Don . . . like Christine, my RO put me on the patch and built it up at the worst points and then scaled it down. Starting out with a low dosage, you may not notice the effect ( it is not a rush ) but I agree that it along with "magic mouth wash" and the other pain medications assist your body in making it through the treatment process.

Bill . . . SCC - originated in right tonsil, drifted into neck ( 28 lymph nodes removed - one positive ). Radical neck dissection in September 07, completed 34 radiation tx on January 4, 2008. Used Peg. Non smoker, 61, good shape, no previous health issues. Second year PET scan - "all clear".