Module 2: Basic Pharmacology of Controlled Drugs and Substances

Lesson 4

Opioid rotation –  Oral opioid dosage conversion table adapted from NOUGG (2017).

Equivalence to oral Morphine 30 mg: To convert to oral morphine equivalent, multiply by: To convert from oral morphine equivalent, multiply by:
Morphine 30 mg 1 1
Codeine 200 mg 0.15 6.67
Oxycodone 20 mg 1.5 0.667
Hydromorphone 6 mg 5 0.2
Meperidine 300 mg 0.1 10
Methadone and Tramadol Equivalent doses not established

Reference: