NRT Gum
Patient Counselling
Patient Counselling
· Patients using more than 25 or more cigarettes a day should use the 4mg gum, while patients smoking less than 25 cigarettes a day should use the 2mg gum.
· The gum should be used for up to 12 weeks, no more than 24 pieces should be chewed per day with a gradual taper every 1-2 weeks of amount consumed per day.
· Avoid smoking if possible while using the nicotine replacement therapy.
· Gum should be chewed slowly until a peppery or minty taste emerges and then "parked" between cheek and gums to facilitate nicotine absorption through the oral mucosa. It should be chewed slowly and intermittently and parked for about 30 minutes or until the taste dissipates.
· Acidic beverages (e.g., coffee, juices, or soft drinks) interfere with the buccal absorption of nicotine, so eating and drinking anything except water should be avoided for 15 minutes before and during chewing.
· Consult with a physician if you have any history of heart problems or may be pregnant or considering pregnancy. Also breastfeeding woman should consult with a physician.
· Smoking may alter the metabolism of several drugs ensure to consult with a physician or pharmacist before deciding to quit smoking
· The gum should be kept out of the reach of children and stored under 25◦C.
· Nicotine can cause side effects such as headache, nausea, upset stomach and dizziness
References
1. Doering P.L., Li R.M. (2011). Chapter 75. Substance-Related Disorders: Alcohol, Nicotine, and Caffeine. In R.L. Talbert, J.T. DiPiro, G.R. Matzke, L.M. Posey, B.G. Wells, G.C. Yee (Eds), Pharmacotherapy: A Pathophysiologic Approach, 8e. Retrieved July 1, 2012 from http://www.accesspharmacy.com.proxy.lib.uwaterloo.ca/content.aspx?aID=7987625
2. Patient Self-Care: Helping your patients make therapeutic choices. Second edition. Ottawa, ON: Canadian Pharmacists Association; 2010: 48-64.
:
· Patients using more than 25 or more cigarettes a day should use the 4mg gum, while patients smoking less than 25 cigarettes a day should use the 2mg gum.
· The gum should be used for up to 12 weeks, no more than 24 pieces should be chewed per day with a gradual taper every 1-2 weeks of amount consumed per day.
· Avoid smoking if possible while using the nicotine replacement therapy.
· Gum should be chewed slowly until a peppery or minty taste emerges and then "parked" between cheek and gums to facilitate nicotine absorption through the oral mucosa. It should be chewed slowly and intermittently and parked for about 30 minutes or until the taste dissipates.
· Acidic beverages (e.g., coffee, juices, or soft drinks) interfere with the buccal absorption of nicotine, so eating and drinking anything except water should be avoided for 15 minutes before and during chewing.
· Consult with a physician if you have any history of heart problems or may be pregnant or considering pregnancy. Also breastfeeding woman should consult with a physician.
· Smoking may alter the metabolism of several drugs ensure to consult with a physician or pharmacist before deciding to quit smoking
· The gum should be kept out of the reach of children and stored under 25◦C.
· Nicotine can cause side effects such as headache, nausea, upset stomach and dizziness
References
1. Doering P.L., Li R.M. (2011). Chapter 75. Substance-Related Disorders: Alcohol, Nicotine, and Caffeine. In R.L. Talbert, J.T. DiPiro, G.R. Matzke, L.M. Posey, B.G. Wells, G.C. Yee (Eds), Pharmacotherapy: A Pathophysiologic Approach, 8e. Retrieved July 1, 2012 from http://www.accesspharmacy.com.proxy.lib.uwaterloo.ca/content.aspx?aID=7987625
2. Patient Self-Care: Helping your patients make therapeutic choices. Second edition. Ottawa, ON: Canadian Pharmacists Association; 2010: 48-64.
: