"i developed rsd after diving off a ladder onto the driveway. i tore the labrum in my left shoulder by severely dislocating that shoulder. the pain from rsd is overwhelming, so after using morphine, trileptal, and other pain meds. i started using the duragesic patch, 25mg then 50mg then finally settling on 100mg. i put on a new patch, every other day. the three day use was really ineffective on the third day. i used a fentanyl lollipop for breakthrough pain, which happens a lot with rsd."