Pharmacist/Client Discussion on NRT
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- Опубліковано 15 лип 2024
- Dr. Debbie Thompson addresses questions and concerns of client seeking information on Nicotine Replacement Therapies, including nicotine patch, lozenge, gum & inhaler.
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This is great counseling session. Thank you! Definitely helpful for my pharmacy osce
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I didn’t know it takes hours for the patch to work.
Good info I didn’t know it takes hours for the patch to work
Glad we could help provide more information!
I get a nicotine buzz within a few minutes of putting the patch on.
Is the inhaler any different than the e-cigarettes/vaporizers? I would imagine if the inhaler is sold at the pharmacy it will be much more expensive and if the goal NR it shouldn't matter if the inhaler works diff than e-cig right? That is assuming inhaling is doesn't have major negative health affects.
I do have a question about delivery; I know diff delivery changes how fast effects come on and how much is absorbed inhaling is of course the fastest compared to then would be gum(buccal or is it sublingual) then patch(dunno medical term). Should I choose what NRT product based on the delivery?
I have a friend that uses dip(which is shredded tobacco placed between gums and cheek and is different than chew which u actually chewed) and when ever he gives me some I def get a buzz/high from it and don't if I ever chain smoking like 3 or 4 in a row also I smoke a pack a day. Will I get a buzz from any of the NRT and if so isn't that counterproductive?
Sorry if confusing I'm not sober at the moment
Is the inhaler any different than the e-cigarettes/vaporizers?
The inhaler is actually very different from an e-cigarette. The inhaler contains “clean nicotine” that is vaporized and absorbed along your oral mucosa. When you smoke a cigarette, the nicotine comes from burning tobacco. The nicotine in cigarettes is absorbed across the epithelium in your lungs. When you say “major negative health effects,” you should be aware that what’s in cigarettes that causes cancer, COPD, and other diseases isn’t the nicotine itself, it’s actually the carcinogens in the smoke aka the polycyclic aromatic hydrocarbons.
Like the inhaler, e-cigarettes don’t involve the combustion of tobacco. However, e-cigarettes are not proven to be a safe alternative to smoking cigarettes. In an e-cigarette, there is a cartridge containing a liquid solution. In addition to nicotine, this cartridge contains propylene glycol, glycerin, and some cartridges even contain known carcinogens. The manufacture of these cartridges is much less tightly regulated than that of the inhalers. Granted, e-cigarettes are probably safer to use than smoking regular cigarettes, but if you are interested in quitting for good, I wouldn’t recommend them. They have not been proven as an effective smoking cessation aid in scientific studies.
I do have a question about delivery; I know diff delivery changes how fast effects come on and how much is absorbed inhaling is of course the fastest compared to then would be gum(buccal or is it sublingual) then patch(dunno medical term). Should I choose what NRT product based on the delivery?
You can actually use a combination of nicotine replacement therapies at the same time. I don’t know exactly how much you smoke but that does play a factor in what therapy could be right for you. If you smoke more than 10 cigarettes per day, I would recommend starting off with the 21 mg patch and use the gum or lozenge as needed to supplement your cravings. If you are only interested in using the gum or lozenge, I would recommend dosing based on when you have your first cigarette in the morning. If you have your first cigarette less than 30 minutes before you wake up, choose a 4 mg package and for the first 6 weeks use one piece every 1 to 2 hours.
Will I get a buzz from any of the NRT and if so isn't that counterproductive?
Many patients share this concern. The “buzz” that you get from NRT’s is very different from the buzz that you get when smoking a cigarette. When you smoke a cigarette, the nicotine actually reaches your brain in 11 seconds. Nicotine replacement therapy helps patients quit because it eliminates that immediate reinforcement that you get from smoking a cigarette. The NRT simply gives you a slow steady release that helps reduce the withdrawal symptoms that you get from smoking.
Side note: I noticed that you are concerned about the costs associated with NRT products. May I suggest speaking with your doctor? Many insurance plans actually cover NRT therapy.
+CBreeze The inhaler is by prescription only, so insurance covers the costs, so it would be cheaper. It is absorbed faster than either the gum or lozenge. It is different than e-cigarettes, in that the nicotine is mainly absorbed in the mouth and throat. None of the medicinal nicotine products are designed to give you a buzz.
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