139. Treatment Recommendations: Medications-Nicotine Lozenge (continue

Treating Tobacco Use and Dependence: 2008 Update

Text version of slide presentation.

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Availability OTC 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.

Costa 2 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.

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Page last reviewed October 2014
Page originally created September 2012
Internet Citation: 139. Treatment Recommendations: Medications-Nicotine Lozenge (continue. 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/slide139.html