pain
"For 20  years I had been taking pain medicines (from Vicodin to Norco) for acute pain (blown out knee, two knee replacements, torn rotator cuff) to chronic back pain due to 4 herniated discs and a chronic fracture at T11-T12.  It got to the point where taking 6-7 Norco 10/325 a day didn't keep me comfortable. My ortho sent me to a pain management clinic at the local hospital where they switched me over to Butrans. I was started on the 10 mg which helped, but I was still in discomfort. The following visit I was switched to the 20 mg.  I am very satisfied with the level and continuity of pain relief.  What a Godsend!  My only complaint is that the patch seems to lose it's effectiveness by Day 5 or 6."