Quality prescribing for chronic pain: guide for improvement 2026-2029
Chronic pain, defined as persistent pain lasting beyond three months, can significantly impact quality of life, affecting physical and mental wellbeing. This guide supports clinicians and people living with chronic pain, using a person-centred approach to pain management.
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. [187]
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