I have spina bifida....dealt with it all my life. The past few years the back pain has gotten so bad that I started out on Vicodin, then Endocet, now my doctor (family doctor) has put me on the Fentanyl Patch. When I called his office to get a refill on the Endocet for break through pain he denied it. He is really against using the pills. He talks about how bad they are everytime I have been in to see him, and I do understand the dangers of narcotics, but I was taking them only as directed. I don't know what to do. The patch works fine the first couple of days but not so much the third day. I hate asking for medication and then being treated like I am asking for illegal drugs. I also suffer from migraines and actually ended up at the hospital with the last one. It's the first time I've ever gone to ER with one of these excruciating headaches because I usually just take the Endocet and a phenegran and try to sleep it off in peace and quiet. Last time was just too much to handle. Anyway, I have two questions....how does anyone else deal with a doctor like this and if you too are on the Fentanyl Patch, what if any side effects are you experiencing? Thanks for listening.