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. 2020 Dec 2;5(1):bjgpopen20X101122. doi: 10.3399/bjgpopen20X101122

Table 1. Example of calculations for OMEQe (mg) using 2005 data for female subjects.

Units used for calculating annualised OMEQe
 Drug product Recommended daily dosea ,b Oral morphine equivalent of daily dose (mg)c ,d Annual number of prescriptions Annualised total OMEQe burden (mg)
Buprenorphine
 10 mcg per hour 1 patch per week 24 28 672
 52.5 mcg per hour 1 patch twice a week 126 354 44 604
Codeine
 Co-codamol 8/500 2 tablets 4 times a day 6.4 17 952 114 893
 Codeine phosphate 30 mg 2 tablets 4 times a day 24 16 293 391 032
 Zapain capsules (30/500) 2 tablets 4 times a day 24 112 2688
Dihydrocodeine
 Co-dydramol 10/500 2 tablets 4 times a day 8 153 047 1 224 376
 DHC Continus 90 mg MR tablet 1 tablet twice a day 18 1009 18 612
 Remedeine tablet 2 tablets 4 times a day 16 1295 20 720
Fentanyl
 Durogesic 100 mcg per hour patch 1 patch every 3 days 360 131 47 160
 Fentanyl 200 mcg SL lozenge 1 lozenge 4 times a day 120 40 4800
 Fentanyl 25 mcg per hour patch 1 patch every 3 days 90 3429 308 610
Morphine
 Morphgesic SR 10 mg m/r tablet 1 tablet twice a day 20 73 730
 MXL 60 mg m/r capsule 1 capsule once a day 60 23 1380
 Oramorph 10 mg/5 ml liquid 100 ml 5 mL every 2 hours 120 573 68 760
 Sevredol 20 mg tablet 1 tablet every 6 hours 120 299 35 880
Oxycodone
 Longtec 20 mg m/r tablets 1 tablet twice a day 80 1 80
 Oxycodone HCl 20 mg capsule 1 capsule every 4 hours 240 250 60 000
 OxyContin 80 mg m/r tablet 1 capsule twice a day 320 262 83 840
Tramadol
 Dromadol XL 200 mg m/r tablet 1 tablet once daily 20 11 220
 Tramadol 50 mg capsule 2 capsules 4 times a day 40 93 918 3 756 720
 Tramacet 325 mg/37.5 mg 2 tablets 4 times a day 30 4450 133 500
Other
 Co-proxamol 32.5 mg/325 mg tablet 2 tablets 4 times a day 26 82 015 2 132 390
 Hydromorphone HCl 1.3 mg capsule 1 capsule every 4 hours 58.5 6 351
 Pethidine HCl 50 mg tablet 1 tablet every 4 hours 30 2381 71 430

Annualised total = estimated oral morphine equivalent of daily dose x annual number of prescriptions. Process repeated for each drug product and totalled for each year. a 39 b 40 c 8 d 64 OMEQe = estimated oral morphine equivalent.