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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

850

wk
1

680

wk
2

540

wk
3

435

wk
4

345

wk
5

275

wk
6

220

wk
7

175

wk
8

140

wk
9

110

wk
10

90

wk
11

70

wk
12

55

wk
13

45

wk
14

35

wk
15

25

wk
16

20

wk
17

15

wk
18

15

wk
19

10

wk
20

5

wk
21

5

wk
22

5

wk
23

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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