General Sale Medicine. For external use only. Always read the label and use only as directed. Do not use if you are under 12, a non-smoker or an occasional smoker, have a generalised skin condition such as psoriasis or chronic dermatitis, are allergic to nicotine or any part of the patch, or if the sachet seal is broken. Do not use unless your doctor has told you to if you have had a recent heart attack or stroke, have angina that is not well controlled or is getting worse, a severe irregular heartbeat or uncontrolled high blood pressure. Ask your doctor or pharmacist before use if you are under 18, pregnant or breastfeeding, or have severe high blood pressure, heart or blood vessel disease, kidney or liver disease, diabetes, an overactive thyroid or adrenal gland cancer. Stop and talk to your pharmacist if a severe or persistent skin reaction develops. The patch contains aluminium, so take it off before an MRI scan. Stopping smoking can change how some medicines work, so tell your doctor or pharmacist what you take. Fold used patches in half, sticky sides together, and dispose of them out of reach of children and pets. Store below 30C. Do not refrigerate. Nicotine can seriously poison children, even from a used patch or a chewed piece. Keep out of reach of children. In case of poisoning, call the National Poisons Centre on 0800 764 766.