If the patch is not effective, you can also try the Fentanyl
lollipops, generic name is Actiq
. The medication is absorbed very quickly through your mucosal membranes in your mouth. It works great for breakthru pain. But it is VERY powerful and you have to give yourself time to get used to side effects. Also, this may seem like a no-brainer, but I keep mine locked up in a safe as it is would be very dangerous if a child, or anyone not used to opiates, were to get ahold of them.