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

Nicotine gum chewing technique summary park between

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Unformatted text preview: NICOTINE GUM: CHEWING TECHNIQUE SUMMARY Park between cheek & gum Stop chewing at first sign of peppery taste or tingling sensation Chew slowly Chew again when peppery taste or tingle fades NICOTINE GUM: ADDITIONAL PATIENT EDUCATION To improve chances of quitting, use at least nine pieces of gum daily The effectiveness of nicotine gum 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 nicotine gum. NICOTINE GUM: ADD’L PATIENT EDUCATION (cont’d) Chewing gum will not provide same rapid satisfaction that smoking provides Chewing gum too rapidly can cause excessive release of nicotine, resulting in Lightheadedness Nausea/vomiting Irritation of throat and mouth Hiccups Indigestion 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 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. 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 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 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. 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....
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Tobacco cessation fall 2011 Instructor (1)_ For use in lecture (3)

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