i am up to 150McG/hour of fentanyl. The 72 hour patches seem to work well for about 36. I experience breakthrough pain after 18 hours. This has gone on for 13 years now. At one point I was up to a gram of morphine a day. That did not touch my pain, and I was crazy from the combination of drugs and pain. Nobody will offer any hope. What the fuck am I supposed to do? i am 62, and would welcome death.