Amy,
My mom was extremely anti-drug and has been her whole life but she broke down and started using the patches after a couple weeks of radiation and they were very effective. She did not feel doped up and didn't feel the pain. She was also up to 3 patches at a time but started at 1 and as the pain increased she applied more patches. They did not make her too tired and seemed to be functioning normally... well as normally as one can under the circumstances. You and John are always in prayers.
Hugs,
Dani