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Calcimator

Medication Side Effect Burden Calculator

Assess the overall side effect burden of psychiatric medications based on severity scores, number of medications, and treatment duration.

About this calculator

This calculator summarizes severity ratings for as many as the first three medications. Number of Medications is rounded to a whole number, kept at one or higher, and capped at three for scoring. With one active medication, only Medication 1 enters the total; with two, Medication 1 and 2 enter; with three or more, all three ratings enter. Each severity is independently constrained to 0–10 before being added. Average Burden divides Total Burden by the number of scored medications, not by the full medication count when it exceeds three. Burden Category is based on that average: level 1 below 4, level 2 from 4 through 6.9, and level 3 at 7 or above. Cumulative Burden multiplies the total by a duration factor.

The factor starts at 1 for month one, adds 0.05 per additional month, and reaches its ceiling of 2 at month 21. Longer durations do not raise it further. The result is a tracking heuristic, not a validated medication safety scale. It does not identify individual side effects, dose, timing, interactions, treatment benefit, withdrawal risk, adherence, laboratory findings, or urgent symptoms. Medications beyond the first three are not individually represented even when the entered count is higher. Do not stop or change a psychiatric medication from this score alone; use the underlying symptom details and clinical guidance when discussing tolerability with a prescriber.

Inputs

/ 10
/ 10
/ 10
meds
months

Results

Total Burden Score

7 / 30

Cumulative Burden

8.8 (duration-adjusted)

Average Burden Per Med3.5 / 10
Burden Category1 (1=Low, 2=Moderate, 3=High)
How to Use This Calculator
  1. Rate the side effect severity for Medication 1 on the provided scale (0 = none, higher = more severe).
  2. Add Medication 2 and Medication 3 severity ratings if you take multiple medications.
  3. Enter the total Number of Medications and Treatment Duration; only the first three medications are scored individually.
  4. Review Total Burden Score and Burden Category to assess overall side effect load.
  5. Share Cumulative Burden with your prescriber to evaluate whether medication adjustments would improve your quality of life.

How the result changes with Medication 1 Side Effect Severity

Medication 1 Side Effect SeverityTotal Burden ScoreCumulative Burden
25 / 306.3 (duration-adjusted)
36 / 307.5 (duration-adjusted)
69 / 3011.3 (duration-adjusted)
1013 / 3016.3 (duration-adjusted)

What each input means

Medication 1 Side Effect Severity
Rate overall side effect severity for medication 1, 0 = no side effects, 10 = severe/intolerable.
Medication 2 Side Effect Severity
Rate overall side effect severity for medication 2, 0 = no side effects, 10 = severe/intolerable.
Medication 3 Side Effect Severity
Rate overall side effect severity for medication 3, 0 = no side effects, 10 = severe/intolerable.
Number of Medications
Total number of psychiatric medications currently taking (max 3 scored individually).
Treatment Duration
How long you have been on the current medication regimen in months.

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    4 parameters
    Medication 1 Side Effect Severity = 4, Medication 2 Side Effect Severity = 3, Medication 3 Side Effect Severity = 0, Number of Medications = 2 = 5 input(s) provided
  2. Calculate Total Burden Score
    Total Burden Score
    7 = 7
  3. Calculate Cumulative Burden
    Cumulative Burden
    8.8 = 8.8
  4. Calculate Average Burden Per Med
    Average Burden Per Med
    3.5 = 3.5
  5. Calculate Burden Category
    Burden Category
    1 = 1

Engine last updated . Checked against 3 independently-derived tests — how we verify calculators. Built by Paul Gunder, a software engineer, not a licensed financial, medical, or legal professional.

Frequently Asked Questions

Which medication ratings are included in Total Burden?

The rounded medication count selects the first one, first two, or all three severity fields. Counts above three still use only those three because the engine caps the active scored set at three.

How is the burden category chosen?

The category uses Average Burden Per Med rather than the total. An average below 4 is level 1, 4 through 6.9 is level 2, and 7 or higher is level 3.

Does treatment duration increase cumulative burden forever?

No. The multiplier rises by five percent of the total for each month after the first, then reaches a maximum factor of two at 21 months and remains capped thereafter.

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