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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

425

wk
1

340

wk
2

270

wk
3

215

wk
4

170

wk
5

135

wk
6

110

wk
7

85

wk
8

70

wk
9

55

wk
10

45

wk
11

35

wk
12

25

wk
13

20

wk
14

15

wk
15

10

wk
16

10

wk
17

5

wk
18

5

wk
19

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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