i started butrans 9 days ago' im having sharp pain in my lower abdomen for three days now...should i go to the er I'm 33 yr old female, am in pain management for a bad back and am on butrans currently from my pain doc... I also am bipolar and am on klonopin, Wellbutrin, zoloft, ambian and nuvigil.. I'm worried about this pain in my right side/abdomen region also have nausia and back pain