Use a fresh piece of gum after about an hour. After 2-3 months you should use the gum less and less. For example, reduce the chewing time, cut the gum into smaller pieces, or alternate the nicotine gum with sugar-free gum.Evidence from research studies suggests that this kind of combination provides a small but significant increase in success rates compared with a single product. It is also thought that it is safe to combine NRT in this way.
Nicotine gum Two strengths are available - 2 mg and 4 mg. You should use the 4 mg strength if you smoke 18 or more cigarettes a day. You can chew up to 15 pieces a day to start with.Nicotine patches A patch that is stuck on to the skin releases nicotine into the bloodstream. Some patches, which you wear only when you are awake, last 16 hours. Other types last 24 hours and you wear these the whole time.
So, most smokers smoke regularly to feel 'normal' and to prevent withdrawal symptoms. About 2 in 3 smokers want to stop smoking but, without help, many fail to succeed. The main reason why so few smokers succeed, even though they want to stop smoking, is because nicotine addiction is strong and difficult to break.How effective is nicotine replacement therapy (NRT)? NRT does increase the chance of quitting smoking. Various studies have looked at this issue. The studies compared NRT to a similar dummy (placebo) product in people who were keen to stop smoking.
There is not much difference in how well the different types of NRT work. Personal preference usually determines which one to use. Below are listed some points about each form of NRT.What is nicotine addiction? Nicotine is a substance that is inhaled from the tobacco in cigarettes. It gets into the bloodstream and stimulates the brain. Most regular smokers are addicted to nicotine.
They are easy to use. Nicotine nasal spray The nicotine in the spray is rapidly absorbed into the bloodstream from the nose. This form of NRT closely mimics the rapid increase in nicotine level that you get from smoking cigarettes.This is to minimise the exposure of nicotine to the unborn baby. Avoid liquorice-flavoured NRT products. Breast-feeding. The amount of nicotine that gets into breast milk is probably similar whether the mother smokes or uses NRT.
This is where nicotine replacement therapy (NRT) can help. Doctors and patients can use Decision Aids together to help choose the best course of action to take. Compare the options What is nicotine replacement therapy (NRT)?The details come on the packets of the various NRT products. It is strongly advised that you take up any offer of support whilst going through the difficult time of giving up smoking.
You should use NRT regularly at first and not 'now and then'. Use an adequate dose of NRT. The higher doses are used if you smoked more than 18-20 per day.These symptoms begin within a few hours after having the last cigarette. If they are not relieved by the next cigarette, withdrawal symptoms become worse. If you do not smoke any more, the withdrawal symptoms peak after about 24 hours and then gradually ease over about 2-4 weeks.
If you are a regular smoker, when the blood level of nicotine falls, you usually develop withdrawal symptoms such as restlessness, increased appetite, inability to concentrate, irritability, dizziness, constipation, nicotine craving, or just feeling awful.Pregnancy. NRT is likely to be safer than continued smoking and so its use can be justified in pregnant women who are finding it difficult to stop smoking. NRT products that are taken intermittently (such as gum, lozenge, spray, inhalator) are preferred to patches.
However, some research studies suggest that stopping abruptly is probably just as good without the need to gradually reduce the dose. The disadvantage of patches is that a steady amount of nicotine is delivered.Avoid using the NRT for at least one hour before breast-feeding. If you are taking an aminophylline medicine. Aminophylline, a medicine used for lung conditions, is broken down by the body into the active ingredient theophylline.
The 24-hour patch may disturb sleep but is thought to help with early morning craving for nicotine. Patches are discreet and easy to apply. The patches come in different strengths. The manufacturers normally recommend that you gradually reduce the strength of the patch over time before stopping completely.This may help to relieve sudden surges of craving. Side-effects such as nose and throat irritation, coughing, and watering eyes occur in about 1 in 3 users. As the nasal spray may cause sneezing and watering eyes for a short time after use, do not use it whilst driving.
Gradually stop the gum completely. The disadvantage of gum is that some people do not like the taste or always having something in their mouth. Gum is not suitable if you wear dentures.So, taking NRT instead of smoking is one step towards a healthier life. The dose of nicotine in NRT is not as high as i.