About this episode
Let’s face it, when it comes to pain management, one of the most painful efforts of the last few years has involved, in one way, shape, form, or fashion: Morphine Milligram Equivalents (MMEs). As we discussed with the PharmD author of the 2022 CDC Opioid Guideline Update , there are no MME factor changes on the horizon, so just when will we have our minds wrapped around the concept?!? Join the Mark “Pain Guy” Garofoli on the Pain Pod for a dynamic discussion on wrestling (yes, you read that right!), pain management, our healthcare system, and the “street” version of MMEs. Wait, there’s a street version of MMEs? Yes, yes there is, so tune in now to the Pain Pod as you’ll only utilize the edge of your seat even though ya paid for the whole seat! Come one, come all, to the Pain Pod!!! Episode Notes Pre-2016 MME Charts Review 2016 CDC Chronic Pain Opioid Guideline MME Chart · CDC Chronic Pain Opioid Guidelines: MMWR March 2016. Updated 2017. o Tramadol: 0.1 o Codeine: 0.15 o Tapentadol: 0.4 o Morphine: 1 o Hydrocodone: 1 o Oxycodone: 1.5 o Oxymorphone: 3 o Hydromorphone: 4 o Methadone (Up to: 20mg, 40mg, 60mg, >60mg): 4, 8, 10, 12 o Transdermal Fentanyl: 7.2 (Divided by the # of Days Applied) o Transdermal Buprenorphine: 12.6 (Divided by the # of Days Applied) o Buprenorphine (SL or Buccal): 0.03 (for mcg calculations) or 30 (for mg calculations) · Nielson S. et. al. A synthesis of oral morphine equivalents (OME) for opioid utilization studies. Pharmacoepidemiology and drug safety 2016; 25: 733–737 2015 Cat and Dog MME Article · https://burrardvet.com/2015/04/08/pain-control-in-dogs-cats 2016 CDC Chronic Pain Opioid Guideline MME Chart · CDC Chronic Pain Opioid Guidelines: MMWR March 2016. Updated 2017. 2022 CDC Opioid Guideline Revision Resources · https://www.federalregister.gov/documents/2022/02/10/2022-02802/proposed-2022-cdc-clinical-practice-guideline-for-prescribing-opioids 2010 to 2014 MME Relative Risk of Overdose/Death · https://i1.wp.com/face-facts.org/wp-content/uploads/2017/04/Opioid-dose-vs-overdose-risk.jpg Missouri Marijuana Equivalents (MMEs) · https://north.life/demystifying-missouri-medical-marijuana-equivalency-units-mmes/ Audio Add-in’s Let’s Get Ready to Rumble (Michael Buffer) · https://www.youtube.com/watch?v=jgopHWACUXs Cash sound · https://www.youtube.com/watch?v=ZeET7Z1ZGlw Ron Burgundy “That Escalated Quickly” · https://www.youtube.com/watch?v=FONN-0uoTHI Learn more about your ad choices. Visit megaphone.fm/adchoices