Been noticing since starting the patch that I am gettin my gerd back. Since I quit smoking I have had a enlarged gland under my left ear with a mild ear ache..sore voice box, and more hoarse now then before I quit. Also developing acid reflux. Not sure if maybe the patch is causing it. I can taste a bitter chemical taste in the back of my throat..almost like the taste of nicotene. Seems worse 20 minutes or so after putting on the patch..I am also slightly allergic to the patch..either the adhesive or the nicotene..cause I look poka dotted from where ever I have worn a patch.