High dose long acting opioids (OpenPrescribing) - dm+d



Coding system
Dictionary of Medicines and Devices
Coding system release
unknown
Organisation
OpenSAFELY
Codelist ID
opensafely/high-dose-long-acting-opioids-openprescribing-dmd
Version ID
52f27403

Versions
  • 52f27403

Description

dm+d version of high dose opioid codelist.

Taken from high dose long-acting opioid codelist in OpenPrescribing, with a calculated Oral Morphine Equivalence of ≥120mg a day of a long acting regular opioid.

From OpenPrescribing: "The calculations are based on likely doses of long acting, regular opioids, for example morphine sulphate tablets or fentanyl patches. For example, we have assumed that MST 60mg tablets are “high dose”, as they are usually taken as one tablet twice daily (120mg daily dose), whereas MST 30mg are not, as the daily dose is 60mg. We have not included preparations used for breakthrough pain, e.g. Oramorph, or opioid injections which tend to be used more commonly in palliative care. "

Methodology

See pseudo BNF version for methodology

References

Signed off by

  • Richard Croker, (Aug. 16, 2022)
  • Chris Wood, (Aug. 16, 2022)

Codelists are developed by a broad community of users for individual study purposes, which may or may not meet the needs of other studies. They should not be thought of as universal definitions of a particular condition.

We don't offer any guarantees about what they do or don't identify. Users should carefully check that any codelist meets their needs, and seek clinical input where appropriate.

* dm+d codelists can be downloaded with codes mapped to changed VMPs included - this is the default for an OpenSAFELY project. See the documentation on keeping codelists up to date for more details.

