I am seeing a pain management doctor for spinal stenosis and herniated disc in lumbar. Oxycodone 5mg-325 acetaminophen stopped working and hydrocodone 10mg-325 acetaminophen did not work without ibuprofen 800mg added which was causing stomach problems and blood in the stool. The doctor now prescribed me fentanyl 25mcg patch. The warning label says fentanyl is dangerous and only should be taken after other opioids stop working completely. Is this medicine supposed to be given as an early treatment? I was waking up at night with 10/10 back and leg pain and it was causing sleep loss. I also have severe pain upon waking in morning. Has anyone else been prescribed fentanyl as an early treatment or is it a last resort?