Table 1.

Morphine equivalent dosing (MED) summary calculator^a

Drug	Brand	Relative strength	100 mg/d MED
Morphine	MS Contin, etc	1	100
Hydrocodone	Norco, Vicodin	1	100
Oxycodone	OxyCodone, Roxycodone	1.5	66
Hydromorphone	Dilaudid	4	25
Oxymorphone	Opana	5	20
Methadone	Methadose	8–12	10
Fentanyl transdermal patch	Duragesic	100	42

^aSometimes referred to as morphine milliequivalents (MME). Oral administration unless otherwise specified. Calculations were made using the Washington State Agency Medical Directors’ Group’s Opioid Dose Calculator (available from www.agencymeddirectors.wa.gov/Calculator/DoseCalculator.htm).²⁹