Special note: This form of NRT poses an extra risk to small children and pets because the used cartridges still have enough nicotine in them to cause harm if it gets on skin or mucous membranes for instance, if licked or touched to the eyes, mouth, or other mucous membrane.
Be sure to store and dispose of the cartridges away from children and pets. The lozenge is available in 2 strengths: 2 mg and 4 mg. The needed dose should be based on how long after waking up a person normally has their first cigarette.
So, if you smoke your first cigarette within 30 minutes of waking up, use 4 mg nicotine lozenges. If you smoke your first cigarette more than 30 minutes after waking up, use 2 mg-nicotine lozenges. Some people who are using NRT prefer the lozenge to the gum because its use is less conspicuous. The recommended dose is 1 lozenge every 1 to 2 hours for 6 weeks, then 1 lozenge every 2 to 4 hours for weeks 7 to 9, and finally, 1 lozenge every 4 to 8 hours for weeks 10 to The lozenge makers also recommend:.
No one type of nicotine replacement therapy NRT - by itself or in combination - is necessarily any better than another. When choosing the type of NRT you will use, think about which method will best fit your lifestyle and pattern of smoking or using smokeless tobacco.
Are you looking for once-a-day convenience? How urgent are your cravings for nicotine? Whatever type you use, take your NRT at the recommended dose. NRT is not recommended for long-term use, but if it's needed to prevent relapse, continuing to use NRT is preferable than returning to smoking.
If you smoke very heavily very lightly, or are a smokeless tobacco user, talk with your health care provider about how to get the NRT dose that best fits your needs. Most nicotine replacement therapy NRT products recommendations are based on how much you smoke. NRT products are supposed to roughly match the amount of nicotine you typically took in through tobacco.
It can be more of a challenge to get the dose right for smokeless tobacco users, since NRT products are labeled for people who smoke. Certain types of NRT may help more than others. If you look at the way the tobacco is used, nicotine gum and lozenges are most like using smokeless tobacco. They also let you control your dose to help keep nicotine cravings down.
To avoid withdrawal symptoms, you want to aim for a nicotine dose fairly close to what you got from snuff or tobacco use. Using the nicotine patch along with shorter-acting products, like the gum, lozenge, nasal spray, or inhaler, is another method of NRT.
The idea is to get a steady dose of nicotine with the patch and then use one of the shorter-acting products when you have strong cravings. In general, people who have smoked heavily do better with this combination approach. At this time, not much is known about this option. Nicotine overdose is rare, but possible. Nicotine replacement therapy NRT products are labeled to match the amount of nicotine you get from NRT to the amount you got from tobacco.
To avoid this, follow dosing instructions carefully. Nicotine absorbs through the skin and mucous membranes, so you must store and dispose of your NRT safely. Nicotine overdose can be fatal, but this is rare and requires taking in very high doses of nicotine. Overdose is more of a problem in children and pets because of their smaller size. Keep NRT and used gum, patches, empty cartridges, bottles, etc. Never drop them on the street or in open trash cans where kids and animals can reach them.
Call Poison Control and get emergency help if you suspect an overdose. No, nicotine has not been found to cause cancer. While nicotine is the addictive substance in tobacco, it is other compounds in tobacco that can cause cancer.
Using NRT to quit tobacco does not increase your risk of cancer — in fact, it can help lower your risk if it helps you stop using tobacco. Nicotine replacement therapy NRT is meant to be used for a limited period of time. Use should be tapered down before NRT is stopped. Studies to date have not shown that extending NRT use longer than the recommended time greatly impacts quit success. However, long-term NRT use is still preferable to smoking. Research is still being done to refine the use of NRT.
Nicotine replacement therapy NRT has the potential for long-term dependence. Nicotine is addictive, and people can transfer their dependence from tobacco to the NRT. However, research shows that NRT is safe and effective. NRT comes in a variety of forms that are used in different ways. You can choose which forms you like best. Some NRT products work better than others for some people.
Some people might prefer certain NRT products instead of others. Even if you use NRT to help you stop smoking, quitting can still be hard. Combining NRT with other strategies can improve your chances of quitting and staying quit. To give yourself the best chance for success, explore other quit methods you can combine with medication. Also think about:.
Quitting is different for everyone. Try various tools until you find the ones that help you succeed. Fact: When used as directed, the nicotine patch can double your chances of quitting successfully. NRT Product Videos. Side-effects and cautions It is important to remember that not all products are suitable for everyone and it is extremely important to read the product information sheets before using any NRT products for the first time. Sign up now to start your quit journey Register for support.
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