Long acting opioids 50mg to 119mg per day OME

Codelist metadata

Coding system
Pseudo BNF
Coding system release
86 (2024-01-01)
Organisation
OpenSAFELY
Codelist ID
opensafely/long-acting-opioids-50mg-to-119mg-per-day-ome
Version ID
74114984
Number of codes included
80

Versions

About

Description

User requirements

A codelist is needed of all long acting opioids with an oral morphine equivalence (OME) of 50-119mg per day - used for analgesia (any route) excluding cough suppression, motility, general anaesthesia, opiate use disorder - this is for a project looking at opioid prescribing for patients on hospital waiting lists.

Sensitivity versus specificity

Any opioid as a modified release formulation or transdermal patch with daily OME 50-119mg based on standard dosing.

Opioid equivalence - https://fpm.ac.uk/opioids-aware-structured-approach-opioid-prescribing/dose-equivalents-and-changing-opioids

Existing relevant codelists

Nil

Methodology

Search terms / synonyms / search strategy

BigQuery used to identify relevant products from BNF data. dm+d data used to filter for modified release/patch versions as appropriate. Faculty of Pain Medicine OME conversions used to calculate daily OME - usual licensed dosing used to determine OME (for example morphine sulphate MR products licensed for twice a day administration (with exception of MXL) - so if prescribed 60mg tablet assume taking twice a day (120mg / day total) - or for MXL assume taking once a day so would be prescribed 120mg tablet to meet 120mg/day total.

SELECT DISTINCT presentation_code as code, presentation as term FROM hscic.bnf p INNER JOIN dmd.vmp vmp ON CONCAT(SUBSTR(p.presentation_code,0,9),'AA', SUBSTR(p.presentation_code,-2), SUBSTR(p.presentation_code,-2)) = vmp.bnf_code INNER JOIN dmd.vpi AS vpi ON vmp.id = vpi.vmp INNER JOIN dmd.ont AS ont ON vmp.id = ont.vmp INNER JOIN dmd.ontformroute AS route ON ont.form = route.cd WHERE ((vpi.ing = (60886004) AND route.descr LIKE '%modified-release.oral' AND p.presentation NOT LIKE '%MXL%' AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) >=25 AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) <60) /* Morphine Sulfate MR oral preps [excluding MXL as 24hr] (ing code) */ OR (vpi.ing = (60886004) AND route.descr LIKE '%modified-release.oral' AND p.presentation LIKE '%MXL%' AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) >=50 AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) <120) /* MXL (24hr release) (ing code) */ OR (vpi.ing = 387024006 AND route.descr LIKE '%modified-release.oral' AND p.presentation NOT LIKE '%Onexila%' AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) >=17 AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) <40) /* Oxycodone MR oral preps [excluding Onexila as 24hr] (ing code) */ OR (vpi.ing = 387024006 AND route.descr LIKE '%modified-release.oral' AND p.presentation LIKE '%Onexila%' AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) >=33 AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) <80) /* Onexila MR (24hr release) (ing code) */ OR (vpi.ing IN (442699004,441757005,40755011000001109) AND route.descr LIKE '%modified-release.oral' AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) >=63 AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) <150) /* Tapentadol HCl/Phosphate MR oral preps (ing code) */ OR (vpi.ing IN (386858008, 108505002) AND route.descr LIKE '%modified-release.oral' AND (p.presentation NOT LIKE '%Tradorec XL%' AND p.presentation NOT LIKE '%Zamadol 24hr%' AND p.presentation NOT LIKE '%Zydol XL%' AND p.presentation NOT LIKE '%Dromadol XL%') AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) >=250 AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) <600) /* Tramadol HCl/ Tramadol MR 12 hour oral preps (ing code) */ OR (vpi.ing IN (386858008, 108505002) AND route.descr LIKE '%modified-release.oral' AND (p.presentation LIKE '%Tradorec XL%' OR p.presentation LIKE '%Zamadol 24hr%' OR p.presentation LIKE '%Zydol XL%' OR p.presentation LIKE '%Dromadol XL%') AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) >=500 AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) <1200) /* Tramadol HCl/ Tramadol MR 24 hour oral preps (ing code) */ OR (vpi.ing IN (44508008, 387485001) AND route.descr LIKE '%modified-release.oral' AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) >=5 AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) <12) /* Hydromorphone (ing code) */ OR (vpi.ing IN (322538006, 387322000) AND route.descr LIKE '%modified-release.oral' AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) >=250 AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) <600) /* Dihydrocodeine (ing code) */ OR (vpi.ing = (387173000) AND route.descr LIKE 'patch.transdermal' AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) >20 AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) <52) /* Buprenorphine patches (ing code) */ OR (vpi.ing = 373492002 AND route.descr = 'patch.transdermal' AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) >=25 AND strnt_nmrtr_val/(COALESCE(strnt_dnmtr_val,1)) <50)) /* Fentanyl patches (ing code) */ GROUP BY code, term

