The reason is because he is not getting that full euphoric sense on the patch you just get this dull feeling and it wont get high off of them. It looks like your husbands High days are over and first off the patch is better for him and keeps him from getting high from each dose. It will help slowly ween off the Opiate high he gets.I was addictive to Vicodin and I would chew my pills and like clock 30 minutes after my whole body would get a tingle and the euphoria was great but with the patch it just mainly halps with the pain no the high.
I experienced shorter temper on the fentanyl patches, but it tapered off with time. If flare-ups occur during the third day, you might want to ask the doctor to allow changing patches every two days, leaving the old patch on for the third day (for a one day 'overlap'). This can keep the fentanyl level more uniform (if insurance allows it). It might also help if he also wears a clonidine patch (such as the Catapres-TTS series). These can improve pain relief, and also reduce withdrawal symptoms at the end of the fentanyl patch's useful life. Another option may be to use an intrathecal pump (like a morphine pump). Since the pain med is delivered directly to the central nervous system, significantly lower dosages are required. This can really reduce side effects, resulting in a vast improvement in quality of life.
He may still be having some major pain break thru.I do lose some relief during the last 12-16 hrs before it is time to change patches .
I was on the patches for months. Didn't notice the anger, but then again with the amount of pain I was in, I probably was irritable. They work better than the pills, if you get the right mg. I was on 100mg, sometimes 200mg. I got off of them when my pain from the Fibro started to get better. No withdrawals!! I was surprised.