139. Treatment Recommendations: Medications-Nicotine Lozenge (continue

Treating Tobacco Use and Dependence: 2008 Update

Text version of slide presentation.

Treatment Recommendations: Medications-Nicotine Lozenge (continued)

AvailabilityOTC only
Prescribing instructions

Lozenge use-The lozenge should be allowed to dissolve in the mouth rather than chewing or swallowing it.

Absorption-Acidic beverages (e.g., coffee, juices, soft drinks) interfere with the buccal absorption of nicotine, so eating and drinking anything except water should be avoided for 15 minutes before or during use of the nicotine lozenge.

Dosing information-Patients often do not use enough prn NRT medicines to obtain optimal clinical effects. Generally, patients should use one lozenge every 1-2 hours during the first six weeks of treatment, using a minimum of 9 lozenges/day, then decrease lozenge use to one lozenge every 2-4 hours during Weeks 7-9, and then to one lozenge every 4-8 hours for Weeks 10-12.
 

Costa2 mg. 72 lozenges per box = $34 (quantity used determines how long supply lasts)

4 mg. 72 lozenges per box = $39.00 (quantity used determines how long supply lasts)

a Cost data were established by averaging the retail price of the medication at national chain pharmacies in Atlanta, GA, Los Angeles, CA, Milwaukee, WI, Sunnyside, NY and listed on-line during January 2008 and may not reflect discounts available to health plans and others.


Previous Slide        Contents         Next Slide 


Page last reviewed June 2009
Internet Citation: 139. Treatment Recommendations: Medications-Nicotine Lozenge (continue: Treating Tobacco Use and Dependence: 2008 Update. June 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-full/slide139.html