Usual Adult Dose for Pain:
Extended-release capsules:
Different extended-release products are not bioequivalent. Conversion from one extended-release product to the same total daily dose of another extended-release product may lead to either excessive sedation at peak or inadequate analgesia at trough. Individual product information should be consulted before prescribing and the dosage should be adjusted to the individual patient.
Opioid naive:
Initial dose: 30 mg orally every 24 hours
Opioid tolerant:
Appropriate dose should be taken 1 to 2 times daily.
 Detailed Kadian dosage information
What happens if I miss a dose?
Kadian is usually taken once per day (every 24 hours) or twice daily (every 12 hours). Since this medicine is used for pain, you are not likely to miss a dose. If you do miss a dose, take a dose as soon as you remember. Then take your next dose as follows:
If you take Kadian 1 time per day: Take your next dose 24 hours after taking the missed dose.
If you take Kadian 2 times per day: Take your next dose 12 hours after taking the missed dose.
Do not take two doses at one time. Do not take more than your prescribed dose in a 24-hour period.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can be fatal, especially in a child or person using opioid medicine without a prescription. Overdose symptoms may include severe drowsiness, pinpoint pupils, slow breathing, or no breathing.
Your doctor may recommend you get naloxone (a medicine to reverse an opioid overdose) and keep it with you at all times. A person caring for you can give the naloxone if you stop breathing or don't wake up. Your caregiver must still get emergency medical help and may need to perform CPR (cardiopulmonary resuscitation) on you while waiting for help to arrive.
Anyone can buy naloxone from a pharmacy or local health department. Make sure any person caring for you knows where you keep naloxone and how to use it.
