Nicotine Lozenges - Nursing Science

What are Nicotine Lozenges?

Nicotine lozenges are a form of nicotine replacement therapy (NRT) designed to help individuals quit smoking. They are small, candy-like tablets that dissolve slowly in the mouth, releasing nicotine to reduce withdrawal symptoms and cravings.

How do Nicotine Lozenges Work?

Nicotine lozenges work by delivering a controlled dose of nicotine through the oral mucosa. When placed in the mouth, the lozenge dissolves, releasing nicotine that is absorbed into the bloodstream. This helps to alleviate the symptoms of nicotine withdrawal and reduce the urge to smoke.

Administration and Dosage

The dosage of nicotine lozenges depends on the individual's smoking habits. Typically, for those who smoke their first cigarette within 30 minutes of waking, a 4 mg lozenge is recommended. For those who smoke their first cigarette after 30 minutes of waking, a 2 mg lozenge is usually sufficient. The lozenge should be used every 1-2 hours, with a maximum of 20 lozenges per day.

Benefits of Nicotine Lozenges

Nicotine lozenges offer several advantages, such as:
Convenience and portability
Controlled nicotine delivery
Discrete usage
Reduced risk of oral fixation compared to smoking

Side Effects and Precautions

While nicotine lozenges are generally well-tolerated, they can cause side effects such as:
Hiccups
Mouth and throat irritation
Nausea
Heartburn
Individuals with certain medical conditions, such as heart disease or diabetes, should consult healthcare professionals before using nicotine lozenges.

Role of Nurses in Nicotine Lozenge Therapy

Nurses play a critical role in supporting patients using nicotine lozenges. Their responsibilities include:
Assessing the patient's smoking history and readiness to quit
Educating patients on proper usage and dosage
Monitoring for side effects
Providing ongoing support and counseling

Patient Education

Proper patient education is vital for the success of nicotine lozenge therapy. Nurses should instruct patients to:
Allow the lozenge to dissolve slowly without chewing or swallowing
Avoid eating or drinking 15 minutes before and during use
Follow the recommended dosage schedule

Conclusion

Nicotine lozenges are an effective tool for smoking cessation when used correctly. Nurses play a crucial role in ensuring patients understand how to use the lozenges properly and providing the necessary support to help them quit smoking successfully.



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