Allows you to control your dosage. Placed in the mouth like hard candy. Nicotine lozenges offer the same benefits of gum without chewing. If you want to quit with nicotine patches and gum or lozenges, there are 3 options for how to get them, how much you get and what it costs:. Cartridge attached to a mouthpiece. Inhaling releases a specific amount of nicotine.
Pump bottle containing nicotine. Similar to an inhaler, the spray releases a specific amount of nicotine. Can be helpful in reducing cravings and withdrawal symptoms, such as anxiety and irritability. May be used in combination with nicotine replacement therapy products like patches, gum and lozenges. Reduces the severity of cravings and withdrawal symptoms—does not contain nicotine.
Lessens sense of pleasure from tobacco. Should not be combined with other medications. The items above are available by prescription only. Check with your pharmacy for cost information. There can be side effects from quit medications. At least 8 doses 16 sprays each day may be needed when you first start, but use as directed by your health care provider. You should not use more than 40 doses 80 sprays per day.
Instructions can vary. The FDA recommends that the spray be prescribed for 3-month periods and that it not be used for longer than 6 months. Stop using the spray to see if the feelings get better and talk to your health care provider if this happens. You may need to use it less often. If you have asthma, allergies, nasal polyps, or sinus problems, your provider may suggest another form of NRT.
Special note: This form of NRT poses a more serious risk to small children and pets because the empty bottles of nasal spray contain enough nicotine to harm them.
Do not get the liquid on your skin. If a bottle breaks or liquid leaks out, put on plastic or rubber gloves to clean it up. The nicotine inhaler is a thin plastic tube with a nicotine cartridge inside. They are not the same as electronic cigarettes, which are not approved by the FDA to help people quit smoking. At this time, inhalers are the most expensive form of NRT available.
You puff on the inhaler and the cartridge sends a pure nicotine vapor into your mouth. You may use up the cartridge all at once over about 20 minutes, or puff on it only a few minutes at a time. The recommended dose is between 4 and 20 cartridges a day, slowly tapering off over 6 months.
Stop using the inhaler to see if the feelings get better and talk to your health care provider if this happens. 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. The dose of nicotine should be slowly decreased. Nicotine patch You can buy nicotine patches without a prescription. All nicotine patches are placed and used in similar ways: A single patch is worn each day.
It is replaced after 24 hours. Place the patch on different areas above the waist and below the neck each day. Put the patch on a hairless spot. People who wear the patches for 24 hours will have fewer withdrawal symptoms.
If wearing the patch at night causes odd dreams, try sleeping without the patch. People who smoke fewer than 10 cigarettes per day or who weigh less than 99 pounds 45 kilograms should start with a lower dose patch for example, 14 mg. Nicotine gum or lozenge You can buy nicotine gum or lozenges without a prescription. Tips for using the gum: Follow the instructions that comes with the package. If you are just starting to quit, chew 1 to 2 pieces each hour.
DO NOT chew more than 20 pieces a day. Chew the gum slowly until it develops a peppery taste. Then, keep it between the gum and cheek and store it there. This lets the nicotine be absorbed. Wait at least 15 minutes after drinking coffee, tea, soft drinks, and acidic beverages before chewing a piece of gum.
People who smoke 25 or more cigarettes per day have better results with the 4 mg dose than with the 2 mg dose. The goal is to stop using the gum by 12 weeks. Talk with your doctor before using the gum for a longer period. Nicotine inhaler The nicotine inhaler looks like a plastic cigarette holder.
Insert nicotine cartridges into the inhaler and "puff" for about 20 minutes. Be aware of your mood while you are quitting and tell your doctor if you notice any change. Even if you have to pay for your NRT, it is likely that this short-term cost will be lower than that of buying cigarettes. The long-term savings can be significant. E-cigarettes are currently the most popular quit aid in the UK.
While these are not available through the NHS, many vapers also report significant financial savings by switching from tobacco to e-cigarettes. Smoking will kill half of all long-term users. E-cigarettes do not contain tar or carbon monoxide — 2 of the most harmful elements in tobacco smoke. They may contain some chemicals also found in tobacco smoke, but at much lower levels. Research has found that vaping poses only a fraction of the risks of smoking , and switching completely from smoking to vaping can offer substantial health benefits.
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