The MEDD Myth Practice and Research Implications

For decades, the concept of morphine equivalent daily dosage (MEDD) or some variant thereof has been routinely utilized clinically (eg, for opioid rotation) as well as in research as a dependent variable. However, recently, the concept has been demonstrated to be a scientifically invalid course descriptions one. Irrespective, MEDD continues to be utilized, with many of the individuals dedicated to the eradication of opioid analgesia fully aware of their fraudulent behavior. In this symposium, the scientific basis of the MEDD myth will be explored, as well as its implications for clinical practice. Additionally, there will be a discussion of the need to discontinue the practice of conveniently yet invalidly "lumping together" opioid dosages in empirical investigation if the research that should be informing clinical practice is to be legitimate and valid. Finally, we will explore perhaps the most egregious use of MEDD, ie, as the basis of recently released opiophobic prescribing guidelines that are causing unnecessary distress to prescribers and patients suffering from pain alike. (Recorded at PAINWeek 2016)