I am a reformed smoker for 6 months and used the patch (Nicoderm CQ) to quit. My friend whom has Graves has been smoking for 5 years and have just got her started on the patch. The only problem she is still smoking 1-2 cigs a day which is better than the pack a day. I just hope the patch and still smoking does not cause any problems or aggravation of the disease. She has not consulted her doctor about the patches.