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The Daytrana patch has been very effective for us in terms of the steady level of delivery and easy way it tapers off out of their system.  The only downside is that it takes at least an hour or more to fully ramp up.  We get around this by giving Focalin first, then about 60 to 90 minutes later we apply the patch so that by the time the Focalin wears off, the patch has ramped up fully.