Narcotic Conversion Calculator 
 PDA Version   (Internet download)
Try before you Buy!   Before purchasing, download a demo version to make sure the program meets your needs. 
The demo is a full version of the program that expires in 14 days. 
  After you purchase the program, you must register the program here to eliminate the demo mode.  You must know your hotsync username/ Registration ID to register.
Palm OS Users   Pocket PC Users
Palm Users:      Download the Palm Version

When finished testing the program on your PDA device, use this link to purchase the program:   BUY NOW for $21.95

 Pocket PC Users:  Download Pocket PC version

 (1) Download the program using the link below.  (2) Connect your device to your computer (3) Open the .exe file that you downloaded in order to install the program to your device. 

When finished testing the program on your PDA device, use this link to purchase the program:   BUY NOW for $21.95
Purchase this product NOW at www.RegSoft.com Purchase this product NOW at www.RegSoft.com
Features
* Ability to edit equi-analgesic conversion factors if necessary in order  to reflect any changes in the literature.
* Option for converting final output into an  equivalent fentanyl patch strength as long as published guidelines exist for the current dose.
* Ability to choose up to 3 different opiates to convert to a final opiate.
* Ability to reduce the final output based on incomplete cross-tolerance. Several choices are available based on the clinical needs of the patient.
* Methadone conversion algorithms.
Free updates for your CURRENT device only.


 

Operating instructions    TOP
First step: Under 'Converting from' select the first opiate you want converted. Under 'Converting to' select the opiate you want to convert to. Second step: If you click the 'Modify dosage table' button you will be able to see the equianalgesic conversion factors. You may modify these if necessary. Third step: (optional) Using this screen you can select additional opiates to convert in addition to what was selected under 'Converting from' on the first screen. This valuable screen is perfect for patients on multiple opiates and you would like to convert the patient to a single opiate. To advance to the next screen hit the 'Calculate button'
Forth step: This is the final results screen.  The results of the calculator are listed at the top.  The 'Methadone Conversions' option utilizes the calculated morphine equivalents to create a methadone dosing schedule. Fentanyl equivalent dosages. See previous screen for accessing this table. The table below lists the conversions used to determine equivalent fentanyl patch requirements based on the manufacturer's guidelines. Methadone conversion algorithm - User-adjusted Hybrid method:  With this method, you will be able to modify the conversion ratios used to convert from other opiates to methadone. Several dosage ranges (e.g. 0-99 mg, 100-299mg, ...) and the corresponding ratio used to convert from morphine equivalents (mg)  to methadone are listed. If you disagree with the default settings, simply press the dashed box around the numeric range (e.g. 500-990), and you will see a drop down list of choices. Simply select the ratio that you feel is the most appropriate.
Ripamonti C, Groff L, Brunelli C, Polastri D, Stavrakis A, De Conno F.  Switching from morphine to oral methadone in treating cancer pain: what is the equianalgesic dose ratio?  J Clin Oncol 1998 Oct;16(10):3216-21       "A median time of 3 days (range, 1 to 7 days) was necessary to achieve the equianalgesia with oral methadone; the lower the preswitching morphine dose, the fewer days necessary to achieve equianalgesia with oral methadone (P < .001). Dose ratios ranged from 2.5:1 to 14.3:1 (median, 7.75:1)"  
Narcotic conversion tool
If you are involved in pain management, this is a great tool to have on your PDA.  Each time the program is updated, you will be given the opportunity to download the new version.
  Free updates for your CURRENT device only.

Hints for using the program: (1) Whenever you see a dashed box around an object, this means that there is additional information in a secondary window when the object is clicked on.  (2) The drop down menus on the third screen seen below are used only if you are converting more than one opiate at a time. For example if a patient is on hydromorphone IV and oral, as well as IV morphine you could convert all 3 of these to a single opiate (e.g. oral morphine). In this example you would select oral morphine under 'converting to' on the first screen and use the other drop down menus to select the other opiates: hydromorphone oral, hydromorphone IV and morphine IV.
 
General Info

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