"Update from my comments in July 11.  I have since been bumped up to 10 mcg and it seems to be handling the pain very well.  I am starting to experience the patch seems to lose strength at about day 5 (that is why the Doc) bumped me up to 10 mcg.  Might have to pay another visit to see about 20 mcg.  Have most of the same symptoms as everyone else...extreme itching at sites, etc.  BUT, I am still very pleased with the results of the patch as opposed to taking multiple pills."