Relative Opioid Strengths
This page gives information on the generic and brand names
of the major opioids along with the relative strengths of the
drugs when administered intramuscularly and orally. Finally,
the half-life of the drugs in the human body are given.
"Generic" is the generic name of
the drug and "Brand" is the brand name of the drug. Often, a drug will
be sold under more than one brand name; in this case, the most common
brand name was selected. "IM" is the number of milligrams of the drug
administered intramuscularly to be equivalent to 10 mg of morphine
administered intramuscularly. "Oral" is the number of milligrams of
the drug administered orally to be equivalent to 10 mg of morphine
administered intramuscularly. "Half-life is the half-life of the drug,
measured in hours. This information is taken from
The Little Book of Opium.
|
| Generic |
Brand |
IM |
Oral |
Half-life |
|
|
Buprenorphine |
Buprenex® |
0.3 |
1.2 |
2.2 |
|
Codeine |
Tylenol® III |
130 |
200 |
3 |
|
Diacetylmorphine |
Heroin |
5 |
30/60 |
2 |
|
Dihydrocodeine |
Synalgos®-DC |
65 |
100 |
3 |
|
Fentanyl |
Duragesic® |
0.1 |
NA |
2 |
|
Hydrocodone |
Vidodin® |
20 |
25-30 |
4 |
|
Hydromorphone |
Dilaudid® |
1.5 |
7.5 |
3 |
|
Levorphanol |
Levo-Dromoran® |
2 |
4 |
12 |
|
Meperidine |
Demerol® |
60-80 |
150-250 |
1.5 |
|
Methadone |
Dolophine® |
10 |
20 |
24 |
|
Morphine |
MS Contin® |
10 |
30/60 |
2 |
|
Oxycodone |
Percocet® |
10 |
15-30 |
3 |
|
Oxymorphone |
Numorphan® |
1 |
10 |
1.5 |
|
Propoxyphene |
Darvon® |
NA |
200-300 |
9 |
|
Notes
- Heroin metabolizes to morphine
very quickly--with a half-life of roughly 3 minutes. The
half-life of morphine is reported.
- The most quoted figure for the
half-life of Fentanyl is 2 hours. This seems to be taken from
the Drug Information Handbook. I have seen numbers as
low as 0.5 hours. The effective half-life of Fentanyl delivered
through transdermal and transmucosal systems is roughly 7 hours.
- The 30 mg value is for
the treatment of chronic pain, the 60 mg value is for
the treatment of acute pain.
by Dr. H © 2001
Last Modified: 8 January 2004
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