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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

95

wk
2

90

wk
3

85

wk
4

80

wk
5

75

wk
6

70

wk
7

65

wk
8

65

wk
9

60

wk
10

55

wk
11

55

wk
12

50

wk
13

50

wk
14

45

wk
15

45

wk
16

40

wk
17

40

wk
18

35

wk
19

35

wk
20

35

wk
21

30

wk
22

30

wk
23

30

wk
24

25

wk
25

25

wk
26

25

wk
27

25

wk
28

20

wk
29

20

wk
30

20

wk
31

20

wk
32

15

wk
33

15

wk
34

15

wk
35

15

wk
36

15

wk
37

10

wk
38

10

wk
39

10

wk
40

10

wk
41

10

wk
42

10

wk
43

10

wk
44

10

wk
45

5

wk
46

5

wk
47

5

wk
48

5

wk
49

5

wk
50

5

wk
51

5

wk
52

5

wk
53

5

wk
54

5

wk
55

5

wk
56

5

wk
57

5

wk
58

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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