I tried this combo before & all I can say is wow.
I didn't do it like Phreex, i just kept the patch on. I kind of didn't want to peal off a layer of my skin with a razor. 10 mg patch had it on for a few hours then went to a party and was doing a about 3 fat lines of coke an hour for about 12 hours while drinking. By the end of the nigh i realized that if I lived I was never going to be this fucked up again. For some reason I was extremly sick for a few days after this. I don't know if it had any relation to this combo but conventional wisdom points in that direction...