"the patch seems to be helping.  i was given the 10mg and think that my doctor is going to bump it up to 20mg as i still need to take about 6-8 10mg norco during the day and night also.  i am hoping to up the patch dose and lessen the norco dose.  i haven&#039;t had any side effects from the patch, not one thing.  they stay in place for the full 7 days and are very easy to use.  the only real down side is the cost, even with a $40 coupon from my doctor it cost $50 for 4 patches.  i will try the 20 mg and see if the $50 a month is worth it."