The best way to use the gel patches is to smoke them. It's easiest to titrate the dose this way. Poke a hole in the patch with a pin, and squeeze out a SMALL droplet of the gel. Really small, like the size of the head of a map pin. You can always take more, never less. Fentanyl is serious shit, you don't want to overdo it. Fold a square of tinfoil in half (with the dull face on the outside), then use the folded edge to scrape your SMALL blob of fentanyl onto it, then unfold so you have a square with the blob in the centre. Get yourself a tube to toot with, then set yourself up with the tube in your mouth and the square just beneath the end. Get a lighter, light it a fair distance below the foil, then bring it up until the gel starts to evaporate, and inhale the fumes. You don't want it to smoke or burn, just vaporise it off. Congratulations! You have now smoked fentanyl, and should be enjoying a hell of a rush.