dmd_type dmd_id dmd_name bnf_code
VMP 36057211000001102 Hydromorphone 16mg modified-release capsules 040702050AAAAAA
VMP 36057311000001105 Hydromorphone 24mg modified-release capsules 040702050AAABAB
AMP 4001411000001107 Palladone SR 16mg capsules 040702050BBAFAA
AMP 4004111000001104 Palladone SR 24mg capsules 040702050BBAGAB
VMP 36120211000001106 Fentanyl 50micrograms/hour transdermal patches 0407020A0AAAFAF
AMP 15024011000001104 Fentanyl 50micrograms/hour transdermal patches 0407020A0AAAFAF
AMP 10724911000001106 Fentanyl 50micrograms/hour transdermal patches 0407020A0AAAFAF
AMP 13440811000001103 Fentanyl 50micrograms/hour transdermal patches 0407020A0AAAFAF
VMP 36120311000001103 Fentanyl 75micrograms/hour transdermal patches 0407020A0AAAGAG
AMP 15024211000001109 Fentanyl 75micrograms/hour transdermal patches 0407020A0AAAGAG
AMP 10725111000001107 Fentanyl 75micrograms/hour transdermal patches 0407020A0AAAGAG
AMP 13441011000001100 Fentanyl 75micrograms/hour transdermal patches 0407020A0AAAGAG
VMP 36119911000001103 Fentanyl 100micrograms/hour transdermal patches 0407020A0AAAHAH
AMP 15024411000001108 Fentanyl 100micrograms/hour transdermal patches 0407020A0AAAHAH
AMP 10725311000001109 Fentanyl 100micrograms/hour transdermal patches 0407020A0AAAHAH
AMP 13441211000001105 Fentanyl 100micrograms/hour transdermal patches 0407020A0AAAHAH
AMP 2836411000001102 Durogesic 50micrograms transdermal patches 0407020A0BBABAF
AMP 2836711000001108 Durogesic 75micrograms transdermal patches 0407020A0BBACAG
AMP 2838111000001106 Durogesic 100micrograms transdermal patches 0407020A0BBADAH
AMP 9089911000001100 Durogesic DTrans 50micrograms/hour transdermal patches 0407020A0BBAJAF
AMP 9090111000001109 Durogesic DTrans 75micrograms/hour transdermal patches 0407020A0BBAKAG
AMP 9090311000001106 Durogesic DTrans 100micrograms/hour transdermal patches 0407020A0BBALAH
AMP 9508211000001101 Tilofyl 50micrograms/hour transdermal patches 0407020A0BDABAF
AMP 9508511000001103 Tilofyl 75micrograms/hour transdermal patches 0407020A0BDACAG
AMP 9508911000001105 Tilofyl 100micrograms/hour transdermal patches 0407020A0BDADAH
AMP 11085311000001109 Matrifen 50micrograms/hour transdermal patches 0407020A0BEACAF
AMP 11085711000001108 Matrifen 75micrograms/hour transdermal patches 0407020A0BEADAG
AMP 11085911000001105 Matrifen 100micrograms/hour transdermal patches 0407020A0BEAEAH
AMP 12882011000001103 Mezolar Matrix 50micrograms/hour transdermal patches 0407020A0BFACAF
AMP 12882411000001107 Mezolar Matrix 75micrograms/hour transdermal patches 0407020A0BFADAG
AMP 12882611000001105 Mezolar Matrix 100micrograms/hour transdermal patches 0407020A0BFAEAH
AMP 12874911000001104 Fentalis Reservoir 50micrograms/hour transdermal patches 0407020A0BGABAF
AMP 12875011000001104 Fentalis Reservoir 75micrograms/hour transdermal patches 0407020A0BGACAG
AMP 12875111000001103 Fentalis Reservoir 100micrograms/hour transdermal patches 0407020A0BGADAH
AMP 13567711000001108 Osmach 50micrograms/hour transdermal patches 0407020A0BHABAF
AMP 13567911000001105 Osmach 75micrograms/hour transdermal patches 0407020A0BHACAG
AMP 13568111000001108 Osmach 100micrograms/hour transdermal patches 0407020A0BHADAH
AMP 15302611000001107 Osmanil 50micrograms/hour transdermal patches 0407020A0BLABAF
AMP 15302811000001106 Osmanil 75micrograms/hour transdermal patches 0407020A0BLACAG
AMP 15303011000001109 Osmanil 100micrograms/hour transdermal patches 0407020A0BLADAH
