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When using this medication, you may experience mild side effects such as itching, redness, burning, or stinging at the application site. These are generally not a cause for concern, but if the redness persists for more than four days, you should discontinue use and consult a healthcare professional. Other common side effects include nausea, dizziness, flushing, heartburn, and headache. Additionally, if you are using this medication to quit smoking, you might encounter withdrawal symptoms like dizziness, anxiety, depression, or trouble sleeping. These symptoms are typical but should be discussed with your healthcare provider if they persist or worsen. It is important to be aware of more serious side effects, especially if you continue smoking while on this medication. These include mental or mood changes such as irritability, trouble sleeping, vivid dreams, numbness or tingling in the hands or feet, and swelling of the hands, ankles, or feet. Immediate medical attention is necessary if you experience very serious side effects like chest pain, confusion, severe headache, fast or irregular heartbeat, difficulty speaking, or weakness on one side of the body. Although a severe allergic reaction to this medication is rare, it is crucial to seek immediate medical help if you notice symptoms such as rash, severe itching or swelling (particularly of the face, tongue, or throat), severe dizziness, or trouble breathing. Remember, this is not an exhaustive list of side effects. If you experience any other unusual effects, contact a healthcare provider for advice.