National Drug Strategy
National Drug Strategy

Comorbidity of mental disorders and substance use: a brief guide for the primary care clinician

14.2 NRT management

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For those who smoke:

Dose

Duration

Patch

>10 cigarettes per day and weight > 45 kg21mg/24 hour or 15mg/16 hour patch>8 weeks
>10 cigarettes/day or weight <45 kg or cardiovascular disease14mg/24 hour or 10mg/16 hour patch>8 weeks

Gum

> 20 cigarettes/day4 mg and 6-10 per day>8 weeks
> 10 and <20 cigarettes/day2 mg and 8-12 per day>8 weeks

Inhaler

> 10 cigarettes/day6-12 cartridges per day>8 weeks

Lozenge

First cigarette > 30 minutes after waking2mg and 1 every 1-3 hours>8 weeks
First cigarette < 30 minutes after waking4 mg and 1 every 1-2 hours>8 weeks

How to use:

Patch

Place the patch on a clean, non-hairy part of the body upon waking, place on a different site each day.

Gum

Chew the gum until a peppery/tingling feeling, flatten and 'park' it between the gum and the cheek. Chew and 'park' several times for each piece of gum.
Avoid coffee and drinks for 15 minutes before and while using the gum.

Inhaler

Inhale air through the cartridge for 20 minutes.

Lozenge

Suck the lozenge and then 'park' it between the gum and the cheek. Suck and 'park' several times for each lozenge.
Avoid coffee and drinks for 15 minutes before and while using the lozenge.

Derived from NSW Department of Health(84)

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