This opioid conversion calculator takes the figures you already have and applies the relationship behind opioid conversion calculations for you, giving buprenorphine (transdermal), fentanyl (transdermal) and hydromorphone (oral) from incomplete cross tolerance and morphine (iv).
What Is the Opioid Conversion Calculator?
The opioid conversion calculator gives you an estimate of buprenorphine (transdermal), fentanyl (transdermal) and hydromorphone (oral) based on incomplete cross tolerance and morphine (iv).
It is a quick reference figure rather than a diagnosis, and it is most useful for tracking how a number moves over time rather than for interpreting a single reading.
How the Opioid Conversion Estimate Is Worked Out
The calculation follows published reference relationships, so it is a reasonable approximation when the inputs are accurate. It assumes an average adult and does not account for individual variation.
If you are comparing two people, or the same person over a period of weeks, keep the method and the inputs identical. A change in the method can easily look like a change in the person.
What This Calculator Does Not Do
It does not diagnose anything, and it does not replace advice from a clinician. If a figure comes out at an extreme, or if it differs sharply from what you expect, that is a reason to speak to a professional rather than to adjust the inputs.
Nothing you type here is stored or sent anywhere. The whole calculation happens in your browser.
A Worked Example
Working through an example, with incomplete cross tolerance set to 10, morphine (iv) set to 5, the calculator returns morphine (sc) of -67.5, and morphine (oral) of -135, and diamorphine (sc) of -45. Substitute your own figures and the same steps produce the same kind of answer.
Frequently Asked Questions
What do I need to work out buprenorphine (transdermal)?
Enter incomplete cross tolerance and morphine (iv). The calculator then works through the relationship and reports buprenorphine (transdermal), fentanyl (transdermal) and hydromorphone (oral).
What does the opioid conversion actually calculate?
It takes incomplete cross tolerance and morphine (iv) and converts them into buprenorphine (transdermal), fentanyl (transdermal) and hydromorphone (oral) using the standard relationship for this problem. Each step is applied in turn, so every output is traceable back to the numbers you typed in.
How should I enter incomplete cross tolerance?
Use the value you actually have, in the unit shown next to the field. Enter every value in the same unit system. The calculator assumes the figures you supply are consistent, so it cannot correct a mistake that happens before the calculation starts.
Is the answer exact?
It is as exact as the formula and the inputs allow. The method itself is the standard one for this problem, so the only sources of error are the figures you enter and the precision you ask for.
Does anything you type get stored?
No. The whole calculation runs inside your browser, and nothing you enter is uploaded, logged or sent anywhere.