Research Article

Noninterventional Study of Transdermal Fentanyl (Fentavera) Matrix Patches in Chronic Pain Patients: Analgesic and Quality of Life Effects

Table 1

Conversion table for deriving the starting dosage of transdermal fentanyl from the prior daily oral dosage of opioid (expressed as morphine oral dosage equivalence).

Morphine oral dosage equivalence (mg per 24 hours) Required transdermal fentanyl dosage
(μg per hour)
Patients needing opioid rotation [43]Patients on stable, well-tolerated
opioid treatment

<44<6012.5
45–13460–8925
135–22490–14950
225–314150–20975
315–404210–269100
405–494270–329125
495–584330–389150
585–674390–449175
675–764450–509200
765–854510–569225
855–944570–629250
945–1034630–689275
1035–1124690–749300

For opioid-naïve patients, the starting dose of transdermal fentanyl was 25 μg/hour; for patients who are not on opioid rotation but simply switching from oral to transdermal opioid treatment.