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

Occasionally rotate to different areas of the mouth

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Unformatted text preview: Occasionally rotate to different areas of the mouth. Lozenge will dissolve completely in about 20- 30 minutes. 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. NICOTINE LOZENGE: ADD’L PATIENT EDUCATION (cont’d) Side effects of the nicotine lozenge include Nausea Hiccups Cough Heartburn Headache Flatulence Insomnia NICOTINE LOZENGE: SUMMARY DISADVANTAGES Need for frequent dosing can compromise compliance Gastrointestinal side effects (nausea, hiccups, and heartburn) may be bothersome. ADVANTAGES Might satisfy oral cravings. Might delay weight gain (4- mg strength). Easy to use and conceal. Patients can titrate therapy to manage withdrawal symptoms. A variety of flavors are available. TRANSDERMAL NICOTINE PATCH Nicoderm CQ (GlaxoSmithKline); generic Nicotine is well absorbed across the skin Plasma nicotine levels are lower and fluctuate less than with smoking TRANSDERMAL NICOTINE PATCH: DOSING Product Light Smoker Heavy Smoker Nicoderm CQ ≤ 10 cigarettes/day Step 2 (14 mg x 6 weeks) Step 3 (7 mg x 2 weeks) >10 cigarettes/day Step 1 (21 mg x 6 weeks) Step 2 (14 mg x 2 weeks) Step 3 (7 mg x 2 weeks) Generic (formerly Habitrol) ≤ 10 cigarettes/day Step 2 (14 mg x 6 weeks) Step 3 (7 mg x 2 weeks) >10 cigarettes/day Step 1 (21 mg x 4 weeks) Step 2 (14 mg x 2 weeks) Step 3 (7 mg x 2 weeks) TRANSDERMAL NICOTINE PATCH: DIRECTIONS for USE Choose an area of skin on the upper body or upper outer part of the arm Make sure skin is clean, dry, hairless, and not irritated Apply patch to different area each day Do not use same area again for at least 1 week TRANSDERMAL NICOTINE PATCH: DIRECTIONS for USE (cont’d) Remove patch from protective pouch Peel off half of the backing from patch TRANSDERMAL NICOTINE PATCH: DIRECTIONS for USE (cont’d) Apply adhesive side of patch to skin Peel off remaining protective covering Press firmly with palm of hand for 10 seconds Make sure patch sticks well to skin, especially around edges TRANSDERMAL NICOTINE PATCH: DIRECTIONS for USE (cont’d) Wash hands: Nicotine on hands can get into eyes or nose and cause stinging or redness Do not leave patch on skin for more than 24 hours—doing...
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Tobacco cessation fall 2011 Instructor (1)_ For use in lecture (3)

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