Hi All... I was recently prescribed the Butrans patch at my first visit to the PM doctor. I had to discontinue it after 2 two-week attempts at wearing it because the nausea and extreme almost constant hot flashes and sweating to the point my clothes and hair would be wet. I was so disappointed because, as Madison Girl said, I "caved" after four years of battling this barbaric neuropathic pain with just Gabapentin. I had so hoped that I was going to be able to escape at least some of it. I tried Cymbalta and Lyrica and felt so spaced out I didn't even feel safe driving a car and just couldn't function. I too have reached the point of "Despair's" post. I will return to the PM doctor next month and see if there is yet something else to be tried. I can't keep trying. Reading all your posts always informs me and helps me with ideas.