Pain Management
West of Scotland Chronic Pain Education Group
Taper Calculator
Before using, please read the disclaimer1) 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 mg2)
246810121416182022mg
24262830323436384042444648505254565860626466
6870727476788082848688
3) target medication
come off completelymorphine mgoxycodone mgtapentadol mghydromorphone mgtramadol mgcodeine mgdihydrocodeine mgfentanyl(TD) mcg/hbuprenorphine(TD) mcg/h4) rate
3%4%5%7%10%15%20%25%30%40%50%wk0
100wk1
84wk2
72wk3
60wk4
52wk5
44wk6
36wk7
32wk8
26wk9
22wk10
18wk11
16wk12
14wk13
12wk14
10wk15
8wk16
6wk17
6wk18
4wk19
4wk20
2wk21
2wk22
2wk23
2wk24
2
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.