Whoever created this form letter, I don’t know what MME opiate conversion program that was used but I have never seen any one of those prgms that there is a 6:1 ratio between Morphine and Oxycodone… but they state quite PLAINLY in this letter that 20 mg of Oxycodone = 120mg of Morphine.
It is commonly PRESUMED that the ratio between Oxycodone and Morphine is 1:1.5 whereas 20 mg of Oxycodone = 30 mg of Morphine and there is no clinical studies that validates this conversion presumption is accurate and/or reproducible from pt to pt, and totally ignores any therapeutic dosing that should be considered for a pt’s variance in their CYP-450 opiate metabolism.
I have been told that in TEXAS that the state medical licensing board is charging pharmacist with practicing medicine without a license for changing, stopping a pt’s therapy. If one state is doing it, how long before others follow ?
Filed under: General Problems
I would love how to hold AMA and pharmacy boards accountable for not stopping these letters and changes to doctors perscription? I can’t believe the AMA themselves are not getting an attorney to fight CDC weaponization in court! The AMA have said they advocate against this but they need to get mad these are American doctors that are allowing government to do this to thousands of pain patients.