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Safety concerns with the Centers for Disease Control opioid calculator

Authors Fudin J, Raouf M, Wegrzyn EL, Schatman ME

Received 28 October 2017

Accepted for publication 15 November 2017

Published 18 December 2017 Volume 2018:11 Pages 1—4

DOI https://doi.org/10.2147/JPR.S155444

Checked for plagiarism Yes

Editor who approved publication: Dr E Alfonso Romero-Sandoval


Jeffrey Fudin,1–4 Mena Raouf,2 Erica L Wegrzyn,2–4 Michael E Schatman5,6

1Scientific and Clinical Affairs, Remitigate, LLC, Delmar, NY, USA; 2Stratton VA Medical Center, Albany, NY, USA; 3Western New England University College of Pharmacy, Springfield, MA, USA; 4Albany College of Pharmacy & Health Sciences, Albany, NY, USA; 5Research and Network Development, Boston Pain Care, Waltham, MA, USA; 6Department of Public Health & Community Medicine, Tufts University School of Medicine, Boston, MA, USA

Morphine milligram equivalence (MME) and other comparable acronyms have been employed in federal pain guidelines and used by policy makers to limit opioid prescribing.1–5 On March 18, 2016, the Centers for Disease Control (CDC) released its Guideline for Prescribing Opioids for Chronic Pain.1 The guidelines provided 12 recommendations for “primary care clinicians prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care”. One of the CDC recommendations states that clinicians “should avoid increasing dosage to ≥90 MME/day or carefully justify a decision to titrate dosage to ≥90 MME/day”.1


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