My doc gave them to me when I was detoxing from lortabs.... THEN.. after being on them for three weeks, we switched to Suboxone. He did this because I had taken a few methadone pills and you can't start Sub w/methadone still in your system. I was taking about 20 lortab 10s per day and the 50 micg duragesic patch handled my withdrawals but gave me NO HIGH... I hated it, of course... because I wanted that high. However, I did what he said and I actually ended up taking 75 micg (not mg but whatever the dose is) and then I started trying to wean back down to 25 and the withdrawals were 1,000 times worse than 20 lortab cold turkey. I had a friend that had methadone and I took that for about 2 weeks... long enough to get the patch out of my system... then tried to stay clean for about a week and couldn't so I got 50 lortab 10s and abused the heck out of them... then started Sub on Dec 1st.... haven't looked back since. So, the patch is stronger than morphine. That's why they can't even prescribe it in mgs... it's a smaller dose than that and yes, you can abuse it... Just be careful. It's hell to come off of.