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When using this medication, you might experience mild symptoms such as itching, redness, burning, or stinging at the application site. These are generally not concerning, but if the redness persists beyond four days, it's important to consult your healthcare provider. Other common side effects include nausea, dizziness, flushing, heartburn, and headache. These typically settle down as your body adjusts, but if they persist or worsen, seek advice from a healthcare professional. Nicotine withdrawal symptoms like dizziness, anxiety, depression, or trouble sleeping may also occur when you stop smoking while using this medication. These symptoms may be uncomfortable but are usually manageable. If they become severe, contact your healthcare provider promptly. Serious side effects, although rare, require immediate attention. These include mental or mood changes, numbness or tingling in the hands or feet, and swelling in the hands, ankles, or feet. Very serious reactions, such as chest pain, confusion, severe headache, a fast or irregular heartbeat, trouble speaking, or weakness on one side of the body, demand urgent medical intervention. Allergic reactions to this medication are very rare but can be serious. Seek immediate medical help if you experience a rash, significant itching or swelling, especially on the face, tongue, or throat, severe dizziness, or trouble breathing. Always consult with a healthcare professional if you notice any side effects not mentioned here.