133. Treatment Recommendations: Medications-Nicotine Gum (Continued)

Treating Tobacco Use and Dependence: 2008 Update

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Prescribing instructions

Chewing technique-Gum should be chewed slowly until a “peppery” or “flavored” taste emerges, then “parked” between cheek and gum to facilitate nicotine absorption through the oral mucosa. Gum should be slowly and intermittently "chewed and parked" for about 30 minutes or until the taste dissipates.

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 chewing.

Dosing information-Patients often do not use enough prn NRT medicines to obtain optimal clinical effects. Instructions to chew the gum on a fixed schedule (at least one piece every 1-2 hours) for at least 1-3 months may be more beneficial than ad libitum use.

Costa 2 mg (packaged in different amounts) boxes of 100 -170 pieces=$48.00 (quantity used determines how long supply lasts)

4 mg (packaged in different amounts) boxes of 100-110 pieces=$63.00 (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
Page originally created September 2012
Internet Citation: 133. Treatment Recommendations: Medications-Nicotine Gum (Continued). Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-full/slide133.html