Client needs to follow directions or nicotine will release too quickly,
increasing adverse drug reactions (ADRs)
Dosing for Nicotine Gum ✔✔ANSWER✔✔For people who smoke within
30 minutes of awakening: 4mg dose is recommended. For people who
wait more than 30 minutes after awakening to smoke the 2mg dose is
recommended.
Client weans dose after 2 to 3 months of abstinence
Nicotine Lozenge ✔✔ANSWER✔✔Lozenge slowly dissolves in mouth
Advise not to chew
Client should not eat or drink while lozenge is in mouth
Nicotine Lozenge Dosing ✔✔ANSWER✔✔1 lozenge every 1 to 2 hours
,Use 4mg if client smokes within 30 minutes of waking.
Wean after 6 weeks of abstinence
Nicotine Patch ✔✔ANSWER✔✔Transdermal absorption
Slow onset, steady state once at peak
Client can not smoke with using patch
ADRs: monitor for nicotine toxicity
Advise to dispose of patches safely.
Nicotine patch dosing ✔✔ANSWER✔✔16 hour and 24 hours patches
Dose of patch is determined by number of cigarettes the client smokes
per day.
Bupropion (Zyban) for Nicotine Replacement Therapy
✔✔ANSWER✔✔Unknown action but believed to enhance
noradrenergic and dopaminergic release
Start 1 to 2 weeks before quit date
Dose: 150mg daily for 3 days then increases to 150mg twice daily
Continue therapy for 7 to 12 weeks, may need longer
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