ve experienced it myself, mostly with the gel
patches. That is a well-documented problem with the fentanyl
patch. Rather than increase the dose, doctors have found thant changing the patch a day early answers that problem. Of course, a 48-hour change is not warranted for people who are new to the patch or don't experience withdrawal symptoms on the third day.
I also agree that many doctors well-schooled in opiate therapy for chronic, non-malignant pain.