Hi thank you for being here. I have been very concerned. I started the Nicoderm patch 4 days ago. I have had exreme mania. I have only gotten 2 hours. I started it because my new job only allows me to go out twice to smoke. Now, it is Friday, I am exhausted, and I am still all over the place starting different projects, etc. Note: I am not wearing the patch at night. I take it off at 4:30 when I get off work. My husband, daughter and mom said they are concerned for me. I just read an article that people who cannot tolerate SSRIs (like me) also had the mania effect, I m on antidepressant but it is an SRNI Wellbutrin and antiaxiety. I am just now reading about these sides effects, so I know I am not having these side effects because I did not know. Other options they suggested were E cig or Chantix. I go to my doctor in a month and wil ask hi. Thank you for your time and listening to me rant