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Pain Management

West of Scotland Chronic Pain Education Group

Taper Calculator

Before using, please read the disclaimer

1) 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 mg

2)

510152025303540455055

mg

6065707580859095100105110

 

115120125130135140145150155160165

 

170175180185190195200205210215220

3) target medication

come off completelymorphine mgoxycodone mgtapentadol mghydromorphone mgtramadol mgcodeine mgdihydrocodeine mgfentanyl(TD) mcg/hbuprenorphine(TD) mcg/h

4) rate

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


wk
0

1260

wk
1

1005

wk
2

805

wk
3

645

wk
4

515

wk
5

410

wk
6

330

wk
7

260

wk
8

210

wk
9

165

wk
10

135

wk
11

105

wk
12

85

wk
13

65

wk
14

55

wk
15

40

wk
16

35

wk
17

25

wk
18

20

wk
19

15

wk
20

10

wk
21

10

wk
22

5

wk
23

5

wk
24

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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