Fentanyl Patches Can Be Extremely Dangerous!
Happy Veteran’s day! Narcweek begins now, thanks for all the support! I’m still seeing problems and questions on Duragesic (fentanyl) patches out there, so hopefully I can bring some examples over the next few nights that really emphasize some of the mistakes I see out there in the real world. The first thing I must highlight is how potent fentanyl patches are! A 25 mcg/h patch has a ballpark equivalent to oral morphine of 60-134 mg daily per Lexicomp! A 50 mcg/h is approximately double that in oral equivalent of morphine per day! A 100 mcg/h patch oral morphine equivalent is in the ballpark of 315-404 mg per day! So if a patch is lost whether you are at home, an assisted living, nursing home, or other institution, you better take it seriously! See attached story if you don’t believe me. http://ismp.org/NAN/files/NAN-20120425.pdf