Hi Shelley,
My first time on this particular forum. Glad I checked it out.
hope you are doing ok today
You may not even see this reply it is so late.

I know of 2 people who used the patch. One was Dana, RSD board, lives in Hawaii. You can do a search on that forum for her posts.
I know she had a lot of pain relief after using the patch, I think she still
uses it. She's not using it with Topomax so that may make the difference.

Everyone reacts differently to these meds. Are you going back on the Topomax> I won't take that because of the horrible side effects experience.
Hugs, Hope