AMP 15363411000001101 Victanyl 50micrograms/hour transdermal patches 0407020A0BMABAF
AMP 15363611000001103 Victanyl 75micrograms/hour transdermal patches 0407020A0BMACAG
AMP 15363811000001104 Victanyl 100micrograms/hour transdermal patches 0407020A0BMADAH
AMP 19487111000001100 Fencino 50micrograms/hour transdermal patches 0407020A0BQACAF
AMP 19487311000001103 Fencino 75micrograms/hour transdermal patches 0407020A0BQADAG
AMP 19487511000001109 Fencino 100micrograms/hour transdermal patches 0407020A0BQAEAH
AMP 23449811000001106 Opiodur 75micrograms/hour transdermal patches 0407020A0BRACAG
AMP 23450011000001105 Opiodur 100micrograms/hour transdermal patches 0407020A0BRADAH
AMP 23450311000001108 Opiodur 50micrograms/hour transdermal patches 0407020A0BRAEAF
AMP 35359511000001107 Opiodur 50micrograms/hour transdermal patches 0407020A0BRAHAF
AMP 35359711000001102 Opiodur 75micrograms/hour transdermal patches 0407020A0BRAIAG
AMP 35359911000001100 Opiodur 100micrograms/hour transdermal patches 0407020A0BRAJAH
AMP 37974911000001105 Opiodur 50micrograms/hour transdermal patches 0407020A0BRAMAF
AMP 37975411000001101 Opiodur 75micrograms/hour transdermal patches 0407020A0BRANAG
AMP 37975711000001107 Opiodur 100micrograms/hour transdermal patches 0407020A0BRAPAH
AMP 24560611000001100 Mylafent 50micrograms/hour transdermal patches 0407020A0BUACAF
AMP 24560811000001101 Mylafent 75micrograms/hour transdermal patches 0407020A0BUADAG
AMP 24561011000001103 Mylafent 100micrograms/hour transdermal patches 0407020A0BUAEAH
AMP 30002211000001101 Yemex 50micrograms/hour transdermal patches 0407020A0BVACAF
AMP 30002711000001108 Yemex 75micrograms/hour transdermal patches 0407020A0BVADAG
AMP 30003011000001102 Yemex 100micrograms/hour transdermal patches 0407020A0BVAEAH
VMP 36130911000001104 Oxycodone 40mg modified-release tablets 0407020ADAAAHAH
VMP 36131511000001104 Oxycodone 80mg modified-release tablets 0407020ADAAAIAI
VMP 18645511000001107 Oxycodone 120mg modified-release tablets 0407020ADAAAPAP
VMP 36131311000001105 Oxycodone 60mg modified-release tablets 0407020ADAAAQAQ
AMP 2897211000001106 OxyContin 40mg modified-release tablets 0407020ADBCACAH
AMP 2898111000001104 OxyContin 80mg modified-release tablets 0407020ADBCADAI
AMP 18641711000001104 OxyContin 120mg modified-release tablets 0407020ADBCAFAP
AMP 18643311000001102 OxyContin 60mg modified-release tablets 0407020ADBCAGAQ
AMP 32196811000001100 Carexil 40mg modified-release tablets 0407020ADBDADAH
AMP 32197311000001107 Carexil 80mg modified-release tablets 0407020ADBDAEAI
AMP 20938111000001106 Longtec 40mg modified-release tablets 0407020ADBEADAH
AMP 20938311000001108 Longtec 80mg modified-release tablets 0407020ADBEAEAI
AMP 29838211000001107 Longtec 120mg modified-release tablets 0407020ADBEAFAP
AMP 29838811000001108 Longtec 60mg modified-release tablets 0407020ADBEAIAQ
AMP 20969211000001103 Oxylan 40mg modified-release tablets 0407020ADBFADAH
AMP 20969411000001104 Oxylan 80mg modified-release tablets 0407020ADBFAEAI
AMP 22420411000001106 Oxylan 40mg modified-release tablets 0407020ADBFAIAH
AMP 22420911000001103 Oxylan 80mg modified-release tablets 0407020ADBFAJAI
AMP 21516811000001107 Candox 40mg modified-release tablets 0407020ADBGADAH
AMP 21516511000001109 Candox 80mg modified-release tablets 0407020ADBGAEAI
AMP 23020811000001107 Dolocodon PR 40mg tablets 0407020ADBIABAH
AMP 24467711000001101 Reltebon 40mg modified-release tablets 0407020ADBKADAH
