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Nicotine patches are used to help people quit smoking by delivering controlled amounts of nicotine into the bloodstream. While they are generally considered safe and well-tolerated, some users may experience side effects, including vivid dreams or nightmares.

Nightmares are more commonly reported with nicotine patches that deliver higher doses of nicotine, especially if the patch is used for 24 hours rather than a 16-hour patch. This is because nicotine can affect sleep patterns and the REM (rapid eye movement) stage of sleep, which is when most dreaming occurs.

As for hallucinations, they are not a typical side effect of nicotine patches when used as directed. Hallucinations are more commonly associated with other substances, medications, or medical conditions that affect the brain's chemistry and perception.

If you or someone you know is experiencing unusual or distressing side effects from using nicotine patches, it's essential to consult a healthcare professional. They can provide guidance, adjust the dosage, or recommend alternative smoking cessation strategies that may be better suited to the individual's needs and tolerance.

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