I cry often, because the whole situation with pain itself is just discouraging and hopeless. I am an at home mom of 5, due to constant chronic pain it is often debilitating not being able to function. I am so frustrated because it seriously diminishes your quality of life. Due to some abnormailites in my brain I suffer from Episodes of Migraines everyday at least 3 times a day, and also crippling back and neck pain. I also deal with vomiting and nausea that I have been taking Phenergan for so long that it no longer works. Abusing the patch, I don't the risk isn't worth it. In fact I am afraid, I don't want to be addicted to anything, but I have only tried Avinza & Methadone the beginning doses and I didn't get relief and experienced various side effects and the Avinza was really expensive on top of it. I have been going to my Pain Management center for maybe 3 months now, and the Fentanyl patch 25mcg is my 3rd trial Medication. I take Topomax and Cymbalta along with it, and I am just suffering. I don't know whether to expect better because, and how much improvement to expect. I'm not saying that I haven't seen any progress would be a lie because things seem to be improved 10% improvement would it be wrong to expect at least 60% improvement instead of feeling my head, back and neck just wrench me with excruiating pain. Once my head starts aching, it progressively worsens and it throws the whole balance of the rest of my body off. I use one patch at a time every 3 days. I don't drink alcohol nor smoke, and I have been staying away from my heating pad so that extra medication won't seap into my system. I don't know what to do or think I am at wits end. I just want to be able to handle my duties as a mother and at home mom.I don't know what the next game plan will be but, I'm nervous because in another essence nothing has working better than Methodone, so far I haven't reach a comfortable plateu, in fact the Methodone but I had so many side effects from the Methodone (stomach, upset stomch, and etc...