Appendix 1.

Morphine Milligram Equivalents Conversion

OpioidEquivalent Milligram (mg)
Codeine, oral200
Fentanyl, transdermal12.5
Hydrocodone, oral30
Hydromorphone, oral7.5
Hydromorphone, parenteral1.5
Methadone, oral (1 to 20 mg/day)7.5
Methadone, oral (21 to 40 mg/day)3.75
Methadone, oral (41 to 60 mg/day)3
Methadone, oral (61+ mg/day)2.5
Morphine, oral30
Morphine, parenteral10
Oxycodone, oral20
Oxymorphone, oral10
Oxymorphone, parenteral1
Tramadol, oral120