What does morphine milligram equivalents mean?

Morphine milligram equivalents (MME) or morphine equivalent doses (MED) are values that represent the potency of an opioid dose relative to morphine. MME is intended to help clinicians make safe, appropriate decisions concerning changes to opioid regimens.

What is the equivalent of methadone to morphine?

300 mg morphine equivalent divided by 8 = 37.5 mg methadone per day.

Is codeine equivalent to morphine?

The starting point for dose reduction from the calculated equi-analgesic dose is around 25-50%….Approximate equi-analgesic potencies of opioids for oral administration.

Potency Equivalent dose to 10mg oral morphine
Codeine phosphate 0.1 100mg

What is the strongest anti inflammatory?

“We provide sound evidence that diclofenac 150 mg/day is the most effective NSAID available at present, in terms of improving both pain and function,” writes Dr da Costa.

What are the 10 worst foods for inflammation?

Top 10 Worst Foods for Inflammation

  • Getty Images. 1 of 10. Processed Meats.
  • Getty Images. 2 of 10. Refined Sugar.
  • Getty Images. 3 of 10. Saturated Fats.
  • Getty Images. 4 of 10. Artificial Preservatives and Additives.
  • Pexels. 5 of 10. Gluten.
  • Getty Images. 6 of 10. Artificial Trans Fats.
  • Getty Images. 7 of 10.
  • Getty Images. 8 of 10.

What is the conversion factor for morphine sulfate?

Opioid Conversion Factor (convert to MMEs) Duration (hours) Dose Equivalent Morphine Sulfate (30mg) Codeine 0.15 4-6 200 mg Fentanyl (MCG/hr) 2.4 12.5 mcg/hr** Hydrocodone 1 3-6 30 mg Hydromorphone 4 4-5 7.5 mg Morphine 1 3-6 30 mg Oxycodone 1.5 4-6 20 mg Oxymorphone 3 3-6 10 mg Methadone†

Which is stronger oral morphine or transdermal patch?

not present Opioid (strength in mg except where note MME Conversion Factor Buprenorphine, transdermal patch (MCG/HR 12.6 Buprenorphine, tablet or film 30 Buprenorphine, film (MCG) 0.03 Butorphanol 7

How to calculate equivalent daily dose of opioid?

Determine equivalent daily dose of new opioid by dividing the calculated MMEs of current opioid by new opioid’s conversion factor. Reduce this amount by 25-50% and then divide into appropriate intervals. The dose conversions listed above are an estimateand cannot account for an individual patient’s genetics and pharmacokinetics.

Which is more potent oral morphine or parenteral meperidine?

300mg of oral meperidine. 75mg of parenteral meperidine. Oral Morphine is about 10 times more potent than oral meperidine and about twice more potent as parenteral meperidine (mg for mg) 30mg Oral morphine.