Prescription Opioid Misuse Index (POMI) Calculator

1. Do you ever take more medication (ie a larger dose) than what is prescribed for you?
2. Do you ever take your medication more often (ie shorten the time between doses) than prescribed?
3. Do you ever need to refill your pain medication earlier than scheduled?
4. Do you ever feel good or euphoric after taking your pain medication?
5. Do you ever take your pain medication because you are worried or to help you deal with problems other than pain?
6. Have you ever consulted several doctors, including emergency services, to obtain your painkillers?

Score (POMI):

Definition of Prescription Opioid Misuse Index (POMI)

Scale allowing the detection of misuse of opioid analgesics.

For which patients? Adults.

For what pain? Pain justifying the administration of an opioid.

How to use Prescription Opioid Misuse Index (POMI) ?

The caregiver questions the patient or the patient answers the 6 questions independently with “yes” or “no”. Each “yes” answer counts 1 point. The sum of the “yes” answers constitutes the score. If the score is ≥ 2, the subject may be at risk for opioid treatment.