Couldn't say for you. I've never been a smoker except for a few cigars (maybe 5 cigarettes and 15 cigars in 30 years) on special occasions. The first time I smoked a cigarette I felt some nausea, but probably because I wasn't good at the technique, and never had an issue after that unless I "overpuffed" and downed a lot of smoke. The study said no cravings or addictions were created, and the dose is the lowest available in the program for which the patches are used to wean people away from an addiction (stage 1 = 21mg/ day, stage 2 = 14, and stage 3 =7, after which the stop smoking program expects you won't want more). I don't have a link to the study, but if you search GAW using Ardis as the search term (or just search for his website) you can probably get it in a few clicks.

I had no such sensations myself when using the patch.