While the app is excellent in assisting pain management providers prescribe opiate medications within a respectable range, I find some major issues:
1. The app does NOT contain the entire gamut of opiates. Although morphine is the absolute gold standard of all decisiveness when trying to prescribe medicine for pain, it leaves two medicines out of any possible equianalgesic dosing - oxymorphone. For people who have this same issue as me, please be aware that oxymorphone is one-half more potent than oxycodone (i.e., 15-20mg oxycodone = 10mg oxymorphone, according to ePocrates) and oxycodone is two-thirds more potent than morphine (i.e., 10mg oxycodone = 15mg morphine, according to that calculation used quite frequently). It also leaves out meperidine/pethidine (even though its a horrible choice for acute pain management - I, myself, am allergic to it).
2. The app does NOT contain all routes of administration. As some of us have mentioned previously, most opiates that are in the app can be administered in other ways than PO (e.g., oxymorphone IV, methadone IV/IM, meperidine/pethidine IM, as earlier mentioned).
3. The app does NOT contain all dosing schedules. Although theres a way to manipulate the dosing schedules in the app to cater to the dosing schedules some of us prefer to have patients (or if a patient uses this, viz. oncology patients, PCA patients) on, the person using the app shouldnt have to manipulate it to get the right schedule. The specialist/patient using the app should have the right to set the dosing schedule to whatever is appropriate.
All in all, its significantly helpful, but as I mentioned, it needs some serious updates. I suggest my own as listed above, but I know Im not the only one who has issues with the app. :P
Three stars out of five until its done correctly.
Sunshine74012 about Opioids Dosage Conversion