What are the side effects of the transdermal nicotine patch?
Most commonly, localized mild skin reactions occur and may be managed by rotating patch sites and if necessary applying topical corticosteroid cream. Short-lived skin reactions when the patch is initially applied are common & should disappear within an hour. Allergy to one or more of the patch components may cause marked redness, swelling or rash. Some clients experience adverse side effects including headache, nausea, insomnia & dizziness, although nicotine withdrawal symptoms may also simultaneously occur. Vivid dreams or nightmares have been described in up to 15% of patch users. These clients may benefit from 16 hr patches or removing the patch before bedtime. This should be avoided if possible as morning nicotine is often very desirable.
