The patch is counter productive to the cleanse. May as well have the ODD smoke when you really HAVE to rather than feed your body the nicotine continually as the patch does. Your body will wean it's self if you are constantly cutting down on the smokes. As a heavy smoker I smoked during my cleanse and had a terrible headache most of the time. I used the smokes instead of food. Not really the best idea. If you don't really crave them while on the cleanse then you are well on your way to quitting. Good luck and much success.