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Quitting tobacco? - Medication options & inforMation:
prescription products:
there are two kinds of prescription medication therapy available for quitting smoking:

2) Champix® (varenicline) } both medications are covered by
nihb (status card benefits)
Prescription Medication for Chance of Success Quitting Smoking (Compared to not using any medication therapy) non-prescription products - nicotine
replaceMent

therapy (nrt)
there are four different kinds of nicotine replacement therapy (nrt) available:
2) Nicotine Patch 3) Nicotine Inhaler 4) Nicotine Lozenge Nicotine Replacement Time Until HIghest Level of Nicotine in Bloodstream Smoking 7-10 seconds Gum 20-30 minutes 80 puffs = 1 cigarette Medications can assist you to quit tobacco for good. Giving up this addiction can restore your mental,
spiritual, emotional, and physical health


drug name
side effects
- Like other medicines, Zyban® can strength
cause some side effects. If they occur, they are most likely to be minor and go - 150mg extended release tablets.
away after a few days. how it Works
- These side effects could be: • Headache (To help: relaxation, - Zyban® is an antidepressant that affects massage, or can try Tylenol if certain chemical receptors in the brain to help reduce symptoms of nicotine withdrawal (like anxiety and irritability).
• Difficulty sleeping (To help: take second dose 8 hours before how to use
- Take one tablet once daily for 3 days and • Dry mouth (To help: can suck on then increase to one tablet twice daily ice cubes or chew sugarless gum) (at least 8 hours apart) starting on the • Upset stomach (nausea or fourth day.
constipation) (To help: take with - Quit smoking in your second week (Day 8-14) of Zyban® therapy (this will give - Ask your pharmacist or doctor about enough time for the levels of Zyban® in more information about possible side your body to be high enough to work effects and how to manage them if they - Continue taking Zyban® for at least 7 - If you notice anything abnormal (like changes in your mood, shakiness, fever, etc), contact your doctor right away.
important
- Swallow tablets whole with a glass of - Zyban can double your chances of
- If you miss a dose and it is almost time successfully quitting.
to take your next dose, only take your - You avoid harm done to yourself and next dose when you are meant to (never others because you won't be smoking. double up your doses).
- By quitting smoking you save money, things to avoid
you smel better, you can breathe better, and you reduce your risk of developing - Minimize or avoid alcohol while taking different diseases and cancers.
- Covered by NIHB (Status Card benefits). - Do not crush or chew Zyban® tablets - 180 tablets per year.
(it will cause too much medication to be released at one time, making you more likely to experience side effects).


chaMpix ®:
drug name
quitting and will make you more likely to experience side effects from nicotine).
strength

- 0.5mg and 1mg tablets side effects
how it Works
- Like other medicines, Champix® can - Champix® helps to relieve the craving cause some side effects. If they occur, and withdrawal symptoms that can they are most likely to be minor and go happen when you quit smoking.
away within your first week of taking - Champix® does not contain nicotine - These side effects could be: but it affects the nicotine receptors in • Upset stomach (nausea or your body. - it acts like a weaker kind of vomiting) (To help: Take Champix® nicotine, and also blocks nicotine from with food and lots of water).
getting to the nicotine receptors.
• Headache (To help: relaxation, how to use
massage, or can try Tylenol if - Days 1, 2 & 3: Take one 0.5mg tablet (white) once a day.
• Abnormal dreams (To help: - Days 4, 5, 6 & 7: Take one 0.5mg tablet avoid smoking after Day 14 (white) twice a day.
and other stimulants like caffeine while taking Champix®).
- Day 8 until the End of Treatment: Take one 1mg tablet (blue) twice a day.
- Ask your pharmacist or doctor about more information about possible side - Quit smoking in your second week (Day effects and how to manage them if they 8-14) of Champix® therapy.
- Treatment lasts 12 weeks.
- If you notice anything abnormal (like important
changes in your mood, shakiness, fever, etc), contact your doctor right away.
- Take dose with lots of water. - If you miss a dose and it is almost time to take your next dose, only take your - champix can triple your chances of
next dose when you are meant to (never successfully quitting.
double up your doses).
- You avoid harm done to yourself and things to avoid
others because you won't be smoking. - Do not use other forms of nicotine - By quitting smoking you save money, replacement therapy (NRT), like the you smel better, you can breathe better, nicotine patch, gum, inhaler, or lozenge and you reduce your risk of developing (this will make you more likely to different diseases and cancers.
experience side effects from nicotine).
- Covered by NIHB (Status Card benefits).
- Do not smoke after Day 14 (this will - 165 tablets per year.
lower your chance of successfully


