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Pain Management

West of Scotland Chronic Pain Education Group

IMPORTANT: Feature in development. Do not use clinically.

Taper Calculator

from 24h

morphine mgoxycodone mgtapentadol mghydromorphone mgtramadol mgcodeine mgdihydrocodeine mgfentanyl(TD) mcg/hbuprenorphine(TD) mcg/hmethadone mg

mg

510152025303540455055

 

6065707580859095100105110

 

115120125130135140145150155160165

 

170175180185190195200205210215220

to 24h

-morphine mgoxycodone mgtapentadol mghydromorphone mgtramadol mgcodeine mgdihydrocodeine mgfentanyl(TD) mcg/hbuprenorphine(TD) mcg/hmethadone mg

rate

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

wk
0

100

wk
1

90

wk
2

80

wk
3

70

wk
4

65

wk
5

55

wk
6

50

wk
7

45

wk
8

40

wk
9

35

wk
10

30

wk
11

30

wk
12

25

wk
13

25

wk
14

20

wk
15

20

wk
16

15

wk
17

15

wk
18

15

wk
19

10

wk
20

10

wk
21

10

wk
22

5

wk
23

5

wk
24

5

wk
25

5

wk
26

5

wk
27

5

wk
28

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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