Nicotine instructions for administration

Instructions for administration
General recommendations Nicotine gum Nicotine lozenges Nicotine inhaler Nicotine transdermal patches Nicoderm Nicotrol Nicotine nasal spray'''

General recommendations
Advise patient to stop smoking completely when beginning to use smoking cessation therapy. Return to top

Nicotine gum
Adults: PO If patient smokes less than 25 cigarettes/day, chew 2 mg gum (max, 24 pieces/day) for up to 12 wk. If patient smokes at least 25 cigarettes/day, chew 4 mg gum (max, 24 pieces/day) for up to 12 wk. Return to top

Nicotine lozenges
Adults: PO If patient smokes first cigarette more than 30 min after waking up, start with the 2 mg lozenge. If patient smokes first cigarette within 30 min after waking up, start with the 4 mg lozenge. Week 1 to 6, slowly dissolve 1 lozenge in the mouth every 1 to 2 h; week 7 to 9, slowly dissolve 1 lozenge in the mouth every 2 to 4 h; week 10 to 12, slowly dissolve 1 lozenge in the mouth every 4 to 8 h. Return to top

Nicotine inhaler
Adults: Inhaler 6 to 16 cartridges/day for up to 6 mo. Return to top

Nicotine transdermal patches
Adults Habitrol: Topical If patient smokes at least 10 cigarettes/day, start with 21 mg/day for first 4 wk, then decrease dose to 14 mg/day for next 2 wk, then decrease dose to 7 mg/day for last 2 wk. If patient smokes less than 10 cigarettes/day, start with 14 mg/day for 6 wk then decrease dose to 7 mg/day for last 2 wk. Return to top

Nicoderm
Topical If patient smokes at least 10 cigarettes/day, start with 21 mg/day for first 6 wk then decrease dose to 14 mg/day for next 2 wk, then decrease dose to 7 mg/day for last 2 wk. If patient smokes less than 10 cigarettes/day, start with 14 mg/day for 6 wk then decrease dose to 7 mg/day for last 2 wk. Return to top

Nicotrol
Topical Use 15 mg/16 h for 6 wk. Return to top

Nicotine nasal spray
Adults: Spray (Each actuation delivers 50 mcL spray containing 0.5 mg nicotine.) 8 to 40 doses/day for 3 to 6 mo. Return to top