When an equivalent generic drug becomes available, the brand BELBUCA FILM 600mcg, 750mcg, 900mcg. 3. ST, PA; High Strength. Requires
Belbuca buccal film: Pain indication, approved for use 1 or 2x/day. Doses available are 75/150, /900mcg films. 75mcg = 3 OME. Would generally
BELBUCA may not provide adequate analgesia for patients requiring greater than 160 mg oral morphine equivalent per day. Consider the use of an alternate
benzhydrocodone is equivalent to 7.5 mg of hydrocodone bitartrate. Buprenorphine Buccal Film (Belbuca). 1800mcg. 2 units/day. Tramadol ER
Arymo ER morphine sulfate ER tablets. Avinza morphine sulfate ER capsules. Belbuca buprenorphine buccal film. Butrans buprenorphine transdermal
Belbuca buccal film: Pain indication, approved for use 1 or 2x/day. Doses available are 75/150, /900mcg films. 75mcg = 3 OME. Would generally recommend hrs of withdrawal from short-acting full agonist to avoid precipitated withdrawal, though may not be necessary if pre-conversion dose is low. Does not require X-number.
Opioid Conversion Guide Prescribing BELBUCA Resources Efficacy Safety Note for oxycodone conversions: An equivalent amount of oxycodone is in each
Consider the use of an alternate analgesic. Table 1: Initial BELBUCA Dose Based on Prior Opioid Expressed as Oral Morphine Sulfate Equivalents BELBUCA 900 mcg
But Belbuca's bioavailability is about 1.5-2x that of Suboxone, so 8mg Suboxone is closer to mcg Belbuca than 8000. The highest available dose of Belbuca is 900mcg, and if someone needs more than 2 of those per day (1.8mg), they really ought to just get the 2mg generic bupe tabs which are significantly cheaper.
Regards, Jack