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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)

246810121416182022

mg

2426283032343638404244

 

4648505254565860626466

 

6870727476788082848688

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

100

wk
1

80

wk
2

64

wk
3

50

wk
4

40

wk
5

32

wk
6

26

wk
7

20

wk
8

16

wk
9

12

wk
10

10

wk
11

8

wk
12

6

wk
13

4

wk
14

4

wk
15

2

wk
16

2

wk
17

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.

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