I've been on the patches now for about a year and a half now. Due to chronic back, shoulder, and arm pain. Anyways I'm on the 75's every 48hrs, right now Im given four 15mg oxycodone a day for breakthrough pain, but Im still having a lot of breakthrough pain to the point I get misserable.I dont really wanna keep upping my dose but something has to give. So I was wondering what you found works best for your breakthrough pain.