"The nicotine is your skin will still be entering your blood stream for several hours after you take off the patch.If you have vivid dreams or other sleep disturbances remove this patch at bedtime.Stop use and ask a doctor if:skin redness caused by the patch does not go away after four days, or if your skin swells, or you get a rash.irregular heartbeat or palpitations occur.you get symptoms of nico" . . . .