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. 2015 Mar 11;2015:198343. doi: 10.1155/2015/198343

Table 1.

Conversion table for deriving the starting dosage of transdermal fentanyl from the prior daily oral dosage of opioid* (expressed as morphine oral dosage equivalence).

Morphine oral dosage equivalence (mg per 24 hours) Required transdermal fentanyl dosage
(μg per hour)
Patients needing opioid rotation [43] Patients on stable, well-tolerated
opioid treatment**
<44 <60 12.5
45–134 60–89 25
135–224 90–149 50
225–314 150–209 75
315–404 210–269 100
405–494 270–329 125
495–584 330–389 150
585–674 390–449 175
675–764 450–509 200
765–854 510–569 225
855–944 570–629 250
945–1034 630–689 275
1035–1124 690–749 300

*For opioid-naïve patients, the starting dose of transdermal fentanyl was 25 μg/hour; **for patients who are not on opioid rotation but simply switching from oral to transdermal opioid treatment.