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)
102030405060708090100110mg
120130140150160170180190200210220230240250260270280290300310320330
340350360370380390400410420430440
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
100wk1
80wk2
60wk3
50wk4
40wk5
30wk6
20wk7
20wk8
10wk9
10wk10
10
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.