Hydromorphone Conversion Dilemma: A Millennial Problem

We read with great interest the recent study by Reddy et al. (2017) which recommended a new opioid conversion ratio of 1 mg intravenous (IV) hydromorphone to 2.5 mg oral (PO) hydromorphone and 11.46 mg of oral morphine equivalent daily dose (MEDD).1 The authors have adapted this ratio at their institution and conclude that utilizing these new ratios may allow for more rapid opioid titrations, improved pain management, and may ultimately decrease hospital length of stay.1

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