Nicotine Replacement Benefits of NRT include: Nicotine Withdrawal
Therapy (NRT) • Reduction of withdrawal Symptoms
symptoms (see next section)
Cigarette smoking has been proven • Less nicotine absorption • Irritability
to cause many serious illnesses. • Eliminates exposure to the • Anger
dangerous chemicals of • Moodiness
Nicotine is not generally thought to cigarettes
cause these illnesses. It is the other • Increases success at stopping
components of cigarettes that are smoking
dangerous to health. • Removes tobacco smoke from
• Weight gain
However, nicotine is involved in the • Generally safe, certainly safer
• Poor concentration
physical dependence on smoking. than continuing to smoke
• Sleep disturbance
This dependence makes it more Pregnant and breastfeeding women
If you have these symptoms while on
difficult to stop smoking. can use NRT if they would otherwise
nicotine replacement therapy, the
be unable to give up smoking. It is
cause is not the NRT.
Stopping smoking suddenly may less harmful than continuing to
cause nicotine withdrawal smoke.
You need to increase your dose of
symptoms, cravings and the desire to
nicotine by double-patching or using
smoke. Patients with a heart condition can
the gum, lozenges etc. more
use NRT with their doctor's approval.
Nicotine replacement therapy (NRT)
helps to prevent or reduce these Refer to: www.medsafe.govt.nz.
If you experience nausea (feeling as
symptoms while you are making
if you are going to throw up),
changes to your behaviour. NRT is available in a number of
faintness or headaches while on NRT,
forms. Patches, gum and lozenges
this does mean you are taking too
It provides smaller amounts of (detailed over page) are Government-
high a dose.
nicotine than you get from cigarettes, subsidized at pharmacies (with a
delivered more slowly. Quit Card). Inhalers and microtabs
Cut down until you feel OK again.
are not subsidized.
Using Nicotine Patches Using Nicotine Gum Using Nicotine Lozenges
Nicotine patches are available in Nicotine gum is not used like Do not suck the lozenge
different strengths. ordinary chewing gum. When you continuously like a throat lozenge.
feel the urge to smoke: Do not bite or chew it.
The strength supplied depends on
how much you usually smoke. 1. Chew one piece of gum until 1. Place one lozenge in the mouth
the taste becomes strong or between gums and cheek.
Decide where you want to wear the peppery as nicotine is released. 2. Suck slowly until the taste
patch. 2. Roll the gum and "park" it in becomes strong.
your cheek. 3. Stop sucking until the taste
Choose a clean, dry area with no 3. When the taste fades, chew fades, then suck again.
body hair, avoiding creams, lotions, again to release the strong 4. Occasionally move the lozenge
oils or powder. peppery flavour, and park again from one side of the mouth to
in your cheek. the other.
Cut the sachet and remove the patch.
Don't cut the patches up. You can repeat these steps for 30 You can repeat these steps for 20-30
minutes, 8-12 times per day. minutes, every 1-2 hours in the first
Peel the backing and apply the sticky six weeks, then gradually cutting
side to skin. As you need less nicotine you can cut down to one every 4-8 hours.
the gum up and mix with ordinary
Press firmly for 10 seconds. chewing gum.
Change position each day. Wait three Warnings for Gum and Lozenges
days before using the same area Keep all NRT products out of reach of children, and dispose of carefully.
Don't eat or drink for 15 minutes beforehand or while using.
It will take 1-2 hours for the effect to Nicotine can cause throat irritation and an increase in saliva at first.
reach full strength. Gum and patches
take a shorter time. Swallowing nicotine can cause irritation to the stomach or hiccupping. Try chewing or
sucking more slowly if this is a problem.