"i have been on different kinds of pain medicines for years for chronic pain resulting from car accident and 3 back surgeries. when i was taking oral medicines i was always waiting for the medicines to start working and watching the clock to take another one. i went to a new pain management doctor he put me on the patch. i noticed a difference the first day. it was much better than my oral medicines. the doctor has just increased my dosage to 50mg/h. it is great. the only real side effects i have had is dry month and i sweat more. but those side effects are well worth the pain control i receive. i am back to work, i don&#039;t have to miss any days or leave early because of pain. no more ups and downs. he has me changing the patch every 48 hours."