Morphine milligram equivalent

    • Morphine Milligram Equivalents (MMEs) - U.S. Food and Drug ...

      CDER/FDA What is an MME? Definition: The amount of milligrams of morphine an opioid dose is equal to when prescribed. Calculating MME accounts for differences in opioid drug type and strength. a...


    • [PDF File]Opioid Oral Morphine Milligram Equivalent (MME) Conversion ...

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      Opioid Oral Morphine Milligram Equivalent (MME) Conversion Factors. i,ii. Type of Opioid (strength units) MME Conversion Factor . Buprenorphine film/tablet. iii (mg) Buprenorphine patch. iii (mcg/hr) Buprenorphine film. iii (mcg) Butorphanol (mg) 7 Codeine (mg) 0.15 Dihydrocodeine (mg) 0.25 Fentanyl buccal or SL tablets, or lozenge/troche. iv ...


    • [PDF File]Common Opioid Oral Morphine Milligram Equivalent (MME ...

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      Common Opioid Oral Morphine Milligram Equivalent (MME) Conversion Factors To calculate daily MME MME/day = Dose size x Doses/Day x MME Factor Example: Tramadol 50 mg BID 50 mg/dose x 2 Doses/day x 0.1 = 10 mg/day NOTES Buprenorphine used for opioid use disorder is exempt from daily MME restrictions.


    • [PDF File]Guidelines for Prescribing Opioids for Chronic Pain Factsheet

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      increasing dosage to ≥50 morphine milligram equivalents (MME)/day, and should avoid increasing dosage to ≥90 MME/day or carefully justify a decision to titrate dosage to ≥90 MME/day. Long-term opioid use often begins with treatment of acute pain. When opioids are used for acute pain, clinicians should prescribe the lowest effective dose of


    • [PDF File]Calculating Total Daily Dose of Opioids For Safer Dosage

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      CALCULATING TOTAL DAILY DOSE OF OPIOIDS FOR SAFER DOSAGE Higher Dosage, Higher Risk. Higher dosages of opioids are associated with higher risk of overdose and death—even relatively low dosages (20-50 morphine milligram equivalents (MME) per day) increase risk. Higher dosages haven’t been shown to reduce pain over the long term.


    • Morphine Milligram Equivalents: Current Applications and ...

      morphine or equivalent doses of 500mg/24 hours or more), in elderly or frail patients (intolerable undesirable effects). • Dose equivalents and changing opioids | Faculty of Pain Medicine (fpm ...


    • [PDF File]ORAL MORPHINE MILLIGRAM EQUIVALENT CONVERSION TABLE Updated 8 ...

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      CALCULATION OF DAILY MORPHINE EQUIVALENT DOSE (MED) Strength per Unit X (Number of Units/ Days Supply) X MME conversion factor = Daily MED Example: 10 mg oxycodone tablets X (120 tablets/ 30 days) X 1.5 = 60 Daily MED Example: 25 µg/hr fentanyl patch X (10 patches/ 30 days) X 7.2 = 60 Daily MED


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