Select Page

Tapering – Provider Resources

Information for providers on when and how to approach tapering with their patients.

When to Address Tapering with Your Patient

American Academy of Family Physicians’ Opioid Tapering Resource

  • Find information on reasons to taper, recommendations for tapering, along with the physical signs and symptoms and treatment options associated with each stage of withdrawal.

Opioid Taper Decision Tool

  • Designed to assist Primary Care providers in determining if an opioid taper is necessary for a specific patient, in performing the taper, and in providing follow-up and support during the taper.

CDC Pocket guide: Tapering opioids for chronic pain

  • Learn when to taper, how to taper and considerations to consider when tapering your patient off their medications.

Opioid and Benzodiazepine tapering flow sheet

  • Use this flow sheet when considering tapering your patients off of opioids or benzodiazepines

General Approach/Considerations

HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics

  • This guide provides advice to clinicians who are considering or implementing a reduction in opioid dosage or discontinuation of long-term opioid therapy, including information on: the risks of an opioid taper, steps to take prior to initiating a taper, an opioid tapering flowchart, and more. 

Guidance on opioid tapering in the context of chronic pain: Evidence, practical advice and frequently asked questions

  • This article in the Canadian Pharmacists Journal provides practical evidence to inform individualized opioid-tapering regimens

Practical Tools to Successfully Taper Prescription Opioids

  • Understand how to calculate morphine equivalents per day, and the steps necessary to plan a successful opioid taper.

Effective Opioid Tapering Practices

  • Overview resource including information on tapering protocol, reassessing the patient and meeting the goals of tapering.

Opioid Withdrawal Attenuation Combination

  • This resource provides attenuation combinations for acute withdrawal and anticipated withdrawal as a part of a planned taper.

Supplemental Resources

CDC: Calculating total daily dose of opioids for safer dosage

  • How and why to calculate a patient’s total daily dosage of opioids.

Opioid Dose Calculator

  • Fill in the mg per day for whichever opioids your patient is taking. The web page will automatically calculate the total morphine equivalents per day.

For more information on tapering, tailored toward patients and families: