SMOKING CESSATION

Question 1

Nicorette; Nicorelief; Thrive : OTC

Answer 1

Nicotine GUM

< 25 cigs/ day —> 2mg**
>25 cigs/ day —> 4mg **

1 gum q1-2h x 6 weeks, then 1 gum q 4-8h x 3 wks
- **MAX: **24 pieces/ day: UP TO 12 WEEKS

ADVERSE: Dyspepsia, Mouth soreness, Hiccups
PREGNANCY CATEGORY D

ADMINISTRATION: chew and store on side of mouth for absorption and keep switching sides for 30 MINUTES

Question 2

NicoDERM (OTC)

Answer 2

Nicotine PATCH

> 10 cigs/ d : 10 wk plan

21 mg x 4 wks (6 week Nicoderm CQ)
14 mg x 2 wks
7 mg x 2 wks

<10 cigs /d: <45kg: 8 wk plan

14 mg x 6 weeks
7 mg x 2 weeks

• CAN WEAR FOR 16 hours and TAKE OFF AT NIGHT*

Question 3

Nicorette lozenges

Answer 3

Nicotine lozenges

1st cig within 30 mins : 4mg

1st cig after 30 mins: 2mg

MAX: 20/ day

12 WEEK TAPERING SCHEDULE

Question 4

Nicotrol RX

Answer 4

Nicotine Inhaler

Dosage: cont puffing for 20 minutes

• Up to 6 MONTHS USE

Question 5

Nicotrol NS: RX ONLY

Answer 5

Nicotine NASAL SPRAY

Dose:

1 dose= 2 sprays (1 spray in each nostril)

1-2 doses per hour

8 to MAX 40 doses/ day (80 sprays/ day)

Question 6

Zyban

Answer 6

Bupropion SR

MOA: blocks dopamine and NE REUPTAKE

SMOKERS W/ depression
Helps in delaying weight gain

Dose: Start 1-2 weeks BEFORE quit date

Use 7-12 weeks; Up to 6 months for maintenance

Pregnancy CATEGORY C