Inclusion criteria for codes

Any modified release or transdermal opioid with daily OME 50-119mg (based on licensed dosing).

Exclusion criteria for codes

NA

Borderline cases

NA

References

Signed off by

  • Chris Wood, (Feb. 6, 2024)
  • Vicky Speed, (Feb. 6, 2024)

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.

Chapter 04: Central Nervous System

  • Status:
    Included
    Name:
    Abtard 20mg modified-release tablets
    Code:
    (0407020ADBMADAG)
  • Status:
    Included
    Name:
    Abtard 30mg modified-release tablets
    Code:
    (0407020ADBMAFAR)
  • Status:
    Included
    Name:
    Ationdo SR 100mg tablets
    Code:
    (0407020AGBCACAD)
  • Status:
    Included
    Name:
    Bupeaze 35micrograms/hour transdermal patches
    Code:
    (0407020B0BIAAAE)
  • Status:
    Included
    Name:
    Buplast 35micrograms/hour transdermal patches
    Code:
    (0407020B0BNAAAE)
  • Status:
    Included
    Name:
    Buprenorphine 35micrograms/hour transdermal patches
    Code:
    (0407020B0AAAEAE)
  • Status:
    Included
    Name:
    Candox 20mg modified-release tablets
    Code:
    (0407020ADBGABAG)
  • Status:
    Included
    Name:
    Carexil 20mg modified-release tablets
    Code:
    (0407020ADBDACAG)
  • Status:
    Included
    Name:
    Carlosafine 35micrograms/hour transdermal patches
    Code:
    (0407020B0BTAAAE)
  • Status:
    Included
    Name:
    Dolocodon PR 20mg tablets
    Code:
    (0407020ADBIAAAG)
  • Status:
    Included
    Name:
    Durogesic 25micrograms transdermal patches
    Code:
    (0407020A0BBAAAE)
  • Status:
    Included
    Name:
    Durogesic DTrans 25micrograms/hour transdermal patches
    Code:
    (0407020A0BBAIAE)
  • Status:
    Included
    Name:
    Fencino 25micrograms/hour transdermal patches
    Code:
    (0407020A0BQABAE)
  • Status:
    Included
    Name:
    Fentalis Reservoir 25micrograms/hour transdermal patches
    Code:
    (0407020A0BGAAAE)
  • Status:
    Included
    Name:
    Fentanyl 25micrograms/hour transdermal patches
    Code:
    (0407020A0AAAEAE)
  • Status:
    Included
    Name:
    Fentanyl 37.5microgram/hour transdermal patches
    Code:
    (0407020A0AABWBW)
  • Status:
    Included
    Name:
    Filnarine SR 30mg tablets
    Code:
    (0407020Q0BMABAL)
  • Status:
    Included
    Name:
    Hapoctasin 35micrograms/hour transdermal patches
    Code:
    (0407020B0BGAAAE)
  • Status:
    Included
    Name:
    Hydromorphone 8mg modified-release capsules
    Code:
    (040702050AAACAC)
  • Status:
    Included
    Name:
    Ixyldone 20mg modified-release tablets
    Code:
    (0407020ADBTADAG)
  • Status:
    Included
    Name:
    Ixyldone 30mg modified-release tablets
    Code:
    (0407020ADBTAEAR)
  • Status:
    Included
    Name:
    Leveraxo 20mg modified-release tablets
    Code:
    (0407020ADBPACAG)
  • Status:
    Included
    Name:
    Leveraxo 30mg modified-release tablets
    Code:
    (0407020ADBPADAR)
  • Status:
    Included
    Name:
    Longtec 20mg modified-release tablets
    Code:
    (0407020ADBEACAG)
  • Status:
    Included
    Name:
