Iluvgriz, I have been on Butran 10mcg for about 6 months following several cortisone injections around 12 or so. I have found the patch to work. My PM doc also prescibes Cymbalta starting at 30mg, I am now at 60mg. I have noticed a difference in the patch being effective when I run out of the Cymbalta. There is discount cards available online for Butran and Cymbalta, that you can use with all private insurance. Good luckView Thread