Umm, daily 45 mg oxy vrs 10ug/hr Butrans IMO is no contest.... I don't think it would provide much, if any help with the w/d. Then there is the issue of the day or two it would take before the serum level gets up to where might help, if it has a chance at all. But then, I'm not a doctor
Personally, I'd be calling the docs office for help. Hoping you can get some relief soon!
Oops, posted while you were replying. Sorry to repeat what you didn't need to hear...