Tobacco cessation fall 2011 Instructor (1)_ For use in lecture (3)

Lightheadedness nauseavomiting irritation of throat

Info icon This preview shows pages 100–110. Sign up to view the full content.

View Full Document Right Arrow Icon
Lightheadedness Nausea/vomiting Irritation of throat and mouth Hiccups Indigestion
Image of page 100

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
NICOTINE GUM: ADD’L PATIENT EDUCATION   (cont’d) Side effects of nicotine gum include Mouth soreness Hiccups Dyspepsia Jaw muscle ache Nicotine gum may stick to dental work Discontinue use if excessive sticking or damage to  dental work occurs
Image of page 101
NICOTINE GUM: SUMMARY DISADVANTAGES Need for frequent dosing can  compromise compliance. Might be problematic for  patients with significant  dental work. Patients must use proper  chewing technique to  minimize adverse effects . Gum chewing might not be  socially acceptable. ADVANTAGES Might satisfy oral  cravings. Might delay weight gain  (4-mg strength). Patients can titrate  therapy to manage  withdrawal symptoms. A variety of flavors are  available.
Image of page 102

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
NICOTINE LOZENGE Commit (GlaxoSmithKline); generics Nicotine polacrilex formulation Delivers ~25% more nicotine  than equivalent gum dose Sugar-free mint (various),  cappuccino or cherry flavor Contains buffering agents to  enhance buccal absorption of  nicotine Available: 2 mg, 4 mg  
Image of page 103
NICOTINE LOZENGE: DOSING  Dosage is based on the “time to first cigarette”  (TTFC) as an indicator of nicotine addiction Use Commit Lozenge 2 mg: If you smoke your first cigarette more than 30 minutes after waking up Use Commit Lozenge 4 mg: If you smoke your first cigarette of the day within 30 minutes of waking up
Image of page 104

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
NICOTINE LOZENGE:  DOSING  (cont’d) Recommended Usage Schedule for  Commit Lozenge Weeks 1–6 Weeks 7–9 Weeks 10–12 1 lozenge q 1–2 h 1 lozenge q 2–4 h 1 lozenge q 4–8 h DO NOT USE MORE THAN 20 LOZENGES PER DAY.
Image of page 105
NICOTINE LOZENGE:   DIRECTIONS for USE Use according to recommended dosing schedule Place in mouth and allow to dissolve slowly (nicotine  release may cause warm, tingling sensation) Do  not  chew or swallow lozenge. Occasionally rotate to different areas of the mouth. Lozenge will dissolve completely in about 20 - 30 minutes.
Image of page 106

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
NICOTINE LOZENGE:  ADDITIONAL PATIENT  EDUCATION To improve chances of quitting, use at least nine  lozenges daily during the first 6 weeks The lozenge will  not  provide the same rapid  satisfaction that smoking provides The effectiveness of the nicotine lozenge may be  reduced by some foods and beverages:   Coffee    Juices  Wine   Soft drinks Do NOT eat or drink for 15 minutes BEFORE or  while using the nicotine lozenge.
Image of page 107
NICOTINE LOZENGE: ADD’L PATIENT EDUCATION   (cont’d) Side effects of the nicotine lozenge include Nausea Hiccups Cough Heartburn Headache Flatulence Insomnia
Image of page 108

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
NICOTINE LOZENGE:  SUMMARY DISADVANTAGES
Image of page 109
Image of page 110
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern