I have been taking the 12 mcg fentanyl patch for 3 + years now. When the doctor tested my blood, it did not show up. I don't understand these results because I faithfully use the patch for cronic pain from a radical neck disscection I had in 2001. I've tried doing the 25 mcg, but makes me very sick. The 12 mcg fentanyl patch doesn't help much with the pain I feel, and if it's not showing up in my blood work, does it mean it's not working?