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A common aid to FMS pain is an analgesic skin patch called Duragesic (Fentanyl), which is applied every third day and works on a time release basis. The first application may take up to 72 hours to become effective. This drug is prescribed only for chronic pain, and is a narcotic with addictive potential, although effective if used exactly as prescribed. Some patients, however, report that the patch is not effective for the full 72 hours, and so find that they need another medication for ”breakthrough” pain.