12 mcg fentanyl patches in opioid naive pt

If pt states all oral opioids make them extremely nauseous would you dispense 5 patches. Pt states they previously used the Duragesic patches many years ago. As long as everything is documented would this be an acceptable exception to the rule? I guess they could try an anti-emetic with an opioid for a week is the only other option I can think of.