NRT INHALER
Patient Counselling
Patient Counselling
Brand name of nicotine inhaler available in Canada is Nicorette ® Inhaler. It is the only nicotine inhaler available for use.
Each cartridge delivers 4 mg of nicotine from the inhaler of which 2 mg is absorbed systemically. Recommended dose from clinical trials is 6 to 16 cartridges/day with Canadian product monograph recommending 12 cartridges/day max. Full cartridge lasts about 20 minutes with rapid inhalations.
Duration of treatment is 6 months with tapering recommendation in last 3 months. Stop when using 1 – 2 cartridge per day.
Side effects: cough, rhinitis, local irritation of mouth and throat, headache, insomnia, dyspepsia, nausea, hiccups
Direction for use:
· use 3 – 4 puffs/minute for 20-30 minutes
· must puff more frequently than cigarettes since 1 puff of inhaler does not equal to 1 puff of cigarettes
· use as need
References:
1. Alberta Health Services. Comparisons of medications used for smoking cessation. Last updated: n/a. Accessed on June 7, 2012.
2. Pipe A. Nicotine Replacement Therapy. Ontario Pharmacists’ Association. Last updated: n/a. Accessed on June 7, 2012.
3. Regier L, Jensen B, Chan W. Smoking cessation pharmacotherapy. RxFiles. Last updated: March 2012. Accessed on June 7, 2012.
4. Stead LF, Perera R, Bullen C, Mant D, Lancaster T. Nicotine replacement therapy for smoking cessation. Cochrane Database Syst Rev. 2008 Jan 23;(1):CD000146.
Brand name of nicotine inhaler available in Canada is Nicorette ® Inhaler. It is the only nicotine inhaler available for use.
Each cartridge delivers 4 mg of nicotine from the inhaler of which 2 mg is absorbed systemically. Recommended dose from clinical trials is 6 to 16 cartridges/day with Canadian product monograph recommending 12 cartridges/day max. Full cartridge lasts about 20 minutes with rapid inhalations.
Duration of treatment is 6 months with tapering recommendation in last 3 months. Stop when using 1 – 2 cartridge per day.
Side effects: cough, rhinitis, local irritation of mouth and throat, headache, insomnia, dyspepsia, nausea, hiccups
Direction for use:
· use 3 – 4 puffs/minute for 20-30 minutes
· must puff more frequently than cigarettes since 1 puff of inhaler does not equal to 1 puff of cigarettes
· use as need
References:
1. Alberta Health Services. Comparisons of medications used for smoking cessation. Last updated: n/a. Accessed on June 7, 2012.
2. Pipe A. Nicotine Replacement Therapy. Ontario Pharmacists’ Association. Last updated: n/a. Accessed on June 7, 2012.
3. Regier L, Jensen B, Chan W. Smoking cessation pharmacotherapy. RxFiles. Last updated: March 2012. Accessed on June 7, 2012.
4. Stead LF, Perera R, Bullen C, Mant D, Lancaster T. Nicotine replacement therapy for smoking cessation. Cochrane Database Syst Rev. 2008 Jan 23;(1):CD000146.