Smoking Cessation Management
Nicotine Replacement Therapy (NRT):
Long-Acting NRT:
 • Patch: Wear for 24 hours at a time. Alternate sites to minimize skin irritation.
Short-Acting NRT (Combine with nicotine patch for best effect):
 • Mini Lozenge: Allow to slowly dissolve. Do not chew or swallow lozenge.
 • Gum:  Chew minimally, "park" between teeth and cheek. Rechew when tingling is gone and rotate sites. Avoid use with acidic foods.
 • Nasal Spray: Can be used once to each nostril every 1-2 hours.
Non-nicotine Replacement Therapy:
 • Varenicline (Chantix): Nicotinic receptor partial agonist designed to decrease cravings, reduce withdrawal, and dampen nicotine-induced reward pathway
 • Bupropion (Wellbutrin): Nicotinic receptor antagonist and norepinephrine & dopamine reuptake inhibitor. Designed to reduce cravings and withdrawal.
Electronic Cigarettes: Reserve use until after FDA-approved treatments have failed.

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