I take actiq for breakthrough pain.  I happen to like it as it does the job and then some.  Being on a pump, getting it filled once a month is ok but need something for breakthrough.  Been on Actiq for a while now.  It also helps with other pains that I have as in cellulitis.  One MUST be careful though as it CAN mask other issues.  I have heart condition and I will not take it for that.  Check with your DR about actiq if you are interested.  One thing I must make clear....IT IS VERY ADDICTION!  When I run out as I sometimes do, you will get the dts!  SO BE CAREFUL.

Angel