Safe and appropriate use of methadone in hospice and. Mary lynn mcpherson, the book gives helpful tips that. Aug 24, 2009 the book has case examples, simple charts and tables, and practice problems throughout on topics such as. American society of health systems pharmacists, bethesda, maryland, 2018. Expert consensus white paper mary lynn mcpherson, pharmd, ma, mde, bcps, cpe, kathryn a. This national epidemic is affecting communities of all sizes and the public libraries that serve them. Calculate a conversion to a new opioid regimen, taking into consideration patientspecific variables including level of pain control. A guide for effective dosing ebook written by mary lynn mcpherson.
Mcpherson stresses that it is important for practitioners to understand opioid conversion calculations so that a patients medications can be. If your browser can accept cookies, the hopkins opioid program hop will store your public id on your computer. Use and rotation of opioids in chronic nononcologic pain. Guidance for the use of buprenorphine for the treatment of. Opioid overdose deaths in 2015 rival the total number of lives lost during the entire crackcocaine epidemic.
American society of healthsystem pharmacists publication date. Hop will use this public id to automatically sign you in each time your session expires. The textbook includes easytofollow case studies, charts, tables and realworld practice examples to give clinicians the principles they need to conduct opioid conversion calculations with confidence. She has maintained a practice in both hospice local and national and ambulatory care her entire career. This report provides updated estimates and trends in prescription opioid analgesic use among adults aged 20 and over, overall and by selected subgroups. A guide for effective dosing, has long been the goto. Demystifying opioid conversion calculations by mary lynn m. Today, however, many treatment options for opioiddependent patients are safe, efficacious, and, perhaps most important, tolerable. Dec 03, 2018 mary lynn mcpherson, pharmd, ma, mde, bcps, a professor of pharmacy practice and science at the university of maryland school of pharmacy in baltimore, md, has released the second edition of her book, demystifying opioid conversion calculations. A guide for effective dosing, has long been the goto guide for learning how to calculate opioid conversions. Effective dosing mcpherson, demystifying opioid conversion calculations 1 by mary lynn mcpherson isbn. Individualize the dosage based on assessment and ensure adequate access to breakthrough medication 5. The book offers a comprehensive overview of opioid prescribing and dosing with writing that is clear and succinct, and stresses solid.
A targeted history and physical examination should include the patients age, diagnosis, pain assessment, average daily opioid use, past medical history. A novel treatment for chronic opioid use after surgery article pdf available in journal of clinical anesthesia 40. Commonly used longacting opioids chart introduction this chart contains information about commonly prescribed longacting opioid analgesics that can be used by clinicians to guide initiation of opioid therapy for patients with pain conditions. Mary lynn mcpherson writes a comprehensive book with a lighthearted tone that makes opioid calculations approachable. Consultant to practical pain management in development of online opioid conversion calculator, consultant to zogenix and millennium health. Free download opioid conversion chart pdf, 293kb and customize with our editable templates, waivers and forms for your needs. If there are any troubles in understanding opioid conversions, this is the book to have. The revised edition covers the entire spectrum of opioid analgesics used to manage patients with moderatetosevere pain and serious lifelimiting illnesses. American society of healthsystem pharmacists, 2010 medical 196 pages. For security reasons, no personal information, such as passwords or. Fighting the stigma of opioid addiction with stories of.
From there, you can view and download your ashp ebooks to the reader of your choice. Demystifying opioid conversion calculations, a guide for. Steps and methods for the conversions of various opioids are provided. A userfriendly guide on opioid conversion calculations. Ashp ebooks sign in with your ashp username and password to access purchased ebooks in my library. Mary lynn mcpherson, pharmd, ma, mde, bcps, cpe professor and executive director, advanced postgraduate education in. The revised edition covers the entire spectrum of opioid analgesics used to manage patients with. What happens when a patients opioid dosage is wrong.
Equianalgesic opioid dosing adapted from mcpherson, m. Sadly, though the centers for disease control and prevention cdc has yet to finalize overdose fatalities from 2016, when it does we will reckon with numbers far worse than those of the year before. Mary lynn mcpherson discusses equianalgesic opioid. Special article safe and appropriate use of methadone in hospice and palliative care.
