I clearly did not keep up with detailing my ongoing experiences with the butrans patch, so i will try to do some catch up now. At this very moment i have a huge headache or borderline migraine, and this as been my reality for most of the last 4 weeks since my dose was upped from 5mcmg/h to 10, though it seems to be laying off a bit since earlier in the day i was headache free. Thought i would would write out a detailed update but this isn't working with my head hurting so bad, but the key is things are getting better again, and for pain it works well though might adjust more when i can cope with more changes in medication.