oh yes gradually. I was as high as 175mcg/hr and now have it down to 75mcg/hr. I just put on my 1st 75mcg patch today and do feel the difference...I've been wanting oxy all evening but denying the urge to take any. Thanks for the clarification, it does help put things in perspective there. I'm feeling sick though, a bit of nausea and the wierd feelings in my legs. The bottle is really calling out to me.

I'm hoping the trazadone and lunesta kick in soon