Methadone Starting Dose From Another Opioid (FDA Label)

The estimated starting oral methadone dose from another oral opioid, by the FDA label's percentage table.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Coming from
From another oral opioid (morphine equivalents)
Total daily oral morphine-equivalent dose
100 mg
Methadone doses a day
2
Tablet strength in mg
5 mg tablets

Result: 10% to 20%, which is 10 mg to 20 mg a day; in 2 doses, 5 mg to 10 mg each

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Coming from: another oral opioid, or parenteral methadone
  • Total daily oral morphine-equivalent dose (from another oral opioid)
  • Methadone doses a day (from another oral opioid)
  • Tablet strength in mg (from another oral opioid)
  • Parenteral methadone dose over 24 hours (from parenteral methadone)
How this is calculated

Citation

FDA label on DailyMed: methadone hydrochloride tablets (Hikma), section 2.4, Table 1 (conversion factors to methadone as a percent of the total daily morphine equivalent dose; one way only) and the 1:2 parenteral to oral ratio. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.