Pain
"Been on fentanyl patches for 3+ years now. Wear 2 50mcg  patches.  Recently started on Opana er 20mg twice a day and only wearing 1 patch changed every 48 hours. Pain level has gone up slightly but also side effects from the patch have decreased which to me for now is a acceptable trade off. Breakthrough pain occurs sooner, but have not tried the higher dosage yet. Have somewhat raised expectations to come off patches by end of the year."