AMP 24467911000001104 Reltebon 80mg modified-release tablets 0407020ADBKAEAI
AMP 27993311000001101 Reltebon 60mg modified-release tablets 0407020ADBKAHAQ
AMP 29676711000001106 Oxeltra 80mg modified-release tablets 0407020ADBLABAI
AMP 29677411000001103 Oxeltra 60mg modified-release tablets 0407020ADBLADAQ
AMP 29677611000001100 Oxeltra 40mg modified-release tablets 0407020ADBLAEAH
AMP 30720811000001109 Abtard 40mg modified-release tablets 0407020ADBMAEAH
AMP 30721411000001103 Abtard 60mg modified-release tablets 0407020ADBMAGAQ
AMP 30721711000001109 Abtard 80mg modified-release tablets 0407020ADBMAHAI
AMP 32133511000001104 Zomestine 80mg modified-release tablets 0407020ADBNAAAI
AMP 32136711000001102 Zomestine 40mg modified-release tablets 0407020ADBNABAH
AMP 33629811000001105 Leveraxo 40mg modified-release tablets 0407020ADBPAEAH
AMP 33630011000001105 Leveraxo 60mg modified-release tablets 0407020ADBPAFAQ
AMP 33630211000001100 Leveraxo 80mg modified-release tablets 0407020ADBPAGAI
AMP 34052211000001105 Onexila XL 80mg tablets 0407020ADBQADAI
AMP 35542911000001106 Renocontin 40mg modified-release tablets 0407020ADBRAFAH
AMP 35543311000001100 Renocontin 60mg modified-release tablets 0407020ADBRAGAQ
AMP 35847011000001108 Oxypro 40mg modified-release tablets 0407020ADBSAFAH
AMP 35847211000001103 Oxypro 60mg modified-release tablets 0407020ADBSAGAQ
AMP 35847411000001104 Oxypro 80mg modified-release tablets 0407020ADBSAHAI
AMP 35857911000001109 Ixyldone 40mg modified-release tablets 0407020ADBTAFAH
AMP 35858711000001108 Ixyldone 60mg modified-release tablets 0407020ADBTAGAQ
AMP 35859011000001101 Ixyldone 80mg modified-release tablets 0407020ADBTAHAI
VMP 15852811000001104 Oxycodone 40mg / Naloxone 20mg modified-release tablets 0407020AFAAADAD
AMP 15851311000001104 Targinact 40mg/20mg modified-release tablets 0407020AFBBADAD
AMP 38420311000001107 Myloxifin 40mg/20mg modified-release tablets 0407020AFBCACAD
AMP 38802811000001102 Oxyargin 40mg/20mg modified-release tablets 0407020AFBDADAD
VMP 18671911000001101 Tapentadol 150mg modified-release tablets 0407020AGAAAEAE
VMP 18672011000001108 Tapentadol 200mg modified-release tablets 0407020AGAAAFAF
VMP 18672111000001109 Tapentadol 250mg modified-release tablets 0407020AGAAAGAG
AMP 18664411000001101 Palexia SR 150mg tablets 0407020AGBBAEAE
AMP 18664711000001107 Palexia SR 200mg tablets 0407020AGBBAFAF
AMP 18665211000001104 Palexia SR 250mg tablets 0407020AGBBAGAG
AMP 39585511000001109 Ationdo SR 150mg tablets 0407020AGBCADAE
AMP 39585711000001104 Ationdo SR 200mg tablets 0407020AGBCAEAF
AMP 39585911000001102 Ationdo SR 250mg tablets 0407020AGBCAFAG
VMP 35913811000001106 Buprenorphine 52.5micrograms/hour transdermal patches 0407020B0AAAFAF
VMP 35913911000001101 Buprenorphine 70micrograms/hour transdermal patches 0407020B0AAAGAG
AMP 3448811000001101 Transtec 52.5micrograms/hour transdermal patches 0407020B0BDABAF
AMP 3449311000001104 Transtec 70micrograms/hour transdermal patches 0407020B0BDACAG
AMP 23446411000001102 Hapoctasin 52.5micrograms/hour transdermal patches 0407020B0BGABAF
AMP 23446611000001104 Hapoctasin 70micrograms/hour transdermal patches 0407020B0BGACAG
AMP 32484411000001105 Bupeaze 52.5micrograms/hour transdermal patches 0407020B0BIABAF
AMP 32484611000001108 Bupeaze 70micrograms/hour transdermal patches 0407020B0BIACAG
AMP 32643211000001102 Prenotrix 52.5micrograms/hour transdermal patches 0407020B0BJABAF
AMP 32643711000001109 Prenotrix 70micrograms/hour transdermal patches 0407020B0BJACAG
