Yes, saif, your advice is welcome even if you are a brother. In fact, I find that something really good to remember.
Sister Jen, thank you for sharing that with me. I have actually started counting how much I smoke and I do smoke more than I realized. I will try to remember all you have shared with me.
:salam2:
I remember how startled I was when I discovered how much I smoked a day. Smokers are masters at deceiving themselves aren't they?! lol!. Two pieces of advice, 1) try very hard to get down to 12 cigarettes a day or lower. The patch will not work as effectively if you are any higher and it'll be more difficult for you overall. 2) What EVER you do, do NOT smoke and use the patch at the same time. The patch is designed to deliver nicotine straight into your bloodstream so that the PHYSICAL symptoms of withdrawal are set aside so that you can actively work on the MENTAL dependance. It steps you down slowly so that the physical <which is temporary> symptoms are less and less with each step. It is a poison however, nicotine, so when you smoke and use the patch, you are just looking for physical troubles.
I'm on anti-seizure drugs for epilepsy. The medication, while not having any real physical dependency issues like an opiate would, I can not just stop using it because the chemical reactions within my brain would go haywire. I would have to step down slowly. The patch does that same process, slowly stepping you down.
Now turn it upside down. Last Ramadan, because of the fasting, my body hoarded the medication and on the 12th day, I started to hallucinate because I was over-medicated. The same thing can happen with nicotine. Placing the cigarette in your mouth serves as an oral delivery of the nicotine, yes, but the act itself is a mental and emotional dependance. By using the patch, you set aside, temporarily, one hardship <physical dependency> so that you can work on one dependency at a time <mental dependency>.
I checked and using the patch is not haram during Ramadan. Remember, there are others who have walked your steps before you and others are sure to follow. Learn from the experience, remember it, and pass on the knowledge to others. You can certainly pm me if you need to talk about it. I'm always here.
Ruling on skin patches in Ramadaan from Islamqa.com