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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

800

wk
1

640

wk
2

510

wk
3

405

wk
4

325

wk
5

260

wk
6

205

wk
7

165

wk
8

130

wk
9

105

wk
10

85

wk
11

65

wk
12

50

wk
13

40

wk
14

35

wk
15

25

wk
16

20

wk
17

15

wk
18

10

wk
19

10

wk
20

5

wk
21

5

wk
22

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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