DAY OF QUITTING

Ways of Quitting

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


We felt it fair to include our chemical laced competitors. Beware of the dangerous side-effects!

Brand (Company)

Active Ingredient

Strength(s)

Dose*

Comments

TRANSDERMAL

Habitrol (Novartis Consumer Health)

R

Nicotine

21mg/24hr 14mg/24hr 7mg/24hr

Usual: One 21mg/24hr patch daily for 4-8 wks, then one 14mg/24hr patch daily for 2-4 wks, then one 7mg/24hr patch daily for 2-4 wks; then discontinue. Low-dose regimen: One 14mg/24hr patch daily for 6 wks, then one 7mg/24hr patch daily for 2-4 wks: then discontinue

Apply to clean, dry, non-hairy site on trunk or upper outer arm. Rotate sites.

Nicoderm CQ (Smithkline Beecham Consumer Healthcare)

OTC

Nicotine

21mg/24hr 14mg/24hr 7mg/24hr

Usual: One 21mg/24hr patch daily for 6 wks, then one 14mg/24hr patch daily for 2 wks, then one 7mg/24hr patch daily for 2 wks; then discontinue. Low-dose regimen: One 14mg/24hr patch daily for 6 wks, then one 7mg/24hr patch daily for 2 wks: then discontinue

Apply to clean, dry, non-hairy site on trunk or upper outer arm. Rotate sites. Remove after 16-24hrs.

Nicotrol Transdermal (McNeil Consumer)

OTC

Nicotine

15mg/16hr

One Patch worn for 16 hrs daily for 6 wks: then discontinue

Apply to clean, dry, non-hairy site on hip or upper outer arm. Remove at bedtime. Rotate sites. Not for use in light smokers

CHEWING GUM

Nicorette (Smithkline Beecham Consumer Healthcare

OTC

Nicotine (as polacrilex)

2mg
 4mg

Chew*** one piece every 1-2 hrs (at least 9/day) for 6 wks, the one piece every 2-4 hrs for 3 wks, then one piece every 4-8 hrs for 3 wks: then discontinue

Avoid food and acidic drinks for 15 min before and during chewing. Use 4mg strength for highly nicotine-dependent** patients, or if failed with 2mg

NASAL SPRAY

Nicotrol NS (McNeil Consumer)

R

Nicotine

0.5mb/spray (aqueous nasal spray)

Initial: 1-2 doses/hr; may stop abruptly if needed. Max 5 doses/hr, 40 doses/day. Max 3 months treatment. 2 sprays is one dose (one spray/nostril)

Do not sniff, swallow, or inhale spray. Nasal vasoconstrictors may delay absorption

INHALER

Nicotrol Inhaler (McNeil Consumer)

R

Nicotine inhalation system

10mg/cartridge (4mg delivered)

Use at least 6 and up to 16 cartridges/day for up to 12wks, then (if needed) reduce gradually over 12 more wks; then discontinue. Max 6 months treatment.

20 minutes of active puffing releases 4mg of nicotine (about 2mg absorbed, equivalent to about 2 cigarettes).

ORAL DOSAGE FORMS

Zyban (Glaxo Wellcome)

R

Bupropion HCI

150mg sustained-release tablets

Patients >8yrs: 150mg once daily for 3 days, then 150mg twice daily (at least 8hrs apart); max 150mg twice daily for 7-12wks. Patients <18yrs: not recommended (insufficient data). Reduce dose in renal or hepatic impairment.

May be used with nicotine replacement. Do no crush, chew, or divide tablets. Stop smoking within 1-2 wks of starting Zyban. Avoid bedtime dosing. Do not use with other forms of bupropion.

Footnotes

R=Prescription only
OTC=Available Over The Counter
* Low-dose regimens are usually recommended for patients weighing <100lbs, light smokers (<10 cigarettes/day), and those with cardiovascular disease.
** Highly nicotine dependent is defined in the guidelines as those smoking >20 cigarettes/day (product labeling uses 24 cigarettes/day), those who smoke within 30min of awakening, and those who find it difficult to refrain from smoking where it is forbidden.
***Slowly chew gum until a "peppery" taste emerges, then "park" between cheek and gum. "Chew and park" gum slowly and intermittently for about 30 minutes.

Adapted from Clinical Practice Guidelines No. 18, AHCPR Publication #96-0692, 4/96 and relevant product labeling.

NOTE: Brand names included in this website are provided as examples only and their inclusion does not mean that these products are endorsed by QuitSmoking2.com. Also, if a particular brand name is not mentioned, this does not mean or imply that the product is unsatisfactory.