Indications 

Nicoderm Clear is a transdermal patch used to aid individuals in quitting smoking as part of a comprehensive smoking cessation program, which incorporates behavior modification, counseling, and support. 

As a smoking cessation agent, Nicoderm Patch works by delivering a controlled, reduced amount of nicotine into the bloodstream through the skin. This gradual process helps the body adapt to reduced nicotine intake, alleviating withdrawal symptoms such as cravings during the quit-smoking process. 

Uses and Dosage 

Prior to initial use and each subsequent refill, carefully review the guidelines provided on the packaging of Nicoderm Clear. Should you have any inquiries, seek advice from your doctor or pharmacist. 

Nicoderm Clear is intended for application to the skin. It should be applied to a clean, dry, non-hairy area above the waist (front or back) or the upper outer arm. 

The patch must be replaced daily. Rotation of application sites is recommended to prevent skin irritation. 

Nicoderm Clear is available in three strengths, with usage based on the number of cigarettes smoked per day.  

For individuals smoking over 10 cigarettes daily, adhere to the 10-week schedule as outlined: 

• STEP 1: one 21mg patch daily during weeks 1-6. 
• STEP 2: one 14mg patch daily for weeks 7-8. 
• STEP 3: one 7mg patch daily throughout weeks 9-10. 

If smoking 10 or fewer cigarettes daily, omit STEP 1 (21 mg). Initiate with STEP 2 (14 mg) for 6 weeks, followed by STEP 3 (7 mg) for 2 weeks, then discontinue use. 

If a doctor prescribes Nicodrem Clear, adhere closely to the provided instructions. 

Treatment with Nicoderm Clear usually starts on the designated quit day. 

The patch can be worn for either 16 or 24 hours. If morning cravings are experienced, wear the patch for 24 hours. In the case of vivid dreams or sleep disturbances, the patch may be removed at bedtime and replaced the following morning. 

To correctly apply the patch, follow these steps: 

1. Remove the patch from the package. 
2. Peel off the protective strip and promptly apply the patch to the skin. 
3. Press firmly for 10 to 20 seconds to ensure the patch stays in place. 
   • Ensure the edges are securely adhered to the skin. 
4. Wash your hands with plain water after applying the patch; avoid using soap. 

Avoid applying the patch to red, cut, or irritated skin, and refrain from placing it over other skin products such as makeup, lotions, or powders. 

For the best outcome, use Nicoderm Clear precisely as directed on the product package or as advised by your doctor. Apply the patch at around the same times daily to enhance adherence and effectiveness. 

Refrain from wearing more than one patch at a time and avoid leaving the patch on for over 24 hours to prevent potential skin irritation and loss of efficacy. 

Complete the entire treatment duration with Nicoderm Clear. If you find it necessary to extend patch usage for continued smoking cessation, consult your healthcare provider for guidance. 

Side Effects 

Common Side Effects 

• Trouble Sleeping 
• Bad dreams 
• Nervousness and excitability 
• Headache 
• Joint pain 
• Back pain 
• Skin irritation at the patch application site 
• Flu-like symptoms 
• Gas 

Inform your healthcare provider if any of these common side effects persist or worsen. 

Serious Side Effects 

• Indicators of high blood pressure, such as: 
  • Severe headache 
  • Dizziness 
  • Passing out 
  • Changes in eyesight 
• Mood fluctuations 
• Confusion 
• Chest pain, pressure, rapid heartbeat, or irregular heartbeat 
• Abnormal sensations like burning, numbness, or tingling 
• Dizziness 
• Upset stomach or vomiting 
• Diarrhea 
• Excessive drooling 
• Shakiness 
• Fatigue or weakness 
• Cold sweats 
• Blurred vision 
• Changes in hearing 

Inform your healthcare provider right away if any of the above-listed serious side effects occur. 

Allergic Reactions 

In rare cases, Nicoderm Clear can cause severe allergic reactions. If you experience symptoms of a serious allergic reaction, seek medical aid promptly. Signs may include: 

• Wheezing 
• Chest or throat tightness 
• Breathing, swallowing, or talking difficulties 
• Unusual hoarseness 
• Mouth, face, lips, tongue, or throat swelling 
• Rash 
• Hives 
• Itching 
• Red, swollen, blistered, or peeling skin (with or without fever) 

This list does not include all potential side effects of Nicoderm Clear. If you exhibit other effects not listed here, report them to your doctor. 

Cautions 

Consult a medical professional before using Nicoderm Clear if you have any hypersensitivities, particularly to any of the ingredients of this patch or adhesives. 

Before using Nicoderm Clear, disclose to your doctor your medical history, particularly if you have a history of: 

• Blood vessel conditions (e.g., Raynaud’s disease, stroke) 
• Diabetes 
• Heart-related issues (e.g., chest pain, heart attack, irregular heartbeat) 
• High blood pressure 
• Liver disease 
• Kidney disease 
• Esophagus problems (e.g., esophagitis) 
• Stomach/intestinal sores (peptic ulcers) 
• Certain adrenal problems (pheochromocytoma) 
• Overactive thyroid (hyperthyroidism) 
• Seizures 
• Skin problems (e.g., eczema, contact dermatitis) 

Seek advice from a healthcare professional to determine the safety of using Nicoderm Clear if you are taking other medications, including prescriptions, over-the-counter drugs, vitamins, or herbal supplements. 

Inform your healthcare providers and pharmacists about your smoking cessation, as discontinuing smoking may alter the liver’s processing of specific drugs, including: 

• Acetaminophen 
• Caffeine 
• Insulin 
• Oxazepam 
• Pentazocine 
• Propoxyphene 
• Propranolol 
• Theophylline 
• Tricyclic antidepressants (e.g., amitriptyline/imipramine) 
• Diuretics such as furosemide) 

Refrain from smoking cigarettes or using other nicotine products while using Nicoderm Clear to avoid the risk of nicotine overdose. 

Refrain from driving or engaging in tasks requiring alertness until you assess the impact of Nicoderm Clear. 

Intense physical activity can elevate skin temperature and enhance nicotine absorption through the skin. Consult your healthcare provider regarding the impact of exercise on this medication. 

Avoid direct exposure of the skin under the patch to heat sources like heating pads, electric blankets, heat lamps, saunas, hot tubs, heated water beds, or prolonged direct sunlight. The application of heat may lead to an increased release of the drug into the body, elevating the risk of side effects. 

Before undergoing an MRI, inform the testing staff about your use of the Nicoderm Clear, as it may contain metals that could result in severe burns during the procedure. Consult your doctor regarding the necessity of removing the patch before the test, applying a new one afterward, and proper removal and application procedures. 

Nicoderm Clear may pose a risk to the unborn baby if used during pregnancy. If you are pregnant or become pregnant while using Nicoderm Clear, promptly contact your healthcare provider. 

Nicotine from both smoking and this patch can transfer into breast milk, potentially causing undesirable effects on a nursing infant. Seek advice from your doctor before breastfeeding when using Nicoderm Clear.