I'm currently seeing a Pain Management doctor for my chronic back pain. I was researching long-acting opioids and opiates and have only found a few i.e; Oxycontin, MS Contin, Methadone, Fentanyl Patch and Oxymorphone (which my insurance doesn't cover). I think I'm going to ask to try a Fentanyl patch if my doctor will let me. I know that MS Contin is the Gold Standard but I just want everyone's opinion. What about breakthrough pain? Does anyone without cancer use Actiq for breakthrough pain or any other short acting drugs? Please Help. Thanks :)