I believe that I was receiving adequate
pain control
for 80% of time when I was using only 25 mcg/hr
fentanyl. I am concerned that the side effects I had been experiencing on 25 mcg/hr fentanyl (nausea, occasional vomiting, decreased appetite and insomnia) will increase, and I may be putting myself at greater risk of dependence or narcotic addiction. Nor am I entirely confident that the increased fentanyl dosage will eliminate my breakthrough pain.