Medication Route Onset of Action Duration of Action Usual Dosing Interval Equi-Analgesic Dosing
Morphine (IR)
(MSIR®, Roxanol®, various)
PO 30 to 60min 3 to 6hr 3 to 6hr 30mg PO
IV 5 to 10min 3 to 6hr 3 to 6hr 10mg IV
SC 15 to 30min 3 to 6hr 3 to 6hr 10mg IM/SC
Morphine (ER)
(MS Contin®, etc.)
PO 30 to 90min 8 to 12hr 8 to 12hr 30mg PO
Morphine (ER)
(Kadian®, Avniza®)
PO 30 to 90min 12 to 24hr 12 to 24hr (Kadian®)
24 hr (Avniza®)
30mg PO
Hhydromorphone
(Dilaudid®)
PO 15 to 30 min  4 to 6hr 3 to 6hr 7.5mg PO
IV / SC  15 min  4 to 6hr  3 to 6hr  1.5mg IV
Oxycodone, IR
(Roxicodone®, OxyIR®, various)
PO 10 to 15min 4 to 6hr 4 to 6hr 20mg PO
Oxycodone (CR)
(OxyContin®, various)
PO 1hr 12hr 12hr 20mg PO
Oxymorphone (IR)(Opana®, various) PO 10mg
Oxymorphone (ER)
(Opana ER®, various)
PO 10mg
Hydrocodone combinations PO 30 to 60min 4 to 6hr 4 to 6hr 30mg PO
Oxycodone combinations PO 10 to 15min 4 to 6hr 4 to 6hr 20mg PO
Codeine combinations PO 30 to 60min 4 to 6hr 4 to 6hr 200mg PO
Fentanyl IV Immediate 30 to 60min 1 to 2hr 100 mcg IV
(0.1mg IV)
SC 15min 30min to 2hr 3 to 6hr 100 mcg SC
(0.1mg SC)
IM 5 to 15min Highly variable
TD 12 to 24hr 72hrs per patch 72hr
Methadone PO  30 to 60min  >8hr
(Chronic use)
 8 to 12hr
(Chronic use)

ER = Extended Release; IR= Immediate Release; CR =Controlled release

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