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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

900

wk
1

720

wk
2

575

wk
3

460

wk
4

365

wk
5

290

wk
6

235

wk
7

185

wk
8

150

wk
9

120

wk
10

95

wk
11

75

wk
12

60

wk
13

45

wk
14

35

wk
15

30

wk
16

25

wk
17

20

wk
18

15

wk
19

10

wk
20

10

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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