"i have had chronic lower back pain after falling through a deck, i lived with the pain as long as i could.  i finally found a dr. that would help me,  she prescribed the butrans patch.  what a change it made.  i started with the 20mcg but found it to be too strong, i didn&#039;t like feeling tired all the time, she lowered the dose to 15mcg with norco 7.5 for breakthrough pain.  i really like the patch as it has worked wonders for me, i rarely need the norco.  all i can say is thank you to my dr. for prescribing these.  take as directed and avoid other medication unless approved by your dr."