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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

mg

50100150200250300350400450500550

 

6006507007508008509009501,0001,0501,100

 

1,1501,2001,2501,3001,3501,4001,4501,5001,5501,6001,650

 

1,7001,7501,8001,8501,9001,9502,0002,0502,1002,1502,200

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

50

wk
2

50

wk
3

50

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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