I wanted to mention that the suggestion about cutting a 25 mcg patch as part of the tapering off process was the advice to me of a physician specializing in palliative and pain management medicine.

This was before there was a 15 mcg patch available so the point is kind of irrelvant now. However, I suspect his thinking was that coming down from 175 mcg to 25 to 1/2 a 25 mcg patch would be pretty low risk given the tolerance to Fetanyl that one develops over time.

In any case, with the new lower dose patch, there is no reson to cut one now. - Sheldon