24 hour (21mg, 14mg, 7mg)
16 hour (25mg, 15mg, 10mg)
24hr patch – is suitable for all patients. May help more with early morning cravings, however in some patients they may cause insomnia and vivid dreams. Can improve sleep quality for some.
16hr patch – is suitable for all patients. An option for patients who prefer to not wear the patch to bed; are possibly using combination therapy; are experiencing unwanted side effects from the 24hr patch.
Great for patients who like to ‘set-and-forget’.
Continual release of nicotine gives an ‘even’ control of withdrawal symptoms.
If your patient smokes:
>10 cigarettes per day, start on the highest strength.
<10 cigarettes per day or weigh less than 45kg, start on the middle strength.
As the patient reduces their dependence and cravings reduce, they can go down in strength.

4mg, 2mg
If your patient has their first cigarette:
>60 mins after waking, start with the 2mg. Use 8 - 12 pieces per day for 8 or more weeks. Max 20 per day
<60 mins after waking, start with the 4mg. Use 6 – 10 pieces per day. Max 10 per day.
Suits patients who prefer to manage their cravings as they hit – or use in situations that they recognise as being ‘high-risk’ times for them.
Various flavours available.
Some planning around use may be required as the patient shouldn’t eat or drink (except water) for 15mins before and during use.
An option for patients who may have a sensitivity to adhesive in patches.

1mg
Use 1-2 sprays when your patient would normally smoke a cigarette or have cravings to smoke (1-2 sprays every 30 minutes to 1 hour).
If your patient’s cravings do not disappear with one spray, they can use a second one.
Do not use more than 4 sprays/hour for 16 hours or 64 sprays/day.
For best results, your patient should wait a few seconds before swallowing.
They should not inhale the spray – so don’t spray into the throat.
Suits patients who prefer to manage their cravings as they hit – or use in situations that they recognise as being ‘high-risk’ times for them.
Various flavours available.

Regular (4mg, 2mg)
Mini (4mg, 1.5mg)
If your patient has their first cigarette:
>60 mins after waking OR <10 cigarettes per day – use the lower strengths
<60 mins after waking OR >10 cigarettes per day – use 4mg
Suits patients who prefer to manage their cravings as they hit – or use in situations that they recognise as
being ‘high-risk’ times for them.
Various flavours available.
Do not eat or drink whilst using lozenges.
An option for patients who may have a sensitivity to adhesive in patches.

15mg
The inhalator is held like a cigarette, so it keeps the patient’s hands busy.
Your patient may initially use 1 cartridge when they have an urge to smoke or every 2 to 4 hours. For best results they may use 3 to 6 cartridges per day.
Then they should gradually reduce to 1 to 2 cartridges a day and then stop use. Use beyond 12 months is not recommended.
Suits patients who like to have their hands busy or active and prefer to manage their cravings as they hit – or use in situations that they recognise as being ‘high-risk’ times for them.

Part 5: Pharmacy Medicines