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Pain Management

West of Scotland Chronic Pain Education Group

IMPORTANT: Feature in development. Do not use clinically.

Taper Calculator

from 24h

morphine mgoxycodone mgtapentadol mghydromorphone mgtramadol mgcodeine mgdihydrocodeine mgfentanyl(TD) mcg/hbuprenorphine(TD) mcg/hmethadone mg

mcg/h

13253850637588100113125138

 

150163175188200213225238250263275

 

288300313325338350363375388400413

 

425438450463475488500513525538550

to 24h

-morphine mgoxycodone mgtapentadol mghydromorphone mgtramadol mgcodeine mgdihydrocodeine mgfentanyl(TD) mcg/hbuprenorphine(TD) mcg/hmethadone mg

rate

3%4%5%7%10%15%20%25%30%40%50%

wk
0

100

wk
1

75

wk
2

62.5

wk
3

50

wk
4

37.5

wk
5

25

wk
6

25

wk
7

12.5

wk
8

12.5

wk
9

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.

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