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Nicotine Lozenge

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Nicotine Lozenge

  • Precautions
  1. Pregnancy Category: D
  • Preparations
  • Nicotine Lozenges
  1. Available over the counter in the United States
  2. Caution: Lozenges contain 25% more Nicotine than the Nicotine Gum
  3. Heavy smokers: 4 mg
    1. Use of 25 Cigarettes per day
    2. First Cigarette within 30 minutes of awakening
  4. Moderate smokers: 2 mg
    1. Less than 25 Cigarettes per day
  • Dosing
  1. Maximum: 20 lozenges daily
  2. Avoid food or drink 15 minutes before gum
    1. Avoid acidic foods and beverages 30 minutes prior to use
  3. Taper schedule
    1. Week 1-6: One lozenge every 1-2 hours
    2. Week 7-9: One lozenge every 2-4 hours
    3. Weeks 10-12: One lozenge every 4-8 hours
  • Adverse effects
  1. Nausea
  2. Gastroesophageal Reflux
  3. Headache
  • References
  1. Larzelere (2012) Am Fam Physician 85(6):591-8 [PubMed]