It relieves withdrawal symptoms very quickly and lets you control your nicotine cravings. Most people are told to use 1 to 2 doses per hour. 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.
NRT products are supposed to roughly match the amount of nicotine you typically took in through tobacco. It can be more of a challenge to get the dose right for smokeless tobacco users, since NRT products are labeled for people who smoke. Certain types of NRT may help more than others.
If you look at the way the tobacco is used, nicotine gum and lozenges are most like using smokeless tobacco. They also let you control your dose to help keep nicotine cravings down.
To avoid withdrawal symptoms, you want to aim for a nicotine dose fairly close to what you got from snuff or tobacco use. Using the nicotine patch along with shorter-acting products, like the gum, lozenge, nasal spray, or inhaler, is another method of NRT.
The idea is to get a steady dose of nicotine with the patch and then use one of the shorter-acting products when you have strong cravings. In general, people who have smoked heavily do better with this combination approach. At this time, not much is known about this option. The nicotine patch resembles a square tan or clear bandage. The size depends on the dosage and brand, but generally is between one and two inches square.
The nicotine patch should be applied once a day to clean, dry, hairless skin. Manufacturers usually recommend wearing the patch between 16 and 24 hours a day, depending on what you're comfortable with. Wearing the nicotine patch to bed at night can disrupt sleep and cause vivid dreams. If this becomes a concern, remove the patch before bed and put a fresh one on the next morning. Some users experience itching, burning or tingling when they first apply the patch.
This usually goes away within an hour and is a result of nicotine coming in contact with the skin. Also observed in some people who use the patch:. Be sure to consult your doctor before using the nicotine patch and if any of the above symptoms are severe or do not go away. Media reports of a possible link between the patch and increased cardiovascular risk have since been shown to be unsubstantiated.
If you take any other medications, be sure to check with your doctor before starting the patch, as it can change the way some medicines work. Do not smoke when using nicotine patches or any other NRT as you run the risk of overdosing of nicotine.
Signs of a nicotine overdose may include:. If you suspect an overdose, take the patch off and call your doctor immediately. So you're ready to finally quit smoking? Our free guide can help you get on the right track. Sign up and get yours today. Centers for Disease Control and Prevention. Updated July 28, Chemical analysis and potential health risks of hookah charcoal. Sci Total Environ. Tobacco Use and Dependence Guideline Panel.
Treating Tobacco Use and Dependence: Update. Randomized comparative trial of nicotine polacrilex, a transdermal patch, nasal spray, and an inhaler. Arch Intern Med. National Library of Medicine. Nicotine transdermal patch. Updated October 15, Safety and effectiveness of transdermal nicotine patch in smokers admitted with acute coronary syndromes. Am J Cardiol. The patch attaches to your skin like an adhesive bandage and delivers a small, constant amount of nicotine through your skin into your bloodstream.
By gradually reducing the amount of nicotine delivered to your body, the patch helps you reduce your dependence on the drug. If you choose the patch, it is important to use it properly.
Follow the directions on the package and be sure to apply it to intact skin that is clean, dry, oil-free, and not covered with hair.
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