nicotine replaceMent therapy
brand name
brand names
- Nicorette, Nicotrol, generic store brand strengths
strengths
- Only one strength available (10mg in cartridge, but delivers 4mg).
how to use
how to use
- If you normally have your first smoke - Inhale as you would with a cigarette.
after being awake for 30 minutes in the - One cartridge lasts for about 20 minutes morning, start with the 4mg lozenge.
of continuous puffing (about 400 puffs).
- If you normally have your first smoke - Use for 3 months, then only use as after being awake for 30 minutes in the morning, start with the 2mg lozenge.
important
- Suck on one lozenge until strong taste is noticed, then rest it between cheek and - For the first 12 weeks, use 6-12 gum for 1 minute. Repeat. cartridges per day.
- One lozenge should last 20-30 minutes.
important
Avoid acidic beverages (coffee, pop, - Continue using the lozenge regularly for alcohol, fruit juice) while using the 3-6 months.
inhaler (the inhaler will not work as caution
-
Let the lozenge dissolve in your mouth and do not swallow or chew the - Keeps hands busy. lozenge (it may make you feel sick or - Can use same cartridge more than once cause hiccups or heartburn).
(up to about 400 puffs).
- Avoid acidic beverages (coffee, pop, alcohol, fruit juice) while using the NOTE: A combination of products can be used inhaler (the inhaler will not work to best fit your lifestyle and personal benefits
Easy to use, keeps mouth busy.
- Easily disguised (looks like you are sucking on a regular mint or candy).
our pharmacist or doctor about what kind of nicotine replacement therapy is right for you. nicotine replaceMent therapy
brand name
brand names
- Nicorette, Thrive, generic store brand - NicoDerm, generic store brand strengths
strengths
- 21mg, 14mg, 7mg how to use
how to use
- Start by chewing 10-20 pieces/day.
- Weeks 1-6: apply one 21mg patch daily. - Decrease by one piece per day each - Weeks 7-8: apply one 14mg patch daily.
week (ie: week 1 = 15 pieces/day, week 2 = 14 pieces/day, week 3 = 13 pieces/ - Weeks 9,10: apply one 7mg patch daily.
- If you smoke less than half a pack every - Use regularly for 3 months, then only day, you may start with the 14mg patch.
use as needed.
important
- If you smoke less than half a pack every - Apply a new patch every 24 hours.
day, start with 2mg strength.
- Do not apply a patch to the same spot - If you smoke more than half a pack more than once within 7 days.
every day, start with 4mg strength.
important
- Heavy exercise may increase the - Bite. Bite. Park for 1 minute. Bite. Bite. absorption of nicotine (your pharmacist Park for 1 minute. Repeat.
can help you find a solution that works - One piece lasts for approx. 30 minutes.
best for you).
things to avoid
- Applying the patch immediately after a shower may increase the absorption of - Do not eat or drink 15 minutes before or nicotine (increasing your chance of while chewing nicotine gum (might experiencing side effects). cause side effects like hiccups, heartburn or feeling sick).
- Talk to your doctor or pharmacist if you have any skin conditions (i.e., eczema).
- Avoid acidic beverages (coffee, pop, alcohol, fruit juice) 15 minutes before benefits
chewing nicotine gum (the gum will not - Keeps a constant level of nicotine in work as well).
bloodstream to help reduce cravings and symptoms of withdrawal.
- Easy to use, keeps mouth busy. - Can easily be hidden under clothing.
- Easily disguised (looks like you are chewing regular gum).

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