    Longtec 30mg modified-release tablets
    Code:
    (0407020ADBEAHAR)
  • Status:
    Included
    Name:
    MST Continus 30mg tablets
    Code:
    (0407020Q0BBABAL)
  • Status:
    Included
    Name:
    MST Continus suspension 30mg granules sachets
    Code:
    (0407020Q0BBAGCP)
  • Status:
    Included
    Name:
    MXL 60mg capsules
    Code:
    (0407020Q0BIABEH)
  • Status:
    Included
    Name:
    MXL 90mg capsules
    Code:
    (0407020Q0BIACDU)
  • Status:
    Included
    Name:
    Matrifen 25micrograms/hour transdermal patches
    Code:
    (0407020A0BEABAE)
  • Status:
    Included
    Name:
    Mezolar Matrix 25micrograms/hour transdermal patches
    Code:
    (0407020A0BFABAE)
  • Status:
    Included
    Name:
    Mezolar Matrix 37.5microgram/hour transdermal patches
    Code:
    (0407020A0BFAFBW)
  • Status:
    Included
    Name:
    Morcap SR 50mg capsules
    Code:
    (0407020Q0BJABEA)
  • Status:
    Included
    Name:
    Morphgesic SR 30mg tablets
    Code:
    (0407020Q0BNABAL)
  • Status:
    Included
    Name:
    Morphine 30mg modified-release capsules
    Code:
    (0407020Q0AAEGEG)
  • Status:
    Included
    Name:
    Morphine 30mg modified-release granules sachets sugar free
    Code:
    (0407020Q0AACPCP)
  • Status:
    Included
    Name:
    Morphine 30mg modified-release tablets
    Code:
    (0407020Q0AAALAL)
  • Status:
    Included
    Name:
    Morphine 50mg modified-release capsules
    Code:
    (0407020Q0AAEAEA)
  • Status:
    Included
    Name:
    Mylafent 25micrograms/hour transdermal patches
    Code:
    (0407020A0BUABAE)
  • Status:
    Included
    Name:
    Myloxifin 20mg/10mg modified-release tablets
    Code:
    (0407020AFBCABAB)
  • Status:
    Included
    Name:
    Onexila XL 40mg tablets
    Code:
    (0407020ADBQACAH)
  • Status:
    Included
    Name:
    Opiodur 25micrograms/hour transdermal patches (Pfizer)
    Code:
    (0407020A0BRABAE)
  • Status:
    Included
    Name:
    Opiodur 25micrograms/hour transdermal patches (RX Farma)
    Code:
    (0407020A0BRAGAE)
  • Status:
    Included
    Name:
    Opiodur 25micrograms/hour transdermal patches (Zentiva)
    Code:
    (0407020A0BRALAE)
  • Status:
    Included
    Name:
    Osmach 25micrograms/hour transdermal patches
    Code:
    (0407020A0BHAAAE)
  • Status:
    Included
    Name:
    Osmanil 25micrograms/hour transdermal patches
    Code:
    (0407020A0BLAAAE)
  • Status:
    Included
    Name:
    Oxeltra 20mg modified-release tablets
    Code:
    (0407020ADBLAHAG)
  • Status:
    Included
    Name:
    Oxeltra 30mg modified-release tablets
    Code:
    (0407020ADBLACAR)
  • Status:
    Included
    Name:
    OxyContin 20mg modified-release tablets
    Code:
    (0407020ADBCABAG)
  • Status:
    Included
    Name:
    OxyContin 30mg modified-release tablets
    Code:
    (0407020ADBCAHAR)
  • Status:
    Included
    Name:
    Oxyargin 20mg/10mg modified-release tablets
    Code:
    (0407020AFBDACAB)
  • Status:
    Included
    Name:
    Oxycodone 20mg / Naloxone 10mg modified-release tablets
    Code:
    (0407020AFAAABAB)
  • Status:
    Included
