Paul is on his 32 radiation treatment. He started with Vicodin, then added the Fentanyl patch beginning with 25. As the pain increased, he would increase the patch by 25. This usually increased every 72 hours when the patch had to be changed. As the pain increased, he also went to two Vicodin then the next strength Vicodin. After the Vicodin wasn't effective he changed to dilaudid (morphine) beginning with 2 mg. He is now on 4 mg with Fentanyl at 125. I guess my point is that you really have to mix and match until you find the right combo for you.

In my own pain experience and in helping Paul, we've found it's best to take your meds even if you think they won't be needed. Once the pain begins, it's much harder to get under control.