Table 1.

Time to peak plasma concentration for short-acting opioids

Drug and formulationPopulationTmax (h)
IV morphine (5 mg) Healthy adults 0.03 
Oral morphine liquid (10 mg) Healthy adults 0.75 
Intranasal diamorphine (1 mg/kg) Children with isolated limb fracture 0.17 
Oral oxycodone liquid (10-20 mg) Healthy adults <1.0 
Sublingual fentanyl (Abstral) Opioid-tolerant cancer patients 0.3-2 
Buccal fentanyl lozenge (Actiq; 800 μg) Healthy adults 1.5 
Buccal fentanyl effervescent tablet (Effentora; 400 μg) Healthy adults 0.78 
Drug and formulationPopulationTmax (h)
IV morphine (5 mg) Healthy adults 0.03 
Oral morphine liquid (10 mg) Healthy adults 0.75 
Intranasal diamorphine (1 mg/kg) Children with isolated limb fracture 0.17 
Oral oxycodone liquid (10-20 mg) Healthy adults <1.0 
Sublingual fentanyl (Abstral) Opioid-tolerant cancer patients 0.3-2 
Buccal fentanyl lozenge (Actiq; 800 μg) Healthy adults 1.5 
Buccal fentanyl effervescent tablet (Effentora; 400 μg) Healthy adults 0.78 

Adapted from Telfer et al48  with permission.

Tmax, time to peak plasma concentration.

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