<s>[INST] I had surgery, 01-03-11, spinal lumber fusion, my pain doc that I had over a year, put me on buprenorphine Transdermal System. Why is this not helping my pain? I started them on Monday and now, have so much pain in back and hip, from the bone fusion. What should I do? Is this drug like suboxone? [/INST] Hi and thank you so much for this query. I am so sorry to hear about these pain medications which seem not to be working very well for you. The truth is that pain medications need to be evaluated continuously to determine what dose works best for you. When you fail to get good results, the dosage should most likely be increased so that your pain can be well controlled. This Chat Doctor.  Please, let your doctors understand that you are still in pain so that the dosage can be adjusted or the  </s>