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Example of an opioid tapering schedule

Example of an opioid tapering schedule
Month Extended-release morphine dose (mg) Immediate-release morphine dose (mg)
1 15-30-30 15-15-15-15
2 15-15-30 15-15-15-15
3 15-15-15 15-15-15-15
4 15-15 15-15-15-15
5 15 15-15-15-15
6 None 15-15-15
7 None 15-15
8 None 15
9 None None
Tapering schedule example for a patients on 90 mg extended-release morphine (30 mg three times daily) and 60 mg immediate-release morphine (15 mg every six hours as needed) for five years. Total daily dose is 150 MME, the target dose reduction is 15 MME per month.
MME; morphine milligram equivalents.
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