Quality prescribing for chronic pain 2026-2029: consultation
We are consulting on this draft updated chronic pain prescribing guidance. This guide aims to aim to support healthcare professionals and individuals navigating the complexities of chronic pain management.
Closed
This consultation closed 31 October 2025.
View this consultation on consult.gov.scot, including responses once published.
16. Appendix C: Opioid dose conversion chart
Opioid dose conversion chart – equivalent to morphine sulfate 10mg orally
There are a variety of opioid dose conversion charts available.
Currently the preferred version is the BNF which aligns with the Faculty of Pain Management and Scottish palliative care guidelines. [186]
If a different dose conversion is used this should be specified as should the date/version of the conversion used (due to regular updates).
If converting from one opioid to another, individuals should be monitored to assess effectiveness and adverse reactions.
| Opioid and route of administration | Equivalent dose of 10mg or oral morphine sulfate |
|---|---|
| Codeine: oral | 100mg |
| Dihydrocodeine: oral | 100mg |
| Oxycodone: oral | 6.6mg |
| Tramadol: oral | 100mg |
| Buprenorphine: transdermal patch | 4.16 micrograms/hour |
| Fentanyl: transdermal patch | 4.16 micrograms/hour |
Contact
Email: EPandT@gov.scot