This is likely due to the limited treatment opportunities in correctional facilities, and it contradicts the. What are best safety practices for use of methadone in the treatment of pain. Debating contemporary issues in opioid therapy mary lynn mcpherson, pharmd, ma, mde, bcps, cpe. She serves as a consultant pharmacist for both local and national hospice and palliative care programs, and has designed a critical thinking process for appropriate drug use in endof. Drug overdoses are now the leading cause of death among americans under 50. Your equation would look like this based on conversion table. Opioid dependence ebook by abraham wikler rakuten kobo. Written in a conversational tone with a splash of humor, the book covers key areas of opioid conversions unlike any other book. Speakers bureaus for millennium health and astra zeneca. Mary lynn mcpherson is the author of demystifying opioid conversion calculations 4. In other words, the conversion factor not accounting for days of use would be 6025 or 2. Mary lynn mcpherson takes the reader on the voyages and adventures of opioid conversions with the skill of an exceptionally brave commander. By mary lynn mcpherson, pharmd, ma, mde, bcps, cpe pages 4344 mary lynn mcpherson, pharmd, ma, mde, bcps, a professor of pharmacy practice and science at the university of maryland school of pharmacy in baltimore, md, has released the second edition of her book, demystifying opioid conversion calculations.
Most of us who work in the field would enthusiastically agree to speak on any topic related to painwith the exception of opioid conversions. Buprenorphine is a semisynthetic opioid derived from the morphine alkaloid thebaine. List the five step process in opioid conversion calculations. A clinical and epidemiologic approach pdf free, or even where to download opioid dependence. Mary lynn mcpherson, the book gives helpful tips that practitioners should incorporate into their practices. May 04, 20 magical, mystical, mischievous methadone. Textbook of psychopharmacologyopioids wikibooks, open. Free shipping and pickup in store on eligible orders.
Jun 20, 2014 meet mary lynn mcpherson, author of ashps demystifying opioid conversion calculations, who tells us the idea behind her book and how it has helped countless healthcare professionals over the years. Read opioid dependence mechanisms and treatment by abraham wikler available from rakuten kobo. An understanding of its pharmacology will help guide its clinical use. All the questions you had about opioids but were afraid to. Opioid dosing calculations mary mihalyo, pharmd, bcps, cgp, cde shane donnelly, pharmd jessica daley. If 10 mg of drug a gives equivalent pain relief to 20 mg of drug b, does 20 mg of drug b. Review article on opioid utility the other half of equianalgesia. A podcast with mary lynn mcpherson october 04, 2018 on todays podcast we go deep into the mind of one of the most brilliant and respected palliative care pharmacists, mary lynn mcpherson, to ask all the questions weve had about opioids but were too afraid to ask. It is a treatment and one that is effective for only as long as a person continues to take it appropriately. Against a backdrop of the growing scrutiny of appropriate dosages, this textbook takes a. Offer pdf demystifying opioid conversion calculations. There are essentially two competing public health crises in the united states today chronic pain and problems associated with opioid overdose and.
All the questions you had about opioids but were afraid to ask. Juliet jacobsen and jane delima thomas demystifying opioid conversion calculations, a guide for effective dosing by mary lynn mcpherson. Mcpherson is the director of pharmacotherapy services at universitycare. Mary lynn mcphersons second edition of her book, focusing on opioid conversion, offers healthcare providers strategies for calculating and.
Why equianalgesic tables are only part of the answer to equianalgesia. A pharmacists role in the management of chronic pain. A major problem in the treatment of opioid dependence has been the persistence of relapse despite detoxification and enf. By mary lynn mcpherson, pharmd, ma, mde, bcps, cpe. E4306, 2018, 288 pages praised by practitioners, students and instructors for its engaging approach to teaching a very complex subject, demystifying opioid conversion calculations. Vicodin or lortab hydrocodone used to treat moderate to severe pain. Aug 24, 2009 buy the paperback book demystifying opioid conversion calculations. A guide for effective dosing by mary lynn mcpherson at indigo. What are best safety practices for use of methadone in the. Variability in opioid equivalence calculations pain. Effective dosing mcpherson, demystifying opioid conversion calculations by mary lynn mcpherson 2009 paperback to make your spare time considerably more colorful.
