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Example: fentanyl will continue to be released from the skin 12 to 36 hours after removal of the patch. Residual effects from discontinued long-acting formulations should also be assessed before converting a patient to a new opioid.

Conversion ratios in many equianalgesic dosing tables do not apply to repeated doses of opioids

The use of high but ineffective doses of a previous opioid may result in overestimation of the converted opioid.
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References: http://www.globalrph.com/narcoticonv.html

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