So I would just discuss with your doctor the fact that the
fentanyl is no longer working. I have heard that
fentanyl tends to
work a lot longer than longer acting opioids in pill form before effectiveness begins to wane.
The options that your doctor will most likely present to you are, an increase in fentanyl (which will require wearing a couple of patches versus just one), an increase or change in breakthrough pain medication and/or an addition of a long acting medication in pill form.