Nicotine Administration
Oral Administration (Chewing Gum)
- Instruct patient to chew gum slowly until a tingling sensation in the mouth occurs, then stop chewing until the sensation subsides. Repeat this process for about 30 minutes. DO NOT SWALLOW THE GUM.
Oral Administration (Lozenge)
- Instruct the patient to carefully follow the directions that come with the lozenge and use exactly as directed. Nicotine lozenge should be placed in the mouth and allowed to slowly dissolve. Do not chew or swallow the lozenge. Every few minutes or so, the lozenge should be moved from one side of the mouth to the other until the lozenge is completely dissolved (about 20- 30 minutes).
Transdermal System Administration
Transdermal Patches:
- Determine if patch is to be worn for 16 or 24 hours. Habitrol, Nicoderm, and ProStep are designed to be worn for 24 hours and then removed. The Nicotrol brand is to be applied upon waking and removed at bedtime.
- Apply to any hairless site. Avoid applying to areas with cuts, calluses, scars, oil, burns, or irritation. Use firm pressure over patch for 10 seconds to ensure contact with skin, especially around the edges. If patch becomes loose or falls off, replace with another one. Do not cut or trim patch. Patches should not be affected by showering or bathing.
- Wash hands with plain water after applying the patch; soaps can increase absorption.
Nasal Inhalation Administration (Nicotrol® NS Nasal Spray)
- Instruct patients on proper use of the inhaler. Patients should be instructed to stop smoking completely while using this product.
- Each actuation delivers 0.5 mg of nicotine. One dose represents 1 spray in each nostril (total dose = 2 sprays).
Oral Inhalation Administration (Nicotrol® Inhaler System)
- Instruct patients on proper use of the inhaler and cartridges (see manufacturer-provided patient information leaflet dispensed with the product).
- Patients should be instructed to stop smoking completely while using this product.
- Best results are obtained by frequent continuous puffing (20 minutes).
- Each cartridge delivers a total of 4 mg of nicotine to the patient.
[ Last revised: 11/8/2005 5:40:00 PM ]
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