Mary lynn mcpherson author of demystifying opioid conversion. Objectives describe reasons why patients need to switch from. Webster, md, and mary lynn mcpherson, pharmd practical pain management wanted to address the major safety concerns for prescribing physicians and patients regarding methadone use in pain management. To reduce the risk of unintentional overdose, the conversion ratio calculated for a patient undergoing opioid rotation should be adjusted based on clinical. Mary lynn mcpherson, pharmd, ma, mde, bcps, cpe dr. Equianalgesic dose is defined as the dose frequency of two agents to produce the same effect. Methadone is not a cure for the problem of opioid dependency. A short sampling of popular opioid drugs include the following.
Pain management certificate program accreditation for. American society of healthsystem pharmacists, c2010. Pdf a novel treatment for chronic opioid use after surgery. Calculating conversations about opioid conversions. The books i have published are related to my field of interests homebased and ambulatory patients. A guide to effective dosing am j hosp palliat care june 2011 vol. Opioid conversion tables note that the most common errors in opioid switching are related to incorrect dose conversion to new route of administration, problems with titration, and inadequate use of other drugs and techniques. It is a mixed agonistantagonist and its primary action is as a partial opiate agonist. Evaluation and comparison of online equianalgesic opioid. Nov 12, 2014 mary lynn mcpherson, pharmd, ma, bcps, cpe. Download for offline reading, highlight, bookmark or take notes while you read demystifying opioid conversion calculations. Amer soc of healthsystems pharm, bethesda, md, 2009. The book has case examples, simple charts and tables, and practice problems throughout on topics such as. Here are three books that explore the opioid epidemic and how to help those afflicted by addiction.
Were going to be talking a little bit about opioids during this time and opioid conversion calculations, and a little bit about your book. Establish frequent patient follow up and reassessment 11 mcpherson, mary lynn demystifying opioid conversion calculation. Fr475 mary lynn mcpherson, pharmd ma mde bcps, university of maryland school of pharmacy, baltimore, md. Demystifying opioid conversion calculations, a guide for effective dosing by mary lynn mcpherson article in journal of palliative medicine 145. People working on the front lines of the opioid crisis at the hazelden betty ford foundation offer their brief but spectacular takes on addiction and recovery.
Buy the paperback book demystifying opioid conversion calculations. A guide for effective dosing, second edition, 2018 isbn. However, since the fentanyl patch remains in place for 3 days, we have multiplied the conversion factor by 3 2. Opioid oral morphine milligram equivalent mme conversion. This bibliography includes selected articles from the 1,075 found by searching during may, 2008, which represent key findings in the. A reading list josh corman jan 18, 2017 for several years now, the news in my home state of kentucky has featured one consistent, depressing theme. Demystifying opioid conversion calculations youtube. Mcpherson is a professor in the department of pharmacy practice and science at the university of maryland. And webjunction, in collaboration with pla, is hosting opioid crisis town.
All that we know for sure right now is that relapse is a major feature of opioid dependency. Guidance for the use of buprenorphine for the treatment of opioid dependence in primary care. Prescription opioids are responsible for almost 15,000 overdose deaths annually, and now cause more overdose deaths than cocaine and heroin combined 2. Codeine sold under many names and included in many formulations used for the treatment of minor to moderate pain, cough and cold, etc. Longacting prescription opioids may be used to improve patient functioning, improve pain control through. I really believe that the pharmacist is the last line of defense in the safe and effective use of chronic opioid therapy in patients with pain. This book is a concise, practical guide to the mathematical equations necessary to do opioid drug calculation conversions conversions are explained using a variety of teaching methods. Mcpherson, 9781585281985, available at book depository with free delivery worldwide. Buy demystifying opioid conversion calculations by mary lynn m. In most patients, morphine is the favored drug, however. Item detail demystifying opioid conversion calculations.
Caution is required if opioid dose equivalence tables are used to guide opioid switching, as the administration of a calculated equivalent dose of the replacement opioid may lead to. A thorough history of mankinds most widely used narcotic, opium chronicles the drugs significance throughout time and around the globe. Demystifying opioid conversion calculations mary lynn m. Detoxification from opioids was historically a hazardous undertaking, with many putative cures that were enthusiastically undertaken and then quietly dropped when proven dangerous or ineffective kleber and riordan 1982. This opioid dose equivalence table is intended for comparison of different opioid and opioid formulations in individual patients or in patient cohorts. Written by pain management expert mary lynn mcpherson, pharmd, ma, mde, bcps, cpe, demystifying opioid conversion calculations focuses on the calculations that practitioners use in actual practice, providing realistic scenarios for decision making. A guide to effective dosing mcpherson, demystifying opioid conversion calculations by.
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