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relative Stärke der Opioide |
| allgemeines |
|
| Vergleich mit Morphium |
| Pharmakon |
Handelname |
Wirkstärke |
| Morphin s.c. |
Morphium |
1 |
| Morphin p.o. |
MST |
0,33 |
| Hydromorphon |
Palladon, Jurnista |
5-7,5 |
| Oxycodon |
Oxygesic, Targin |
1,3-2 |
| Piritramid |
Dipidolor |
- |
| Pethidin |
Dolantin |
- |
| Buprenorphin |
Temgesic, Transtec |
72 |
| Fentanyl |
Durogesic® |
100 |
Buprenorphin |
Temgesic®, Transtec® |
100 |
| Tilidin |
Valoron® |
0,2 |
| Tramadol |
Tramal® |
0,1 |
| Tapentadol |
Palexia® |
2,5 |
|
Umstellung auf Tapentadol (Palexia®) |
| Tapentadol - Dosis |
Vormedikation |
| 2x200mg |
- Fentanyl ab 75µg/h
- Hydromorphon > 2x 20mg/d
- Morphium oral ab 160mg/d
- Oxycodon ab 80mg/d
|
| 2x150mg |
- Fentanyl 50-75µg/h
- Hydromorphon 2x 16-20mg/d
- Morphium oral 120- 160mg/d
- Oxycodon 60- 80mg/d
|
| 2x100mg |
- Fentanyl 37,5-50µg/h
- Hydromorphon 2x 12-16mg/d
- Morphium oral 80-120mg/d
- Oxycodon 40-60mg/d
- Tramadolor, Tilidin 400-600mg/d
|
| 2x50mg |
- Fentanyl <37,5µg/h
- Hydromorphon< 2x 12mg/d
- Morphium oral <80mg/d
- Oxycodon <40mg/d
- Tramadolor, Tilidin <400mg/d
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