Nicotine Flashcards
When to start varenicline
2 weeks before quit date
Target dose of varenicline
1 mg bid
Starting dose of bupropion
150 mg daily
Target dose of bupropion for smoking
150 mg bid (Zyban)
Contraindications to bupropion
History of seizures
History of anorexia or bulimia (even in the past - increased risk of seizures)
If someone had a seizure with bupropion…
They should never take it again.
Dosing of nicotine patch - usual dose
21 mg is the usual starting dose
Max dose of nicotine patch
63 mg/ day
Small dose of nicotine patch
7 mg/ day
Usual way of using nicotine patch
Apply qam, remove at bedtime
Maximum dose of nicotine 2 mg lozenges
Up to 24 lozenges per day
Dosing of Nicorette 2 mg gum
1 piece q1h, max 10 pieces in 24 hours.
How to use nicotine gum
Chew and park
Dose titration of varenicline
0.5 mg x 3 days, then 0.5 mg bid x 4 days, then 1 mg bid