Were you on any pain meds PRIOR to the patch? Or did your doc just put you on the patch right from the start?

It could be that you were either put on too strong a dose (the lowest, I believe, is 25) or that your system isn't used to pain meds at all, and fentanyl is one of the higher ends. Your doc should have tried vicodin, percocet, etc, prior to trying the fentanyl. The reason for fentanyl is to get more consistent pain relief, not necessarily stronger, but longer.

The patch lasts days whereas, as you know, the oral pain meds must be taken every 6-8 hours. The reason I was put on the fentanyl is because the pain meds I was taking were only lasting about 4-6 hours, generally 4. So I'd take a pill and have 4 semi-good hours, then 4 really bad before I could take another dose...then 4 semi-good, and 4 really bad before another dose. So generally I was only having 12 partly good hours a day. When you take oral pain meds, you become immune to the dose, and it either has to be increased, or it just stops working. Plus, they aren't good for your insides. Rather than increase the dosage, or the number of pills, he put me on a longer lasting fentanyl and gave me percocet for the breakthru that occurs every few hours a few times a day.

The fentanyl did upset my stomach at first but I don't think as badly as yours. BUT...I will say that I made a few mistakes in the beginning which caused too much of the medication to get into my system too quickly, and I had an odd effect because of it (dizziness, nausea, etc). For example - I soaked in the bathtub. Now, generally thats okay, right? Not when you're wearing the patch, and you have the water really, really hot, and you sit in there for an hour soaking in the hot steam! That made too much of the medication release into my system all at once and I'll tell you - I WAS STONED!

Then, another time, I slept on the side that I had my patch on...which wouldn't be bad if I did't have a heated matress pad. So again, the patch overheated and released too much of it into my system at once.

Also, I got into the habit of cleaning the area where I was going to put the patch with alcohol first, to help it stick, cuz prior to that I was using the generic which WOULDN'T stick, and that's what I'd have to do with it. And at times, I could TASTE the alcohol in my mouth...so I knew it was getting into my system quickly at that point. At those times, I knew what areas of my body the medication absorbed thru more quickly.

If you want to try the patch again, here are some tips:

* First, your doctor should not have given you JUST the patch for pain control. He/she should have also given you some of your regular pain medication to get you thru at LEAST the first few days, because it takes at least 3 days or so for the fentanyl patch to work it's way thru your system to start working on the pain. If you didn't wear it for at least 3 days, THEN put on a FRESH one and try it for 3 MORE days, then you don't know whether or not it helped with the pain. During those first 3 days, you should have been taking your regular pain medication while the patch was working its way thru your body. After that, try only the patch, and yeah, you may have some breakthru pain, but it's possible you won't need anything in addition to the patch. Then again, you may need something on top of it.

* READ the package insert. Make sure you pay attention to the warnings on where it should be stored, and pay attention to the warnings on HEAT (don't pay attention like I did though ). Even if it's warm where you live, if you're out in the sun for an extended period of time, that can overheat the patch and make more get into your system. That will make you ill, and dizzy, almost a "stoned" feeling. I've even found my own body heat can overheat it. If you even stick it on a part of your body that has rsd, the rsd heating up will overheat it.

* Which patch are you using? The brand name or the generic? You can tell the difference because the brand name is like a "pocket" of "gel" and the generic looks almost like a piece of tape with some sticky stuff on it. No gel in the generic. If you got sick on the 25 brand name, see if you can use the generic instead. I started with the generic, and they weren't strong ENOUGH, so we switched to the brand name. If you think the brand name is TOO STRONG, see if you can try the generic instead. It could make all the difference. HOWEVER, the generic does NOT stick well. I suggest covering it with a bandage made by nexcare called "absolute waterproof" (here's a picture: http://www.amazon.com/Nexcare-Absolu.../dp/B000FKGI9M) They are the ONLY thing I found that covers the patch entirely and absolutely does not come off until you take it off.

* Where are you putting the patch? Keep in mind that the THINNER the skin, the QUICKER the medication gets nto your system. If you think it's getting in too quick, so it's making you sick, try putting it on a "fattier" part of your body. My doctor suggests the chest area cuz it's such a 'thin' part of the body. I put it there, and on my wrist, cuz those are two thin spots. I only have one "good" wrist, and only one "good" side of the chest. The other sides are RSD sides, so I can't stick anything there, so I have to alternate. But if it's making you ill, try putting it someplace where the skin is thicker, such as your hip, or buttocks. Perhaps that will slow the medication down, so it doesn't get in so quickly.

* If you get accusomed to it, and it works for you, my doctor has me change mine every 2 days instead of evrey 3. There is still medication left in it on day 3, so what I do is put on my NEW patch, but leave the only one on for 12 more hours. Basically it helps me thru until the medication in the "new" patch starts to work. Then I'll take it off.

I lose my train of thought (and my mind) sometimes, so I think that's all for now. I do think you should try it again, perhaps making some adjustments. Give it a chance. It's much better than taking more and more pills, or upping the quantity, the dosage, etc. A lot of meds take some time getting used to. The only side effect that didn't go away for me was the exhaustion. And I do mean I was EXHAUSTED. I couldn;t keep my eyes open for anything. I brought it to my doctors attention and he gave me provigil for that. Just what I wanted...another pill. But I take it "as needed" and one f the side effects of the provigil is "weight loss" so I don' much mind taking htat one

Let me know if I answered your qestions, or if you have any more. Hope I helped.