tobacco

Nicotine Nasal Spray

Description: 
See FDA package insert for more complete information

The nasal spray is available by prescription only. Each spray delivers 0.5 mg of nicotine. One dose consists of 2 sprays, one in each nostril, for a total of 1.0 mg of nicotine. A minimum of 8 doses is recommended per day, with the initial dose being 1 to 2 doses per hour, increasing dose as needed. Eight (16 sprays) to 40 (80 sprays) doses per day is the recommended range. Therapy duration is 3 to 6 months.


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Nicotine Gum

Description: 
See FDA package insert for more complete information

Nicotine gum is currently available as an over-the-counter medication in 2-mg and 4-mg dosages. If you smoke 25 or more cigarettes a day, it is recommended that you use the 4-mg gum. Use one piece every 1 to 2 hours for the first 6 weeks; use up to 12 weeks. Do not exceed 24 pieces per day. The gum should be used for up to 12 weeks.


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Nicotine Patch

Description: 
See FDA package insert for more complete information

The nicotine patch is available over the counter and in prescription form. Find out if your insurance will reimburse you for the prescription patch. Doses and how long they are worn vary in the different brands and your doctor may help select the right one for you. Generic patches are also available, often at lower costs. The recommended duration of usage is 8 weeks, which is as effective as longer treatment.


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Nicotine Inhaler

Description: 
See FDA package insert for more complete information

Nicotine inhaler is available through prescription only. It consists of a mouthpiece and a cartridge. The cartridge contains 10 mg of nicotine. A dose is a puff or inhalation. The initial dosage is typically 1-2 doses per hour. Recommended dosage is a minimum of 8 doses and maximum of 40 doses per day. Recommended duration of use is up to 6 months, tapering during the final 3 months.



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Outside Social Support

Description: 
Social support systems outside the clinical setting, such as support groups, are effective in helping patients quit smoking. Some possible components of social support are included in this resource.


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Problem Solving

Description: 
Description of problem-solving treatment components, as well as examples. This resource points out how patients can avoid potentially risky situations.


Recognize Danger Situations
Identify "danger situations," i.e., events/situations, internal states or activities that increase risk of smoking (using tobacco) or relapse.

Examples: Being around other tobacco users, Drinking alcohol, Smoking cues and availability of cigarettes, Urges to use tobacco, Negative affect and experiencing stress.

Develop Coping Skills

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Avoiding Triggers

Description: 
Situations in which patients may find they desire to smoke. Includes possible solutions to these situations.

What triggers you to smoke? The table below lists what a lot of smokers say. Do some of these sound familiar to you? Take a look at the suggestions for how to overcome each trigger. Try to think of some other changes you can make.

And don't underestimate your possible physical addiction to nicotine. If, for example, you feel a need to smoke within 20 minutes after waking up, it's most likely a need for a nicotine hit.


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Relapse Handout

Description: 
Questions and situations that surround relapse in tobacco cessation.

Did you quit smoking for some time but then go back to it after a while?

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Fagerström Test for Nicotine Dependence: John's Results

Description: 
The following are the results of the Faegerström Test for Nicotine Dependence for patient John:

Fagerström Test for Nicotine Dependence (Heatherton et al. 1991)

Name:__John_____________ Date: __May 13, 2006__________

1. How soon after you wake up do you have your first cigarette?

(A.) Within 5 minutes (3)

B. 6-30 minutes (2)

C. 31-60 minutes (1)

D. After 60 minutes (0)

 

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Fagerström Test for Nicotine Dependence from Heatherton et al., 1991
Source: 
Heatherton et al., 1991
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