{"id":2470,"date":"2009-09-02T15:35:38","date_gmt":"2009-09-02T15:35:38","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/oncop\/"},"modified":"2025-05-14T19:09:01","modified_gmt":"2025-05-14T19:09:01","slug":"oncop","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/oncop\/","title":{"rendered":"Tabla de Equivalencia de Dosis para Analg\u00e9sicos Opioides"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Las tablas de equianalgesia ayudan al m\u00e9dico en realizar estas conversiones, proporcionando una estimaci\u00f3n aproximada para el inicio de la dosis de nuevos opioides que pueden producir aproximadamente la misma potencia analg\u00e9sica. La morfina (10 mg IM) es el \u00abgold standard\u00bb para comparar todos los otros opi\u00e1ceos.<\/p>\n<p><!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td rowspan=\"2\"><strong>Droga<br \/>\n<\/strong><strong>\u00a0<\/strong><\/td>\n<td colspan=\"2\" align=\"center\"><strong>\u00a0Dosis equivalente (mg)<br \/>\n(comparada con morfina 10 mg IM)<br \/>\n<\/strong><\/td>\n<td rowspan=\"2\" align=\"center\"><strong>Duraci\u00f3n de acci\u00f3n (Horas)<br \/>\n<\/strong><strong>\u00a0<\/strong><\/td>\n<\/tr>\n<tr>\n<td align=\"center\"><strong>Parenteral<br \/>\n<\/strong><\/td>\n<td align=\"center\"><strong>\u00a0\u00a0\u00a0\u00a0 Oral<br \/>\n<\/strong><\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\"><strong>\u00a0<\/strong><strong>Agonistas<\/strong><strong>\u00a0Opioides Fuertes\u00a0<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u00a0Morfina<\/td>\n<td align=\"center\">\u00a010<\/td>\n<td align=\"center\">\u00a060<\/td>\n<td align=\"center\">\u00a03-4<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Oxicodona<\/td>\n<td align=\"center\">\u00a015<\/td>\n<td align=\"center\">\u00a030<\/td>\n<td align=\"center\">\u00a02-4<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Hidromorfona<\/td>\n<td align=\"center\">\u00a01.5<\/td>\n<td align=\"center\">\u00a07.5<\/td>\n<td align=\"center\">\u00a02-4<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Anileridina<\/td>\n<td align=\"center\">\u00a025<\/td>\n<td align=\"center\">\u00a075<\/td>\n<td align=\"center\">\u00a02-3<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Levorfanol<\/td>\n<td align=\"center\">\u00a02<\/td>\n<td align=\"center\">\u00a04<\/td>\n<td align=\"center\">\u00a04-8<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Meperidina<\/td>\n<td align=\"center\">\u00a075<\/td>\n<td align=\"center\">\u00a0300<\/td>\n<td align=\"center\">\u00a01-3<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Oximorfona<\/td>\n<td align=\"center\">\u00a01.5<\/td>\n<td align=\"center\">\u00a05 (rectal)<\/td>\n<td align=\"center\">\u00a03-4<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Methadone<\/td>\n<td align=\"center\">\u00a0&#8211;<\/td>\n<td align=\"center\">\u00a0&#8211;<\/td>\n<td align=\"center\">\u00a0&#8211;<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Hero\u00edna<\/td>\n<td align=\"center\">\u00a05-8<\/td>\n<td align=\"center\">\u00a010-15<\/td>\n<td align=\"center\">\u00a03-4<\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\"><strong>\u00a0<\/strong><strong>Agonistas<\/strong><strong>\u00a0Opioides\u00a0<\/strong><strong>D\u00e9biles<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u00a0Code\u00edna<\/td>\n<td align=\"center\">\u00a0120<\/td>\n<td align=\"center\">\u00a0200<\/td>\n<td align=\"center\">\u00a03-4<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Propoxifena<\/td>\n<td align=\"center\">\u00a050<\/td>\n<td align=\"center\">\u00a0100<\/td>\n<td align=\"center\">\u00a02-4<\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\"><strong>\u00a0Agonistas-Antagonistas <\/strong><strong>Mixtos<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u00a0Pentazocina<\/td>\n<td align=\"center\">\u00a060<\/td>\n<td align=\"center\">\u00a0180<\/td>\n<td align=\"center\">\u00a03-4<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Nalbufina<\/td>\n<td align=\"center\">\u00a010<\/td>\n<td align=\"center\">\u00a0&#8211;<\/td>\n<td align=\"center\">\u00a03-6<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Butorfanol<\/td>\n<td align=\"center\">\u00a02<\/td>\n<td align=\"center\">\u00a0&#8211;<\/td>\n<td align=\"center\">\u00a03-4<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Tabla de conversi\u00f3n\u00a0<\/strong><strong>equivalente de dosis <\/strong><strong>total diaria de morfina oral<br \/>\n<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td><strong>\u00a0Droga<\/strong><\/td>\n<td align=\"center\"><strong>\u00a0\u00a0 Dosis \u00d7\u00a0<\/strong><strong>factor de\u00a0<\/strong><strong>conversi\u00f3n<br \/>\n<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u00a0Petidina (oral)<\/td>\n<td align=\"center\">\u00a0\u00d70.125<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Petidina (i.v.)<\/td>\n<td align=\"center\">\u00a0\u00d70.4<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Metadona<\/td>\n<td align=\"center\">\u00a0\u00d71.5<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Oxicodona<\/td>\n<td align=\"center\">\u00a0\u00d71.5<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Buprenorfina<\/td>\n<td align=\"center\">\u00a0\u00d750<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Tramadol<\/td>\n<td align=\"center\">\u00a0x0.20<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Code\u00edna<\/td>\n<td align=\"center\">\u00a0\u00d70.16<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Dextropropoxifeno<\/td>\n<td align=\"center\">\u00a0\u00d70.1<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Morfina (i.v.)<\/td>\n<td align=\"center\">\u00a0\u00d73<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Morfina (oral)<\/td>\n<td align=\"center\">\u00a0\u00d71<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Nissen LM, Tett SE, Cramond T, Williams B, Smith MT. Opioid analgesic prescribing and use &#8211; an audit of analgesic prescribing by general practitioners and The Multidisciplinary Pain Centre at Royal Brisbane Hospital. Br J Clin Pharmacol. 2001 Dec;52(6):693-8.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11736881\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Argoff CE, Silvershein DI. A comparison of long- and short-acting opioids for the treatment of chronic noncancer pain: tailoring therapy to meet patient needs. Mayo Clin Proc. 2009 Jul;84(7):602-12.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19567714\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Sep 03, 2009<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Las tablas de equianalgesia ayudan al m\u00e9dico en realizar estas conversiones, proporcionando una estimaci\u00f3n aproximada para el inicio de la dosis de nuevos opioides que pueden producir aproximadamente la misma potencia analg\u00e9sica. La morfina (10 mg IM) es el \u00abgold standard\u00bb para comparar todos los otros opi\u00e1ceos.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[272],"tags":[439,1410,1409,1408,1407,1406,1405,1404,436,1411],"class_list":["post-2470","post","type-post","status-publish","format-standard","hentry","category-oncology","tag-analgesicos","tag-analgesics","tag-dose","tag-dosis","tag-equivalence","tag-equivalencia","tag-oncology","tag-opioid","tag-opioides","tag-table"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2470","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2470"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2470\/revisions"}],"predecessor-version":[{"id":9417,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2470\/revisions\/9417"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2470"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2470"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2470"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}