Question: Initiation of transdermal fentanyl is MOST appropriate for which of the following patients? Required 31 year old patient with ovarian cancer and complaints of lower back pain whose current pain management regimen includes only Ultram® 50mg PO TID 50 year old with colon cancer living at home with wife and 2 college-age children. Taking Morphine IR tablets PO ATC for pain control. 80 year old with Huntington's disease whose pain regimen consists of Gabapentin 300mg PO TID and Acetaminophen 325mg PO every 6 hours as needed. 75 year old with lung cancer and comorbid of dementia with uncontrolled chronic pain and dyspnea who is prescribed OxyContin® and Roxanol® PO however regularly forgets to take his medications.