The Nicorette inhaler should be used at the moment when there is an irresistible desire to smoke. The number of inhalations per day is selected individually, taking into account the degree of expression in a person of nicotine addiction. However, do not use more than 12 cartridges per day.The selected dose of inhalations can be used for 6-12 weeks, after which you should gradually stop using the Nicorette inhaler.
When you quit smoking, the flow of nicotine into the body stops; at the same time you can develop various kinds of unpleasant sensations (headache, irritability, deterioration of sleep, etc.) - the so-called symptoms "cancellation". Using the Nicorette inhaler, you can prevent or at least minimize these symptoms. If inhaled through an inhaler, nicotine evaporates and is absorbed into the oral cavity. Absorption of nicotine occurs slowly, and at the same time high concentrations of nicotine can not be quickly created in the plasma, as occurs in tobacco smoking. In addition, unlike cigarettes, the Nicorette inhaler does not contain tar and does not deliver carbon monoxide into the body, as it does when smoking. Adult patients, including elderly patients
One cartridge replaces 4 cigarettes. If you smoked 20 cigarettes a day, you should use 5 cartridges per day. Each cartridge can be used in about 4 doses, each take about 20 minutes. The recommended dose is 6-12 cartridges per day.
The use of less than 5 cartridges can lead to the lack of effect of the therapy.
Full cessation of smoking
Use the inhaler for at least 3 months. Then you should start to gradually reduce the number of used cartridges. Even after giving up smoking, it is recommended to have a few spare cartridges in case of an irresistible desire to smoke.
Reducing the number of cigarettes smoked The inhaler should be used when you want to smoke, gradually reducing the number of cigarettes smoked per day.
If within 6 weeks you can not achieve a decrease in daily cigarette consumption, you should seek the help of a specialist.
Try to completely abandon cigarettes should be taken as soon as you feel ready for it, but no later than 6 months after the start of therapy. If you could not make a serious attempt to quit smoking within 9 months after the start of therapy, you should contact a specialist.
Typically, it is not recommended to use the inhaler for more than 6 months, but some people require longer therapy to not resume smoking or return to the previous level of tobacco use.
Medical counseling and providing psychological support at the same time as Nicoretge inhaler therapy usually improve the effectiveness of therapy.
In combination with a plaster (a transdermal therapeutic system with nicotine)
The Nicorette inhaler can also be used in conjunction with a band-aid in those situations when, against the background of the use of a plaster, a person continues to periodically feel irresistible urge to Smoking, or if you could not quit smoking with using only an inhaler or only plaster. In combination with a plaster inhaler Nicorette allows you to quickly remove strong urges to smoking when it is necessary.
Initial therapy:
Treatment should be started with a 15 mg / 16 hour patch (Stage 1), applying it every morning to the undamaged,
hair-free area of skin shoulder or hip and taking off before bed, in combination
with Nicorette inhaler 10 mg. Usually happens enough 4-5 cartridges per day. Do not use
more than 12 cartridges per day. Initial therapy is carried out for 6-12 weeks, after which
should gradually cancel the combined therapy.
Abolition of combination therapy:
Combine therapy can be canceled by two ways.
Method 1: for the next 3-6 weeks it is necessary to switch from a plaster 15 mg / 16 hours (1
stage) to the plaster 10 mg / 16 hours (stage 2), and then to the next 3-6 weeks on the plaster
5 mg / 16 hours (stage 3) with the same amount inhalations, as with Initial therapy. Further
gradually reduce the number of inhalations to complete cancellation within the time that
it is necessary for a person depending on his needs, but no later than 12 months after the introduction of combined therapy. Method 2: is to completely remove the patch immediately after the end of the step Initial therapy. Then gradually reduce the number of inhalations until complete cancellation for the time that is necessary for a person depending on his needs, but no later than 12 months after the initiation of combined therapy. Recommended dose:
| Initial therapy |
| Period time | Patch | Inhaler 10 mg |
| The first 6 - 12 weeks | 1 plaster 15 mg / 16 hours (1 stage) daily | By necessity. Recommended 4-5 cartridges per day |
| Cancel - Method 1 |
| Next 3 - 6 weeks | 1 plaster 10 mg / 16 hours (2nd stage) daily | Continue to use cartridges as needed |
| The next 3-6 weeks | 1 plaster 5 mg / 16 hours (stage 3) daily | Continue to use cartridges as needed |
| Up to 12 months after the onset of combined therapy |
| Gradual withdrawal from the use of an inhaler |
| Cancel - method 2 |
| Up to 12 months after the onset of combined therapy |
| Gradual withdrawal from the use of an inhaler |