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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

85

wk
3

80

wk
4

70

wk
5

65

wk
6

60

wk
7

60

wk
8

55

wk
9

50

wk
10

45

wk
11

45

wk
12

40

wk
13

35

wk
14

35

wk
15

30

wk
16

30

wk
17

25

wk
18

25

wk
19

25

wk
20

20

wk
21

20

wk
22

20

wk
23

15

wk
24

15

wk
25

15

wk
26

15

wk
27

10

wk
28

10

wk
29

10

wk
30

10

wk
31

10

wk
32

5

wk
33

5

wk
34

5

wk
35

5

wk
36

5

wk
37

5

wk
38

5

wk
39

5

wk
40

5

wk
41

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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