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  • BDD Moderators: Keif’ Richards | negrogesic

Opioids Oxy to Dilaudid conversion question

M

msedward43

Bluelighter
Joined
Jan 10, 2016
Messages
44
Ok, I have a conversion question. Yes, I checked the conversion table and THINK I have a handle on it, but I'm not 100% sure I'm interpreting everything right. I MIGHT be switching from Oxycodone to Dilaudid soon , and I had a dosing question. I've kept my tolerance pretty low for years (30mg, chipping once a week)..... from what I'm LOOKING at on the conversion table and comparing to amount Morphine and doing some cross calculations, 30 mg of morphine = 20 mg of Oxy.... The same amount is equivalent to 7.5 mg (I think ... it says 7.5mg and then in parenthesis says 5-10 mg) is equivalent to the same amount of morphine (thus should be equivalent to 20 mg of Oxy) and converting 30mg of Oxy to Dilaudid would be about 11.25...

am I correct in my understanding of hitting the equivalent dose? or should I also decrease it a bit for lack of cross tolerance because I haven't taken Hydromorphone in YEARS.
 
Last edited:
The left collum I the mg of the opiate the right collum is morphine equvilent dose

That should give you a rough idea
 

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Please be advised, they are different in their effects concerning CNS depression, hydromorphone is much more cns depressing than Oxycodone. itsabout half the cns depressing as morphine is all while being as strong as morphine in other aspects, IT IS FOR THIS REASON WHEN CONVERTING OVER TO ANOTHER OPIOID THE GUIDLINES STRICTLY STATE THAT YOU SHOULD CONVERT THE EQUIVILENT AND THEN TAKE HALF OF THAT DOSE FOR THE FIRST WHILE. in a medical setting, this would be addressed in this exact manner THEN the dose would be titrated up til maximal comfort/relief was aquired.

stay safe, try a lower dose than the equivilent it's a different drug i'm being real here, oxy doesn't have near a sedative effect as dilaudid does, you're also much more likely to nod on an equivilent dose of dilaudid

~zonxx
 
Zonxx said:
Please be advised, they are different in their effects concerning CNS depression, hydromorphone is much more cns depressing than Oxycodone. itsabout half the cns depressing as morphine is all while being as strong as morphine in other aspects, IT IS FOR THIS REASON WHEN CONVERTING OVER TO ANOTHER OPIOID THE GUIDLINES STRICTLY STATE THAT YOU SHOULD CONVERT THE EQUIVILENT AND THEN TAKE HALF OF THAT DOSE FOR THE FIRST WHILE. in a medical setting, this would be addressed in this exact manner THEN the dose would be titrated up til maximal comfort/relief was aquired.

stay safe, try a lower dose than the equivilent it's a different drug i'm being real here, oxy doesn't have near a sedative effect as dilaudid does, you're also much more likely to nod on an equivilent dose of dilaudid

~zonxx
Click to expand...

Danka, appreciate it. I'll make sure to do that out of safety.
 
well, crisis averted. Doctor is keeping me on my normal Perc 10s, so no need to worry about it anymore. whew.
 
Dilaudid is all about the rush, it has no legs(doesn't last as long). That's y it's only worth it if you are an intravenous user, it has a poor oral bioavailability too. So if ur not banging it it's a nay.
 
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