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19 Cards in this Set

  • Front
  • Back
nicotine replacements are what preg category
cat D, except the gum which is cat c
what are brand names for nicotine gum
Nicorette, nicorelief, thrive
nicotine patch
brands
NicoDerm CQ, Habitrol

highest adherence rate
nicotine lozenge
brands
commit, nicorelief, and nicorette
Nicotine replacement therapy (NRT)
requirements for purchase
benefits of the gum
benefits of the inhaler form
proof of age, >18

gum- shown to delay weight gain

inhaler- hand to mouth use-coping mechanism
which NRT has fastest onset
nicotine nasal spray
how long is patch worn
24 H or 16H to avoid insomnia
which version is shown to be effective in preg smokers
the lozenge
2 RX meds used in smoking cessation
buproprion SR-Zyban

Varenicline- Chantix
Buproprion
BBW
warnings
SE
BBW- not for children or bipolar patients
W- caution in psych patients, avoid in pilots, busdrivers, truckers
SE- seizures (high doses), NO sexual dysfunction, NO weight gain
max dose of buproprion
450mg daily, due to increased seizure risk
Chantix
Warnings
SE
Requirements
serious skin rxn, avoid use in pilots, truckers...u get idea
SE- Nausea (30%)
Requires MED GUIDE (so does buproprion)
which RX can be used with NRT
buproprion

Chantix- can be used while smoking for a week, but not NRT
nicotine replacement counseling
chew till peppery taste-then PARK in between cheek and gum

chew every once in a while and park for 30mins
avoid coffee, juices-interfere with abs- for 15 mins before

use q 1-2H, most patients don't use enough!
counseling for NRT inhaler
puff for 20 mins
once cartridge is opened-good for 1 day

in cold weather, 40 F, nicotine delivery decreases
NRT lozenge counseling
dissolve in mouth, use 1 lozenge q 1-2 H
NRT patch counseling
apply moment of wakening on quit day, use for 24 H or 16H toavoid insomnia

use hydrocortisone to reduce skin rxn (50% get)
buproprion counseling
takes a week to work, continue smoking 1 week then set a start date in week 2

do not take with wellbutrin
varenicline counseling
set a quit date, take this med 1 week before quit date

take with food and full glass of water

skin rxns have occurred