Quit Smoking Products
The NRT High Achievers
What Type of Quit Smoking Products?
Medical products shown to be successful are:
• Nicotine replacement therapies (patch, gum, lozenge, sublingual tablet
and inhaler). All nicotine replacement therapies are available over the
counter in your local pharmacy and can be bought without a prescription.
Some products may be more widely available in supermarkets etc.
• Bupropion (Zyban) tablets. These need to be prescribed by a doctor and
are listed on the Pharmaceutical Benefits Scheme, which makes them
Correct usage of any of the above products has been shown to double the
chances of stopping smoking among heavy smokers. If you have recently had a
heart attack, are pregnant, or you are breastfeeding, talk to your doctor before using
How does nicotine replacement therapy (NRT) work?
NRT works by replacing the nicotine obtained from cigarettes with nicotine delivered
by the patch, gum, lozenge, sublingual tablet or inhaler.
• The gum, lozenge and sublingual tablet slowly deliver the nicotine through
the lining of the mouth.
• The patch slowly delivers the nicotine through the skin.
• The inhaler delivers the nicotine a little faster through the mouth.
Because these products deliver a constant low dose of nicotine compared to cigarettes
• reduce your body’s addiction to the nicotine in cigarettes
• reduce symptoms of withdrawal, eg cravings, sleeplessness, poor concentration
How to use NRT
The following information is not intended to replace the Consumer Medicine Information
that accompanies the NRT. Remember to read the Consumer Medicine Information
issued in the NRT packaging before using the NRT.
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The nicotine patch is an adhesive patch that you wear on your skin. It slowly releases
nicotine, which you absorb through your skin. The patch works by replacing
some of the nicotine you normally inhale from cigarettes.
• If you smoke more than 10 cigarettes a day, start on the highest strength
patch – either the 15mg/16 hour patch, or the 21mg/24 hour patch.
• If you smoke less than 10 cigarettes a day or weigh less than 45kg, start
on either the 14mg/24 patch or 10mg/16hrs.
• Wearing a patch for 16 hours per day is as effective as wearing one for 24
hours per day.
Using the patch for 8 weeks is as effective as longer courses and there is
no evidence that gradually reducing the dose is better than simply stopping
use of the patch.
• Nicotine patches should not be used for longer than 3 months.
You must use nicotine patches correctly for them to be effective in helping you
1. One patch is used per day.
2. Apply to clean, dry, smooth skin on arm or upper body, in the morning.
3. Choose a different site each day to avoid skin rash.
• Nicotine gum is available in 2mg and 4mg strengths. Usually the 4mg
strength is recommended if you smoke 20 or more cigarettes in a day or
are a smoker who has not been able to quit smoking using the 2mg
• Nicotine gum is NOT to be chewed like regular gum, but used as an oral
• Use gum regularly, for example, 1 piece per hour, as follows:
1 Chew 3-4 times, until you feel a tingling sensation or a ‘peppery’
2 Flatten it and place it between your cheek and gum.
3 Occasionally move the gum around your mouth and chew two or
three times to release more nicotine as needed.
4 Eating or drinking anything except water should be avoided for 15
minutes before and during chewing.
5 Discard after 30 minutes.
• Medical guidelines recommend you use the gum every 1-2 hours during
the day, for a period of 1-3 months.
• It is recommended that you do not chew more than 20 of the 2mg or 10 of
the 4mg pieces in one day.
This Quit Smoking Product works in the same way as nicotine gum; the nicotine is absorbed into
the bloodstream through the lining of the mouth.
How many is too many. For dosage and other information about this NRT method simply take a look at the Quit Smoking Product
Nicotine Lozenge page
Remember to read and adhere to the information on the pack of any Quit Smoking Products
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Similar to the lozenge in that, nicotine is released and absorbed through the lining of the
mouth as the tablet dissolves. The levels of nicotine attained are similar to those of
the 2mg gum. Sublingual tablets may be useful in situations where chewing gum is
1. Tablet is placed under the tongue where it releases nicotine as it dissolves.
2. Tablet should not be swallowed, sucked or chewed.
3. Drinking is permitted while tablet dissolves.
4. Those who smoke less than 20 cigarettes per day should use one tablet per
hour (8-12 tablets per day).
5. Those who smoke greater than this amount should use two tablets per hour
(16-24 tablets per day).
6. Full dose of tablets should be used for 3 months, then gradually reduced to
The sublingual tablet should not be used for longer than 12 months.
This Quit Smoking Product or device, consists of a plastic mouthpiece and cartridge containing 10mg of
It may be useful for those who miss the hand to mouth action of smoking.
• The inhaler resembles a cigarette and the nicotine is inhaled through the
• After 20 minutes of intense use with deep inhalations for continuous puffing
you will have used all the available nicotine in a cartridge.
The program recommended by the manufacturers is:
• 6-12 cartridges per day for 12 weeks • 3-6 per day for 2 weeks
• 1-3 per day for 2 weeks
• Use of the inhaler beyond 6 months is not recommended.
Withdrawal symptoms and side effects
Some smokers confuse symptoms of withdrawal from tobacco with the side effects
of NRT. They may become tense, agitated, depressed, have disturbed sleep or
crave cigarettes when using NRT. These can be symptoms of nicotine withdrawal.
This can happen when the nicotine from the NRT has not properly replaced the
nicotine from cigarettes. Different types of NRT can be combined to enhance the
success, for example patch plus one of the following:
3. Sublingual tablet
Some people do experience side effects, but these are usually mild.
Side effects can include:
• A rash on the skin where the nicotine patch is worn. Moving the patch to a
new area of skin each day will help reduce skin irritation, and there are
also medicated skin creams available
• Mouth irritation.
If you are concerned, talk to your doctor.
What is bupropion (Zyban)?
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Bupropion is a non-nicotine medication that helps people stop smoking. It is available
only on prescription so you need to visit your doctor. Bupropion can be combined
with other Quit Smoking Products (NRT's) to help with quitting. Talk to your doctor about the suitability of this
Bupropion may not be appropriate for all smokers and is not recommended
for people with seizure disorders, those on certain medications for depression,
or those with a history of manic-depressive illness. At the time of publication
Zyban is the only form of bupropion available in some countries.
Other strategies that may help you when you decide to quit are:
• Developing a quit plan which includes:
1 Setting a date to quit.
2 Reviewing past experience to determine what worked and what did
3 Identifying potential problems and ways to deal with them.
4 Enlisting the support of family and friends.
5 Quitting with a friend.
6 Reducing alcohol and caffeine use in the first two weeks.
7 Avoiding other people’s smoke.
Being mindful of stressful or negative events.
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