Hi Nicki,
My sister started on the Duragesic patch about 6 weeks ago at 25mg and it was increased by 25mg every week or so because of so much "break through" pain until she got to 125mg. (She is allergic to morphine she takes liguid Ibuprofen for break through pain. When she's taking the Ibuprofen 3 - 4X's a day they increase the patch.) so Last Friday they increased it to 175mg and yesterday she was throwing up and had dry heaves, feeling faint, dizzy, etc. (We think it was just too much, too fast.)The hospice nurse said to use a supository for nausea and thank goodness that worked great. Today she is fine. Hope this helps.... good luck to you.
DenverSis