I am 35 and I have Lupus and R-A.. I have been living with Lupus for about 11 years and just 2-3 years with R-A. I have been given allot of different pain medication off and on but Hydrocodone is the only one that has really worked. I have really only needed pain meds in the past around the winter time but this past year has been harder on me and the pain is unbearable at times so the pain patches are new to me although they work great Fentenol gave me a rash so today my doc gave me Butran with hydrocodone also..Is it different then fentenol?