Opioid Converter & Pain Management Calculator

Calculate morphine milligram equivalents (MME), convert between opioids, and access evidence-based pain management strategies including non-opioid alternatives, tapering protocols, and naloxone prescribing guidelines.

⚠️ CDC Opioid Prescribing Guidelines

≥50 MME/day: Increased overdose risk - justify or reduce dose
≥90 MME/day: Very high risk - avoid or carefully justify
Co-prescribing with benzodiazepines: Avoid - dramatically increases overdose risk
Naloxone co-prescribing: Recommended for all patients on opioids, especially ≥50 MME/day
Non-opioid alternatives: Prioritize for chronic non-cancer pain

1. Current Opioid Regimen

Opioid Medication

Dose per Administration

Frequency (times/day)

2. Concurrent Medications & Risk Factors

Benzodiazepines (major overdose risk) Gabapentin or Pregabalin Muscle relaxants (cyclobenzaprine, etc.) Alcohol use disorder History of opioid use disorder Sleep apnea Chronic kidney disease Liver disease

Opioid Converter & Pain Management Calculator

⚠️ CDC Opioid Prescribing Guidelines

1. Current Opioid Regimen

2. Concurrent Medications & Risk Factors

Opioid Rotation (Equianalgesic Doses)

Tapering Protocol

Non-Opioid Alternatives