... come completely off of those medications before starting to use the Butran patch???
The Butrans patch contains the medication, buprenorphine, which is itself a strong narcotic. It will prevent the others from having any affect. Buprenorphine can send you into precipitated withdrawals from the oxycodone and hydrocodone. You need to work closely with your doctor and most likely will have to discontinue the oxy and hydro before using the patch.
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