Side Effects of Nicoderm

Nicoderm is a transdermal nicotine patch used to help people who are trying to stop smoking. A transdermal patch is applied to the skin, and the medication in the patch is absorbed by the body through contact with the skin. Nicoderm is applied daily and used for several weeks in decreasing dosages. People trying to stop smoking use Nicoderm under the supervision of a doctor and in conjunction with behavior modification.

Central Nervous System Side Effects

Nicoderm may cause a headache in some people. Dizziness and lightheadedness may also be experienced. Difficulty sleeping and irritability is also possible. Dependence on Nicoderm may occur as a source of nicotine.

Cardiovascular Side Effects

Nicoderm may cause irregular heart rhythms like extra beats or tachycardia (a heart rate greater than 100 beats per minute). Palpitations and high blood pressure are other cardiovascular side effects of Nicoderm. Patients with previous heart and blood pressure problems should use Nicoderm with caution and be closely followed by their health care provider.

Gastrointestinal Side Effects

Nicoderm may cause a dry mouth or excessive salivation. Indigestion and burping can occur, along with a decreased appetite, nausea and vomiting. In some people, Nicoderm may cause constipation or diarrhea. Abdominal pain may also be experienced while taking Nicoderm.

Dermatologic Side Effects

Nicoderm may cause some localized redness, swelling and irritation to the application site. This reaction is common and transient; symptoms usually resolve within 24 hours after the patch is removed. Any redness, swelling, rash and itching that does not resolve within 24 hours indicates hypersensitivity and is a reason to stop using Nicoderm.

General Side Effects

Nicoderm use can result in nicotine intoxication. A patient experiencing this condition may present with perspiration, severe headache and dizziness, altered hearing and vision, confusion, weakness and fainting, shortness of breath, low blood pressure and a fast irregular pulse, Siezures, respiratory failure and death may occur. People using Nicoderm must be aware of this potentially fatal adverse reaction and follow dosing instructions carefully. Smoking or chewing nicotine gum products while using Nicoderm increases the risk of adverse reactions.

Warnings

Nicoderm may interact with other substances. For example, Nicoderm increases the metabolism of caffeine, acetaminophen and insulin. Use these medications with care while taking Nicoderm.

References

  • Pearson Nurse's Drug Guide 2010; Wilson, B. A., Shannon, T. M., & Shields, K. M. , 2010.

Article reviewed by Carrie Last updated on: Dec 8, 2009

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