"i have found this medication to be very successful for me. i started on the 20 mcg/hr patch because of post op nerve pain continually wakening me throughout the night (with all the results a lack of sleep has on you both physically and mentally). through the use of the patches, i have been able to finally sleep the night through and reduce other medicines (lortab/flexiril/klonipin) and stop one other completely. it is a low enough dose that doesn&#039;t make you all loopy while still strong enough to have a long term effect on my arch nemesis and yours, pain. even if my insurance didn&#039;t pay for it, it is the one medicine i would still purchase out of pocket."