How do you guys convert Morphine equivalents to Methadone?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

Blitz2006

Full Member
15+ Year Member
Joined
Nov 20, 2006
Messages
1,599
Reaction score
390
I've had different attendings tell me different methods.

Any somewhat, systematic way of doing this?

Members don't see this ad.
 
  • Like
Reactions: 1 user
I agree- the Washington Agency Directors has been the calculator I have used almost since its inception. It effectively uses dose dependent straight line slopes that are low slope for 20mg or less dosage but a high slope for more than 20mg, presumably due to the hepatic enzyme inhibition at higher doses of methadone. Consequently, I stopped prescribing anything more than 20mg a day for anyone for many years, and most have been weaned off of methadone.
 
  • Like
Reactions: 1 user
Top