Yes, I'm on the patch. I'm on the 75 - started at the 50, and raised really quick cuz I had too much BTP. I also change it every 2 days instead of every 3 per my doc's orders in the hopes of having "less of the peaks and valleys" of pain. Originally I used ONLY the patch, but when the weather began to change and get colder, we added percocet "as needed" then found that I needed it every 8 hours on top of the patch. That is pretty much my "pain control" - but in addition I take topamax, effexor and other stuff I can't think of right now but it may be in my signature line.

As for getting sleepy...my pain doc believes taht yes, the patch MAY be the reason I was falling asleep during the day, at work, on my ride home, every time I'd sit down, etc. So I also have provigil to take "as needed." usually I take one around 8 a.m. and it works great until abou 4 pm. If I don't take it at 8 a.m., but find I need it later, I don't take it past 1 pm for fear of not being able to sleep at night.

Have you been prescribed the patch? If so...please give it some time. It does take a few days to get into your system, to work effectively.