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Keep in mind that just as the effects of cigarettes may last for minutes to hours in the body; the residual amount of nicotine remaining in the skin after patch placement also lingers. The main concern would be overlapping the amount of nicotine with both. I know that many people take off the patch to smoke cigarettes. This is an improper use of the nicotine patch, and may indicate the need for a higher dose of the patch, or if already on the 21 mg strength, the need for adding other therapies. Zyban and Chantix may both be considered.

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Q: Can you put on a patch if already smoked 3 cigarettes?
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No, but you can put the patch on your upper arm.


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If you missed a week of the patch, put on a new one as soon as you remember. Use a backup method until you've used the patch correctly for seven days. Consider emergency contraception if you've had sex in the last five days.


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Yes, if you forget to put on your patch, you could have withdrawal bleeding. Put on the patch as soon as you remember. Use a backup method until you've used the patch correctly for seven days.


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If you changed the patch as scheduled, you are at no additional risk for pregnancy. If you changed the patch late, you may be at risk.


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If your patch falls off, you need to discard it and put on a new patch. You should not reuse the old one. Your health care provider should provide you with a prescription for a single "emergency patch" that you can have on hand for such a situation.


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