphine
Morphine tartrate
Immediate
80 mg/ml injection
25 mg PO morphine = 10 mg IV morphine
Endone®
Immediate
5 mg tablets
15 mg PO morphine = 10 mg PO Endone
5, 10, and 15 mg capsules
Oxycodone
OxyNorm
®
Immediate
15 mg PO morphine = 10 mg PO OxyNorm
1 mg/ml oral solution
OxyContin®
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Slow Release
Palliative Care Nurse Practitioner Drug Formulary
5, 10, 15, 20, 30, 40 and 80 mg
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15 mg PO morphine = 10 mg PO OxyContin
tablets
OxyNorm®
Immediate
10 mg/ml and 20 mg/2ml injection
20 mg PO morphine = 8 mg IV OxyNorm
Immediate
50 mg capsules
10 mg PO morphine = 50 mg PO Tramadol
Immediate
50 mg/ml injection
10 mg PO morphine = 50 mg PO Tramadol
50, 100, 150 and 200 mg tablets
10 mg PO morphine = 50 mg PO Tramadol
100, 200 and 300 mg tablets
10 mg PO morphine = 50 mg PO Tramadol
Tramal®
Zydol®
Tramal®
Tramadol
12 hour
Tramal SR® Zydol®
Slow Release
24 hour
Durotram XR®
Slow Release
* Based on the conversions used in the eviQ Opioid Calculator
** Combination products are not in the eviQ calculator as there is no conclusive evidence that combination analgesics containing lower doses of codeine with
paracetamol, aspirin or ibuprofen have any benefits over these non-opioids alone.
*** The safety and efficacy of Jurnista in children and adolescents under the age of 18 has not been established. Until further experience is gained, Jurnista
must not be used in this population
Julie Edwards
Palliative Care Nurse Practitioner Drug Formulary
SAH
Page 24 of 27
C:\Documents and Settings\ledwa\Desktop\EDWARDS Palliative Care Nurse Practitioner formulary v6 1.doc
CONVERSION OF MORPHINE Q4H TO A FENTANYL PATCH
Oral morphine range q4h
Fentanyl dose mcg/hr
< 20mg
25mcg patch
20-35mg
50mcg patch
35-50mg
75mcg patch
50-65mg
100mcg patch
65-80mg
125mcg patch
80-95mg
150mcg patch
95-110mg
175mcg patch
110-125mg
200mcg patch
125-140mg
225mcg patch
140-155mg
250mcg patch
• Ensure patch is calculated using q4h morphine dose
To determine the appropriate Fentanyl patch, divide the 24hr oral dose by 3
Julie Edwards
Palliative Care Nurse Practitioner Drug Formulary
SAH
Page 25 of 27
C:\Documents and Settings\ledwa\Desktop\EDWARDS Palliative Care Nurse Practitioner formulary v6 1.doc
Julie Edwards
Palliative Care Nurse Practitioner Drug Formulary
SAH
Page 26 of 27
C:\Documents and Settings\ledwa\Desktop\EDWARDS Palliative Care Nurse Practitioner formulary v6 1.doc
NURSE PRACTITIONER FORMULARY ENDORSEMENT:
Approved By:
Name
Nursing Council Chairperson
Moran Wasson
Pharmacy and Drug
Committee Chairperson
Dr Jeanette Conley
Palliative Care Specialist
(Collaborative arrangement)
Dr Gillian Rothwell
Medical Advisory Committee
Chairperson
Dr L Giutronich
Executive Committee
Chairperson
Julie Edwards
Signature
Date:
Dr Leon Clark
Palliative Care Nurse Practitioner Drug Formulary
SAH
Page 27 of 27
C:\Documents and Settings\ledwa\Desktop\EDWARDS Palliative Care Nurse Practitioner formulary v6 1.doc