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Table 1 Categorisation of patients by opioid strengtha

From: Proactive clinical review of patients taking opioid medicines long term for persistent pain led by clinical pharmacists in primary care teams (PROMPPT): a non-randomised mixed methods feasibility study

Weak

Intermediate

Strong

Co-codamol 8 mg/500 mg

Codeine 30 mg

Morphine

Co-codamol 15/500 mg

Co-codamol 30 mg/500 mg

Oxycodone

Codeine 15 mg

Dihydrocodeine 30 mg

Fentanyl

Codeine 20 mg

Buprenorphine patch ≥ 1 5 mcg/h

Tapentadol

Co-dydramol 10 mg/500 mg

Buprenorphine SL 400 mcg

Diamorphine

Co-dydramol 20 mg/500 mg

Tramadol > 3 7.5 mg

Hydromorphone

Dihydrocodeine 20 mg

Pethidine

Dipipanone

Co-proxamol 32.5 mg/325 mg

Pentazocine

Dextromoramide

Tramadol 37.5 mg/500 mg

Meptazinol

 

Buprenorphine patch 5 or 10 mcg/h

  

Buprenorphine sublingual 200 mcg

  
  1. aHierarchy of analgesic potency arising from a consensus study of UK general practitioners [22]