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OVER-THE-COUNTER PRODUCTS TO HELP QUIT Product


Nicotine skin patch 5 mg-21 mg Strengths Starting dose


1 patch every 16-24 hours (start at a higher dose then gradually reduce to lower strength as recommended)


Maximum dose


1 patch every 16 hours (remove at night)


Treatment time 6-20 weeks (2-6 weeks per strength level)


Possible side effects (and what to do)


Be careful if using


Mild skin reaction (move patch to different place on body; use steroid cream; try different brand of patch)


Vivid dreams, trouble sleeping (remove patch at bedtime)


When pregnant or breastfeeding When you have heart problems When you have a stomach ulcer


You have eczema or other skin diseases


Do not use if You are allergic to adhesive tape


You continue to use tobacco or other nicotine products


How to use


Apply one patch to healthy, clean, dry, hairless skin such as upper arm or hip. Remove and replace daily. Some brands are for 24-hour wear; some are for daytime wear only.


Mouth soreness Hiccups


Upset stomach


Mild jaw ache (use correct chewing method)


When pregnant or breastfeeding When you have heart problems When you have a stomach ulcer


You have jaw problems You have dentures or braces


You continue to use tobacco or other nicotine products


Avoid eating or drinking 15 minutes before use. Bite piece slowly to release a peppery taste and a slight tingle, then put between cheek and gum. When taste and tingle fade, bite piece until it starts to tingle again and put it in another part of mouth. Continue for 30 minutes.


. All medicines may cause other side effects.


Talk to your doctor about risks and benefits. In case of overdose, call the Poison Control Center at 1-800-222-1222. Keep all medications out of reach of children and pets.


12 How to Help Someone You Love Stop Using Tobacco


Allow lozenge to dissolve slowly over 20 to 30 minutes. Move lozenge from one side of mouth to the other now and then. Do not chew or swallow lozenge. Do not eat or drink 15 minutes before lozenge use.


Headache Trouble sleeping


Nausea if lozenge is swallowed or chewed


When pregnant or breastfeeding When you have heart problems When you have a stomach ulcer


You continue to use tobacco or other nicotine products


Nicotine gum


2 mg (for people who smoke fewer than 25 cigarettes a day)


4 mg (for people who smoke 25 or more cigarettes a day)


1 piece every 1-2 hours (after 2-3 months, gradually reduce number of pieces over time)


2 mg: 30 pieces per day 4 mg: 24 pieces per day


Up to 3-6 months 8-12 weeks


Nicotine lozenge


2 mg (for people who smoke first cigarette 30 minutes or more after waking up)


4 mg (for people who smoke within 30 minutes of waking up)


1 lozenge every 1-2 hours weeks 1-6


1 lozenge every 2-4 hours weeks 7-9


1 lozenge every 4-8 hours weeks 10-12


5 lozenges every 6 hours or 20 lozenges daily


12 weeks


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