Comorbidity of mental disorders and substance use: a brief guide for the primary care clinician
14.2 NRT management
For those who smoke:
|>10 cigarettes per day and weight > 45 kg||21mg/24 hour or 15mg/16 hour patch||>8 weeks|
|>10 cigarettes/day or weight <45 kg or cardiovascular disease||14mg/24 hour or 10mg/16 hour patch||>8 weeks|
|> 20 cigarettes/day||4 mg and 6-10 per day||>8 weeks|
|> 10 and <20 cigarettes/day||2 mg and 8-12 per day||>8 weeks|
|> 10 cigarettes/day||6-12 cartridges per day||>8 weeks|
|First cigarette > 30 minutes after waking||2mg and 1 every 1-3 hours||>8 weeks|
|First cigarette < 30 minutes after waking||4 mg and 1 every 1-2 hours||>8 weeks|
How to use:
PatchPlace the patch on a clean, non-hairy part of the body upon waking, place on a different site each day.
GumChew 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.
InhalerInhale air through the cartridge for 20 minutes.
LozengeSuck 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)