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)
510152025303540455055mg
6065707580859095100105110115120125130135140145150155160165
170175180185190195200205210215220
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
9510wk2
9010wk3
8510wk4
8010wk5
7510wk6
7020wk7
6520wk8
5520wk9
5020wk10
4520wk11
4030wk12
3530wk13
3030wk14
2530wk15
2030wk16
1540wk17
1040wk18
540wk19
40
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.