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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

130

wk
1

120

wk
2

115

wk
3

110

wk
4

105

wk
5

100

wk
6

95

wk
7

90

wk
8

85

wk
9

80

wk
10

75

wk
11

70

wk
12

70

wk
13

65

wk
14

60

wk
15

60

wk
16

55

wk
17

50

wk
18

50

wk
19

45

wk
20

45

wk
21

40

wk
22

40

wk
23

35

wk
24

35

wk
25

35

wk
26

30

wk
27

30

wk
28

30

wk
29

25

wk
30

25

wk
31

25

wk
32

25

wk
33

20

wk
34

20

wk
35

20

wk
36

20

wk
37

15

wk
38

15

wk
39

15

wk
40

15

wk
41

15

wk
42

15

wk
43

10

wk
44

10

wk
45

10

wk
46

10

wk
47

10

wk
48

10

wk
49

10

wk
50

10

wk
51

5

wk
52

5

wk
53

5

wk
54

5

wk
55

5

wk
56

5

wk
57

5

wk
58

5

wk
59

5

wk
60

5

wk
61

5

wk
62

5

wk
63

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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