Pain Management
West of Scotland Chronic Pain Education Group
Taper Calculator
Before using, please read the disclaimer1) Select an initial medication. 2) Select a starting 24h dose. 3) Select a target medication. 4) Select a rate of taper (higher rates result in a shorter taper period).
1) initial medication
morphine mgoxycodone mgtapentadol mghydromorphone mgtramadol mgcodeine mgdihydrocodeine mgfentanyl(TD) mcg/hbuprenorphine(TD) mcg/hmethadone mg2)
13253850637588100113125138mcg/h
150163175188200213225238250263275288300313325338350363375388400413
425438450463475488500513525538550
3) target medication
come off completelymorphine mgoxycodone mgtapentadol mghydromorphone mgtramadol mgcodeine mgdihydrocodeine mgfentanyl(TD) mcg/hbuprenorphine(TD) mcg/h4) rate
3%4%5%7%10%15%20%25%30%40%50%wk0
262.5wk1
225wk2
212.5wk3
187.5wk4
162.5wk5
150wk6
137.5wk7
125wk8
112.5wk9
100wk10
87.5wk11
75wk12
62.5wk13
62.5wk14
50wk15
50wk16
37.5wk17
37.5wk18
37.5wk19
25wk20
25wk21
25wk22
25wk23
12.5wk24
12.5wk25
12.5wk26
12.5wk27
12.5wk28
12.5
All doses are per 24h period.
Drug rotation dose changes are linear. Drug discontinuation doses are exponential.
25% total dose reduction across rotation period to allow for pharmacological variation.