I am not sure that I would recommend someone starting the patch without trying all of the other oral pain medications. I have been on the patch for 4 years. I started at 25 mcg and am now up to 75 mcg and about to start the 100 mcgs. I have had problems with the patch falling off. I miss not having a hot bath or shower in 4 years. On very hot days, if you perspire the patched often have problems sticking. Then you have to add up the cost of a covering bandage, like a tegaderm if you find you need one. I certaining do and since I have too change my patch every two days the cost really adds up. Once the dressings fall off, trying to get them to restick is a (pain in the behind). If you don't restick the old one then you will be short dressings. In hind sight, I wish I had continued using either the methadone or the dilaudid. Either on would have beend less expensive and easier to use in the long run. You are only on the 12.5 mcg = please research your options carefully. You may be on the patch a very long time. Consider the experse should your insurance ever change. Patches are very expensive ocer the long run. Good luck with what ever you choose.
I am sorry to say I took offense to this. I am a close personal friend of Lucia's, and I can attest to the fact that she HAS tried all the oral medications available to her and NOTHING worked long term. As she already stated, she also tried injections to relieve the pain she was in, and they also DID NOT work. Before she was Rx'ed Duragesic, she was in agony despite the meds she was taking. It was NOT uncommon for her pain levels to be upwards of 7-10 WITH oral opiates in her system. She also tried a TENS unit, and that wasn't helping much, either.
It was her own personal choice to go with the patch, and I frankly do not see a difference between it and Dilaudid, Ms-Contin, or Oxy-Contin, with the exception of the route of administration.
As for the other problems the patch may create, she read the literature that came with the prescription and has educated herself about the medication. I am sure if she has any problems with it, she will ask her Dr how to remedy the problem. As of now, she is pleased with the pain relief she is getting, and I am pleased for her. It's the first time in MONTHS that she is able to manage her pain effectively.