... dose. My question is in regards to a breakthrough pain med should I go with actiq which I have never tried or stick with something not as strong as this Fentanyl patch? I have been on 30mg Morphine ER times 4 a day, 15mg Morphine IR times 6 a day for 2 years due to a vehicle accident left my lower extremities severely crushed; now on top of that I developed disuse osteoporosis. So far I have managed to only break one hip since beginning to walk again; but have generated multiple spinal fractures which are quite painful at times. Any advice would be much appreciated