I have posted recently and no one answered. My Dr put me on Butrans patch at 10 MG and it is not cutting it. I am in so much pain at this exact moment. I still have some old lortab but from what I have read it will make either the patch not work or the lortab will not work. It has something called an antagonist in it. I took one of the lortab this afternoon about 2 hours ago and now it seems I am in more pain. If someone, anyone has any insight to this I would appreciate it. I have called my Dr and have yet to get through to a nurse. I left a message yesterday about 24hours ago and have recieved no call back. I am just at my wits end. I see people reading and replying to others messages but not mine. If you have any thing to add to just make me understand I sure would appreciate it. Thank you.