    Name:
    Oxycodone 20mg modified-release tablets
    Code:
    (0407020ADAAAGAG)
  • Status:
    Included
    Name:
    Oxycodone 30mg modified-release tablets
    Code:
    (0407020ADAAARAR)
  • Status:
    Included
    Name:
    Oxylan 20mg modified-release tablets (Actavis)
    Code:
    (0407020ADBFAHAG)
  • Status:
    Included
    Name:
    Oxylan 20mg modified-release tablets (Chanelle Medical)
    Code:
    (0407020ADBFACAG)
  • Status:
    Included
    Name:
    Oxypro 20mg modified-release tablets
    Code:
    (0407020ADBSADAG)
  • Status:
    Included
    Name:
    Oxypro 30mg modified-release tablets
    Code:
    (0407020ADBSAEAR)
  • Status:
    Included
    Name:
    Palexia SR 100mg tablets
    Code:
    (0407020AGBBADAD)
  • Status:
    Included
    Name:
    Palladone SR 8mg capsules
    Code:
    (040702050BBAEAC)
  • Status:
    Included
    Name:
    Prenotrix 35micrograms/hour transdermal patches
    Code:
    (0407020B0BJAAAE)
  • Status:
    Included
    Name:
    Relevtec 35micrograms/hour transdermal patches
    Code:
    (0407020B0BPAAAE)
  • Status:
    Included
    Name:
    Reltebon 20mg modified-release tablets
    Code:
    (0407020ADBKACAG)
  • Status:
    Included
    Name:
    Reltebon 30mg modified-release tablets
    Code:
    (0407020ADBKAGAR)
  • Status:
    Included
    Name:
    Renocontin 20mg modified-release tablets
    Code:
    (0407020ADBRADAG)
  • Status:
    Included
    Name:
    Renocontin 30mg modified-release tablets
    Code:
    (0407020ADBRAEAR)
  • Status:
    Included
    Name:
    Rhotard Morphine SR 30mg tablets
    Code:
    (0407020Q0BPABAL)
  • Status:
    Included
    Name:
    Tapentadol 100mg modified-release capsules
    Code:
    (0407020AHAAABAB)
  • Status:
    Included
    Name:
    Tapentadol 100mg modified-release tablets
    Code:
    (0407020AGAAADAD)
  • Status:
    Included
    Name:
    Tapimio 100mg modified-release capsules
    Code:
    (0407020AHBBABAB)
  • Status:
    Included
    Name:
    Targinact 20mg/10mg modified-release tablets
    Code:
    (0407020AFBBABAB)
  • Status:
    Included
    Name:
    Tilofyl 25micrograms/hour transdermal patches
    Code:
    (0407020A0BDAAAE)
  • Status:
    Included
    Name:
    Tramadol 300mg modified-release tablets
    Code:
    (040702040AAAMAM)
  • Status:
    Included
    Name:
    Tramadol 400mg modified-release tablets
    Code:
    (040702040AAANAN)
  • Status:
    Included
    Name:
    Transtec 35micrograms/hour transdermal patches
    Code:
    (0407020B0BDAAAE)
  • Status:
    Included
    Name:
    Turgeon 35micrograms/hour transdermal patches
    Code:
    (0407020B0BSAAAE)
  • Status:
    Included
    Name:
    Victanyl 25micrograms/hour transdermal patches
    Code:
    (0407020A0BMAAAE)
  • Status:
    Included
    Name:
    Yemex 25micrograms/hour transdermal patches
    Code:
    (0407020A0BVABAE)
  • Status:
    Included
    Name:
    Zomestine 20mg modified-release tablets
    Code:
    (0407020ADBNAEAG)
  • Status:
    Included
    Name:
    Zomorph 30mg modified-release capsules
    Code:
    (0407020Q0BKABEG)