I have just visited a new Pain Clinic yesterday. It has been over 10 years since I've been to a pain doc. It's all new to me. My PCP treated me well with 4-5 Vicodin a day. Seems like I Have pretty much maxed out that med. Both tolerance and Pain level has risen recently. So I asked him for a referral to this Pain Clinic It took nearly 6weeks to get in, once I did he told me the narcotics are Causing my pain. Don't know what that supposed to mean maybe a textbook statement made to all new patients? Anygow, he prescribed duragesic (fentanyl) 50 mcg/h patches / once every 2 days ( all standard as I see it) and 4 vicodin per day max for pain. First thing I do is google duragesic, learn alot!.. I then Google fentanyl and all you really find is news about the supposed dangers etc... The makers say 'only for people who have not Responded to ANY OTHER NARCOTIC or NARCOTIC COMBO's Don't touch broken patches, the gel could kill you!!!! Etc.... I guess my first concern is with the family, I lost the 1st patch the first night. No harm done..... So a few questions.... Do the patches really harbor that much Danger? Has anyone ever had them prescibe the patch BEFORE other ER/IR meds Even though it brings my pain level down 1-2, is it not supposed to Be a more powerful med?? How do I tell the doc i would feel more comfortable with an ER med and What's your experience with a alternative similar in potency to fentanyl patches i.e-- oxycontin, oxycodone it ,mscontin, etc....Thanks!