Smoking is a very difficult habit to quit, but you know that it is something that must be stopped. It is not easy to get rid of the cravings. Also, dealing with withdrawal symptoms such as anxiety and headaches that occur when you suddenly stop smoking is a challenge. But there are ways to help you. One such method is the Nicotine Patch. Let's see how this can help you.
What is this Nicotine Patch?
Simply put, it's like a small patch that you stick on your skin. When it's on, it slowly releases a very small amount of nicotine, the addictive substance in tobacco, into your body.
Imagine, when you quit smoking, your body craves nicotine. That's when you feel anxious and want to smoke a cigarette. What this patch does is provide that nicotine need in a very controlled, low level. This reduces the cravings for smoking and the withdrawal symptoms.
But it's important to understand this: Nicotine patches are not 'magic'. They are just one part of a smoking cessation program. For best results, they should be used with the advice of a doctor and with a proper plan.
Things you need to tell your doctor before using the patch
Before you start using a nicotine patch, you should definitely inform your doctor about the following medical conditions or other issues, as nicotine can affect various systems in the body.
| Illness or condition | Why should I inform the doctor ? |
|---|---|
| Diabetes | Nicotine can affect blood sugar levels. |
| Heart disease, angina, irregular heartbeat, previous heart attack | These conditions can be exacerbated because nicotine affects heart rate and blood pressure. |
| High blood pressure | Nicotine can temporarily raise blood pressure. |
| Lung diseases (including asthma) | Existing respiratory problems may be affected. |
| Overactive thyroid | Nicotine can speed up the body's metabolism. |
| Conditions such as pheochromocytoma | This is a condition related to the adrenal glands, and nicotine can cause blood pressure to rise significantly. |
| Having a history of epilepsy or seizures | Although rare, nicotine can affect the central nervous system. |
| Skin diseases (e.g. eczema) | Applying the patch may aggravate existing skin conditions. |
| Stomach ulcers | Nicotine can affect the secretion of gastric juices. |
| Allergies to nicotine, the adhesive in the patch, or other medications | This is essential to prevent an allergic reaction. |
| Being pregnant or trying to get pregnant | Nicotine can be harmful to the baby in the womb. |
| Breastfeeding the baby | Nicotine can be transmitted to the baby through breast milk. |
How exactly do I use this patch?
To get the best results, it is very important to use the patch correctly.
- This is for external use only . Do not take it orally or use it in any other way.
- Do not cut or tear the patch into pieces . Doing so may change the amount of nicotine released.
- You usually apply a new patch in the morning. Get into the habit of doing this at about the same time every day.
- Most importantly: Apply to a new area every day. Choose a clean, dry area of skin with little hair, such as your shoulders, upper chest, or upper back. Wait at least a week before applying a patch to the same area again. This helps prevent skin allergies.
- After applying the patch, press it down with your palm for about 10 seconds.
- After applying the patch , wash your hands thoroughly with soap .
What if I forget to change the patch?
Apply a new patch as soon as you remember. But never apply two patches at once . And don't leave the patch on for longer than the prescribed time. If the patch falls off, apply a new one. But when the prescribed time comes, take it off and apply a new one.
Are there any side effects?
Like any medicine, nicotine patches can cause side effects in some people. Some of them are serious, while others are mild.
| If you experience these symptoms, call your doctor immediately . | |
|---|---|
| Allergic reactions | Skin rash, itching, swelling of the face, lips, tongue or throat. |
| Heart palpitations | Feeling like your heart is beating fast and your chest is pounding abnormally. |
| Increased blood pressure | This can be confirmed by a doctor's examination. |
| These are usually not serious, but if they persist, tell your doctor. | |
| Dizziness | A feeling of dizziness. |
| Headache | Mild to moderate headache. |
| Heartburn | A feeling of burning in the stomach. |
| Hiccups | Frequent hiccups. |
| Itching or redness where the patch was applied | A minor skin allergy. |
| Insomnia or strange dreams | Nicotine can affect sleep. |
More important things to know
Will there be problems with other medications?
Yes. The nicotine patch can cause interactions with other medications you may be taking. In particular,
- Medicines for respiratory diseases such as asthma
- Blood pressure medication
- Medication for depression
Therefore, give your doctor a complete list of all the medications you take (including vitamins, herbal remedies, and supplements). It is very important for your safety.
What if you overdose?
This is an emergency. Ingesting too much nicotine is dangerous. If you think this has happened, go to the nearest hospital Emergency Department (ETU) immediately. Or call the National Poisons Information Centre at the Colombo National Hospital .
How do you store the patch?
Very important: Keep used and unused patches out of the reach of small children and pets . Even a used patch may contain enough nicotine to harm a child or animal.
Fold the used patch in half, with the adhesive sides together, and throw it in the trash. Follow the instructions on the medication packet.
Take-Home Message
- Nicotine patches are a quit aid, not a 'magic bullet'. They should be used with the advice of a doctor and with a good plan.
- Be sure to tell your doctor about any other medical conditions you have (especially heart disease, diabetes) and all medications you are taking before using the patch.
- Follow the exact method of applying the patch and when to change it. Always apply it in a new place.
- If you experience serious side effects (skin allergies, rapid heartbeat, chest pain), seek medical advice immediately.
- Store and dispose of used and unused patches in a safe place out of reach of children and animals.


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