... patches has their pain managed with just the patches or if everyone has a backup fast acting medication for break through pain? My doctor has attempted to have me on only the patches and it hasn't worked so far... but we are still working to find the correct dose so I am unsure if I will always need something for break through pain... any answers are appreciated! & thanks to everyone who has helped me so far, it is really nice to get feedback from people who know more about fentanyl than I do, which is practically nothing lol