AMP 33546411000001107 Buplast 52.5micrograms/hour transdermal patches 0407020B0BNABAF
AMP 33548111000001103 Buplast 70micrograms/hour transdermal patches 0407020B0BNACAG
AMP 34172311000001107 Relevtec 52.5micrograms/hour transdermal patches 0407020B0BPABAF
AMP 34172111000001105 Relevtec 70micrograms/hour transdermal patches 0407020B0BPACAG
AMP 34911911000001105 Turgeon 52.5micrograms/hour transdermal patches 0407020B0BSABAF
AMP 34912111000001102 Turgeon 70micrograms/hour transdermal patches 0407020B0BSACAG
AMP 35543911000001104 Carlosafine 52.5micrograms/hour transdermal patches 0407020B0BTABAF
AMP 35544111000001100 Carlosafine 70micrograms/hour transdermal patches 0407020B0BTACAG
VMP 36127011000001100 Morphine 200mg modified-release tablets 0407020Q0AAAGAG
AMP 16653411000001104 Morphine 200mg modified-release tablets 0407020Q0AAAGAG
VMP 36126211000001108 Morphine 100mg modified-release tablets 0407020Q0AAAHAH
VMP 36127711000001103 Morphine 60mg modified-release tablets 0407020Q0AAAIAI
VMP 4110911000001104 Morphine 60mg modified-release granules sachets sugar free 0407020Q0AADCDC
VMP 4110711000001101 Morphine 100mg modified-release granules sachets sugar free 0407020Q0AADDDD
VMP 4110811000001109 Morphine 200mg modified-release granules sachets sugar free 0407020Q0AADEDE
VMP 36127811000001106 Morphine 90mg modified-release capsules 0407020Q0AADUDU
VMP 36126611000001105 Morphine 120mg modified-release capsules 0407020Q0AADVDV
VMP 36126711000001101 Morphine 150mg modified-release capsules 0407020Q0AADWDW
VMP 36125811000001101 Morphine 100mg modified-release capsules 0407020Q0AAEBEB
VMP 36127611000001107 Morphine 60mg modified-release capsules 0407020Q0AAEHEH
VMP 36126911000001104 Morphine 200mg modified-release capsules 0407020Q0AAEIEI
AMP 2883211000001103 MST Continus 60mg tablets 0407020Q0BBACAI
AMP 2883611000001101 MST Continus 100mg tablets 0407020Q0BBADAH
AMP 394011000001106 MST Continus 200mg tablets 0407020Q0BBAEAG
AMP 4088311000001108 MST Continus suspension 60mg granules sachets 0407020Q0BBAHDC
AMP 4088611000001103 MST Continus suspension 100mg granules sachets 0407020Q0BBAIDD
AMP 4089211000001105 MST Continus suspension 200mg granules sachets 0407020Q0BBAJDE
AMP 3883211000001109 MXL 120mg capsules 0407020Q0BIADDV
AMP 3882911000001107 MXL 150mg capsules 0407020Q0BIAEDW
AMP 4388011000001106 MXL 200mg capsules 0407020Q0BIAFEI
AMP 3882211000001103 Morcap SR 100mg capsules 0407020Q0BJACEB
AMP 3778011000001102 Zomorph 60mg modified-release capsules 0407020Q0BKACEH
AMP 3881611000001107 Zomorph 100mg modified-release capsules 0407020Q0BKADEB
AMP 4035511000001101 Zomorph 200mg modified-release capsules 0407020Q0BKAEEI
AMP 93411000001103 Filnarine SR 60mg tablets 0407020Q0BMACAI
AMP 219511000001108 Filnarine SR 100mg tablets 0407020Q0BMADAH
AMP 14930611000001104 Filnarine SR 200mg tablets 0407020Q0BMAEAG
AMP 4527211000001108 Morphgesic SR 60mg tablets 0407020Q0BNACAI
AMP 4527911000001104 Morphgesic SR 100mg tablets 0407020Q0BNADAH
AMP 4527411000001107 Rhotard Morphine SR 60mg tablets 0407020Q0BPACAI
AMP 4528311000001104 Rhotard Morphine SR 100mg tablets 0407020Q0BPADAH

* Note that this is the full list of explicitly included dm+d codes for this codelist. An OpenSAFELY project will by default also include previous or subsequent codes for any included VMPs that may have changed code. See the documentation on keeping codelists up to date for more details.