About Smoking Cessation Lozenges

About Smoking Cessation Lozenges
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Smoking is addictive because it contains nicotine, a chemical that creates a psychological and physical dependence in the body. If you have had difficulty quitting smoking in the past, increase your chances for success by using smoking cessation lozenges. Smoking cessation lozenges contain nicotine that is released into the body through the mucus membranes in the mouth. While using smoking cessation lozenges, the body will become less dependent on smoking, allowing you to quit more easily.

Function

Smoking cessation lozenges are small tablets that are placed in the mouth. Smoking cessation lozenges are available only by a doctor's prescription, and are usually prescribed by a general practitioner or family doctor. The lozenge contains nicotine and is prescribed to be taken every few hours, depending on how often the patient smokes and how strong her urges are to smoke cigarettes throughout treatment. Smoking cessation lozenges are used until the patient no longer has an urge to smoke or the doctor feels another treatment option is necessary.

Types

Smoking cessation lozenges are manufactured under in several different brand names, including Commit, Habitrol and Nicorette lozenges. A doctor will determine which brand is right for the patient. Cessation lozenges are available in several strengths, ranging from 2 mg to 4 mg of nicotine per lozenge. Heavier smokers may require 4 mg lozenges and will then taper down to 2 mg after several weeks, while lighter smokers may start with the 2 mg lozenge.

Time Frame

The National Institutes of Health recommends taking one lozenge every one to two hours for the first six weeks of treatment. For weeks seven through nine of treatment, using one lozenge every two to four hours is recommended. For weeks nine through 12 of treatment, taking one lozenge every four to eight hours is recommended. The lozenge should be used at least 15 minutes after eating or drinking for best nicotine absorbency through the mucus membranes.

Considerations

The National Institutes of Health suggests placing only one lozenge in the mouth at one time, between the cheek and the teeth. After several minutes, the patient should switch the lozenge to the other cheek. Smoking cessation lozenges should not be chewed or swallowed whole. Pregnant or breastfeeding women should not use smoking cessation lozenges, and the lozenges should be kept out of reach from children and pets, who could ingest the lozenge accidentally.

Effects

Mild side effects of smoking cessation lozenges may include dizziness, headache, mouth irritation, sore throat, belching, coughing, constipation, watery eyes, dry mouth, watering mouth and changes in taste. More serious side effects may include vomiting, nausea, diarrhea, confusion, fainting, chest pain, seizures, cold sweat and stomach pain. Serious side effects should be reported to a doctor immediately. In case of accidental ingestion, the patient should contact the Poison Control Center or the emergency room.

References

Article reviewed by M.J. Ingram Last updated on: Dec 23, 2009

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