Pam, have you talked to your doctor about the side effects? Are those side effects that are supposed to be normal while using the patch? I never used the patch so I can't really help you. If you can't get to talk to your doctor, I'd definitely talk to your pharmacist. They often know a lot that the doctors don't when it comes to side effects and medicines. Whatever you do, talk with one of them soon. The heart palpitations sound concerning to me. And don't be ashamed to say you've been on it for however long even still smoking. This addiction is POWERFUL! Post here if you need help. Not necessarily this Club, I know this club isn't very active, but other boards, or the main board if you need help, either with questions about the patch or help with your quit or whatever.