Follow the instructions that come in the box. Nicotine patches are a medicine and must be used as directed to get the best results. Talk with your doctor or pharmacist before using nicotine patches if you have any questions.

Follow these steps to use the nicotine patch

  • Put on a new patch each day. Remove the old patch.
  • Place the patch on your upper body. Non-hairy sites not rubbed by clothing are best. Do not apply the patch to an area that has recently been shaved. Don't use lotion or soap with moisturizers on the patch site area before you put the patch on.
  • Change the patch location each time a new patch is put on. See the image below for examples of different patch sites.
  • If the patch comes off, apply a new patch. If you have problems keeping the patch attached, use surgical tape in a crisscrossed pattern over the patch.
Locations For the Nicotine Patch
Locations For the Nicotine Patch

Dosing guide for nicotine patches

The following are standard dosing guidelines for nicotine patches. If you still feel like you need to use nicotine patches after the package instructions tell you to stop using them, talk with your doctor or pharmacist.

For cigarette smokers

  • If you smoke more than 10 cigarettes a day, start with the 21 mg patch (often labeled as step 1). Follow the package instructions to taper off of patches over the weeks directed.
  • If you smoke 10 or fewer cigarettes a day, start with the 14 mg patch (often labeled as step 2). Follow the package instructions to taper off of patches over the weeks directed.

For e-cigarette/vape users

  • If you vape within 30 minutes of waking up, start with the 21 mg patch (often labeled as step 1). Follow the package instructions to taper off of patches over the weeks directed.
  • If you first vape between 30 and 60 minutes after you wake up, start with the 14 mg patch (often labeled as step 2). Follow the package instructions to taper off of patches over the weeks directed.
  • If you first vape more than 60 minutes after you wake up, start with the 7 mg patch (often labeled as step 3). Follow the package instructions to taper off of patches over the weeks directed.

For smokeless tobacco users

  • If you use 2 or more tins or cans of tobacco per week, start with the 21 mg patch (often labeled as step 1). Follow the package instructions to taper off of patches over the weeks directed.
  • If you use less than 2 tins or cans of tobacco per week, start with the 14 mg patch (often labeled as step 2). Follow the package instructions to taper off of patches over the weeks directed.