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Possible side effects of the nicotine patch include: skin irritation such as redness or itching dizziness racing heart rate sleep problems or unusual dreams, which are more common with the 24-hour patch headache nausea muscle aches and stiffness Some side effects, such as a racing heart rate, could mean the nicotine dose is too high

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For households with children, elderly individuals, or anyone with respiratory conditions, the safest and most effective way to protect against secondhand smoke is to eliminate the source entirely