Hello. I have been on Butrans patch for 2 months so far. Started at 5mg for 1 month, next 10 mg for 2nd month. It helps my Fibromyalgia and takes the edge off of the inflammatory arthritis. However, I also have spinal stenosis in my lower back (already had surgery on neck for stenosis) and it has not decreased the pain at all!!! I can't take NSAIDS, OTC or Rx, have tried just about all other pains meds and my stomach and intestines become very inflammed and painful. So, I am not the best person to ask about pain meds but have also recently tried a TENS unit and am still experimenting. Good luck to you and I pray your epiduals and patch will work. MrsOuchView Thread