Comorbidity of mental disorders and substance use: a brief guide for the primary care clinician
14.2 NRT management
Table of contents
- Acknowledgments
- Abbreviations
- Preface
- Introduction
- Comorbidity of mental disorders and substance use: a brief guide for the primary care clinician
1. Levels of evidence
2. Management of people with comorbidity of mental disorders and substance use- 3. The common drug groups
- 4. Tobacco
- 5. Depression and substance use
- 6. Anxiety disorders and substance use
- 7. Psychosis (schizophrenia and bipolar disorder) and substance use
- 8. Personality disorders and substance use
- 9. Eating disorders and substance use
- 10. Somatoform disorders and substance use
- 11. Gambling and substance use
- 12. Brain injury, mental disorders and substance use
- 13. Bibliography
- 14. Appendices
 | For those who smoke: | Dose | Duration |
Patch | >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 | |
Gum | > 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 | |
Inhaler | > 10 cigarettes/day | 6-12 cartridges per day | >8 weeks |
Lozenge | 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:
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)
