I'm on the patch & have been having direct (side) effects heart palpitating, arm aches like it's dislocated, lungs feeling like i smoked a pack of cig. (still SUCKIN'!!!!!!!!!!! one a day), or they're trying to fold on me or bleeding. I'm ashamed to say been on patch approx. 6 wks, still @ 1 and feeling all effects. Sometimes i have leg ache, all depends on where i put patch.