I have been on vicoden, ultram and baclofen for my pain control for the longest time. Now there are problems with my liver tests. I am worried that the drinking in my younger days, and now all of the tylenol (and also was on depakote for bi-polar) has done some liver damage. Will know more when I see internist soon (hopefully soon). I tried a duragesic patch that belonged to my ex once and it was complete and total pain relief for 3 days. Actually felt like my "old" self again. Anybody here on the patch? I think it would be terribly hard to get from my doc, he doesn't even like the meds I am on. My so called pain specialist. Sometimes I wish these docs could walk just one day in our shoes...especially those of us who have a pain level like mine of about 7-9 on a usual day. Any advice? Thanks much and bless you all.