146. Treatment Recommendations: Medications-Nicotine Patch (continued)

Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.

Text description is below the image.

Availability OTC or prescription
Type Duration Dosage
Step-Down Dosage 4 weeks 21 mg/24 hours
Step-Down Dosage then 2 weeks 14 mg/24 hours
Step-Down Dosage then 2 weeks 7 mg/24 hours
Single Dosage Both a 22 mg/24 hours and an 11 mg/24 hours (for lighter smokers) are available in a one-step patch regimen.
Prescribing instructions

Location—At the start of each day, the patient should place a new patch on a relatively hairless location, typically between the neck and waist, rotating the site to reduce local skin irritation.

Activities—No restrictions while using the patch.

Dosing information—Patches should be applied as soon as the patient wakes on their quit day. With patients who experience sleep disruption, have the patient remove the 24-hour patch prior to bedtime or use the 16-hour patch (designed for use while patient is awake).

Costa

7 mg box—$37.00 (quantity used determines how long supply lasts)

14 mg box—$47.00 (quantity used determines how long supply lasts)

21 mg box—$48.00 (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.


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Page last reviewed October 2014
Internet Citation: 146. Treatment Recommendations: Medications-Nicotine Patch (continued). October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-full/slide146.html