My doctor also tried to switch me to BuTrans but I do not feel ready for something 24/7. I am getting by pretty well on 1-2 low dose 5/325 oxycodone per day. I take one if I will be doing a lot of sitting, riding in the car, sitting on bleachers at a game, going to church, or a lot of walking, anything that exacerbates the pain. Also sometimes in the late afternoons, when the pain begins to get worse, regardless of my activities. I am also on 1800 mg gabapentin, which quiets most of the burning and electrical zaps, but not the pain. Many neuropathy patients are on some opiate, have you tried any others?
If things get worse, or my oxycodone usage escalates, I will probably try the BuTrans patch.