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Online Medical Tools — Opioid MME

Printed on 2/13/2026

For informational purposes only. This is not medical advice.


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Opioid MME

This calculator converts opioid doses to morphine milligram equivalents (MME) using CDC conversion factors. MME standardizes opioid prescribing by providing a common unit to compare potency across different opioids. The CDC recommends caution at ≥50 MME/day and avoiding or carefully justifying ≥90 MME/day due to significantly increased overdose risk.

Formula: MME = Daily Dose × Conversion Factor

Disclaimer: This tool is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about your health.

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Frequently Asked Questions

What is MME?

Morphine Milligram Equivalents (MME) is a standardized value that represents the potency of an opioid dose relative to morphine. It allows comparison of different opioid medications on a common scale. For example, 10 mg of oxycodone = 15 MME because oxycodone's conversion factor is 1.5.

What are the CDC opioid thresholds?

CDC 2022 guidelines: < 50 MME/day is standard risk. 50–89 MME/day carries increased risk — reassess and consider adding non-opioid therapies. ≥ 90 MME/day has significantly increased overdose risk — avoid if possible or carefully justify and implement safeguards like naloxone.

Are conversion factors exact?

No. Conversion factors are approximations meant to guide clinical decision-making. Individual patient factors (tolerance, genetics, organ function, drug interactions) affect opioid response. These factors should not be used for direct dose conversion between opioids without appropriate clinical judgment and safety reductions.

What about methadone?

Methadone conversion is complex because the factor increases at higher doses due to its long half-life and NMDA receptor activity. The factor of 4 used here applies to doses of 1–20 mg/day. Higher doses (21–40 mg: factor 8; 41–60 mg: factor 10; >60 mg: factor 12) require specialist guidance.