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AKPS — Australia-modified Karnofsky Performance StatusBODE Index (Palliative context)CAM-S (Confusion Assessment Method - Severity)CPOT (Critical-Care Pain Observation Tool)Death Rattle Scoring (Victoria)Distress ThermometerEdmonton Symptom Assessment System (ESAS-r)FAST Scale (Dementia)IPOS (Integrated Palliative Outcome Scale)Memorial Symptom Assessment Scale (MSAS)Menten ScoreMorphine Equivalent Daily Dose (MEDD)Nursing Delirium Screening Scale (Nu-DESC)Opioid Risk Tool (ORT)PAINAD ScalePalliative Performance Scale (PPSv2)Palliative Prognostic (PaP) ScorePalliative Prognostic Index (PPI)Respiratory Distress Observation Scale (RDOS)Richmond Agitation-Sedation Scale (RASS-PAL)Seattle Heart Failure Model (SHFM)e-PaP Score
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Morphine Equivalent Daily Dose (MEDD)

Morphine Equivalent Daily Dose (MEDD / MME)

mg/day

Conversion factor: x1

Calculate Equivalency

Select the base opioid and enter the 24-hour total dose to calculate the oral morphine equivalent.

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

When to Use

Standardization of opioid doses for safe comparisons across different agents
Opioid rotation and equianalgesic dosing
Assessment of total opioid burden for deprescribing decisions
Methadone titration and conversion from other opioids

Last Comprehensive Review: 2026

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