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Hi, thank you for getting in touch. I'm sorry to hear about what's gone on. If your wife is becoming so tired with the 10mcg patch I would definitely remove it and exchange it for the 5mcgs. It may take a day or so before the tiredness settles. I assume she's responding appropriately and not confused etc? (In that case I'd advise a more expedient appointment with the GP) otherwise you should speak with the GP about perhaps using the 5mcg patch alongside something else to aim for the middle where pain is controlled but with minimal or preferably no impact on her energy levels. I hope that helps.
You're very welcome indeed, come back if you've further questions. All the very best.