Epistemis

Opioid Rotation Calculator and PaP Scale

Calculates the theoretical equianalgesic dose in opioid rotation and applies the PaP palliative care prognostic scale.

Required inputs

The inputs this calculator asks for inside the app.
VariableExample value
Current Opioid—
Current Total Daily Dose (mg/day)—
Target Opioid—
% Reduction for Cross-Tolerance—
Karnofsky Performance Status (KPS)—
Anorexia?—
Dyspnea at Rest?—
Clinical Prediction of Survival—
Total White Blood Cells (WBC) (per mm³)—
% Lymphocytes on Blood Count—

Run the calculation in the app

This page explains the score but does not run it. In Epistemis, the calculator validates units, flags values outside physiological ranges, and provides the interpretation that a number alone cannot convey.

Epistemis is educational review material. It is not a medical device, does not diagnose or prescribe treatment, and does not replace formal medical training, current clinical guidelines, or professional clinical judgment.

Specialty
Oncology
Area
Specialties
Variable phases
10
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