0000131313 00000 n startxref 0000023965 00000 n 0000003598 00000 n 0000153777 00000 n 0000012797 00000 n 0000023230 00000 n 0000146464 00000 n 0000033301 00000 n 0000013445 00000 n 0000067928 00000 n 1.1 The aim of this guideline is to ensure the safe and effective use of Nicotine Replacement Therapy (NRT) by smokers seen by appropriately trained staff in Kent & Medway Partnership NHS Trust (KMPT). 0000042119 00000 n 0000189192 00000 n Quick guide to Nicotine Replacement Therapy (NRT) NRT product Directions for use Nicotine patch Apply to clean, non-hairy, dry skin on the upper body (chest, rib cage, back, side of upper arm) and hold down for 10 seconds. �\�������`TX��!�qpS;��� �g$M�T�TOzyh$. 0000001796 00000 n Step 1: Explain how NRT works and the products available. Rotate to diff erent parts of the body each time a … These guidelines replace both the previous interim guidance documents and the 2004 Nicotine Replacement Therapy algorithm that some of you may recall from the original Smoke-Free Policy implementation. 0000107282 00000 n 0000024184 00000 n 0000002224 00000 n 0000150163 00000 n 0 Nicotine replacement therapy (NRT) is an effective aid to smoking cessation. Gum is difficult to use with dentures and may damage them. 0000002428 00000 n 0000012994 00000 n %PDF-1.4 %���� ASK All patients over 16 years of age receiving care in Emergency Departments or admitted to hospital 0000034151 00000 n 0000033768 00000 n Nicotine Replacement Therapy: Dosing Guidance. 0000142863 00000 n 0000031091 00000 n 0000096036 00000 n 0000033098 00000 n 0000033446 00000 n 0000164694 00000 n 62 0 obj <> endobj 0000185713 00000 n 0000052057 00000 n In acute cardiovascular conditions, such as unstable angina, acute myocardial infarction, or stroke, NRT should be used with caution because nicotine is a vasoconstrictor. 1.1 The aim of this guideline is to ensure the safe and effective use of Nicotine Replacement Therapy (NRT) by smokers seen by appropriately trained staff in Kent & Medway Partnership NHS Trust (KMPT). This is not justified, as NRT use in dependent smokers is much safer than smoking. 0000111386 00000 n 0000002303 00000 n 0000002795 00000 n Most people are able to use NRT, including: adults and children over 12 years of age – although children under 18 should not use the lozenges without getting medical advice first 0000123593 00000 n Who can use it. • For best results, patients should be advised to pair a long-acting form of NRT (eg, nicotine patch) with a shorter-acting form (eg, gum, lozenge, spray, or inhaler). Quick guide to Nicotine Replacement Therapy (NRT) NRT product Directions for use Nicotine patch Apply to clean, non-hairy, dry skin on the upper body (chest, rib cage, back, side of upper arm) and hold down for 10 seconds. 0000002677 00000 n This is not justified, as NRT use in dependent smokers is much safer than smoking. <]/Prev 237529>> 0000036327 00000 n A full assessment should include: 133. 0000168238 00000 n In addition, patients should be advised that NRT works 0000023420 00000 n Available in different flavours and strengths, one piece of gum lasts for about 30 minutes. 0000049666 00000 n 0000085491 00000 n 0000135065 00000 n 0000043991 00000 n Evidence-based information on nrt nicotine replacement therapy prescribe guidelines from hundreds of trustworthy sources for health and social care. 0000040252 00000 n 0000182369 00000 n Guide to Prescribing Nicotine Replacement Therapy (NRT) HP 5869 June 2014. 0000003223 00000 n 0000127473 00000 n Rotate to diff erent parts of the body each time a new patch is used to avoid skin rash. 0000119803 00000 n 0000171740 00000 n However, its use in patients with CVD is often avoided because of warnings on product labelling. Nicotine Replacement Therapy Product Information which can be distributed to patients). Smoking By-law. Nicotine replacement therapy (NRT) is available in a choice of formats, including: Gum — nicotine is absorbed through the buccal mucosa, with peak plasma concentrations occurring after 20–30 minutes. 0000088930 00000 n h�b```b``f`g`�[email protected] !V�(G����? However, its use in patients with CVD is often avoided because of warnings on product labelling. 0000030894 00000 n Different treatment modalities, such as nicotine replacement therapy 4 (NRT), atypical antidepressants (bupropion) and a partial alpha 4-beta 2 nicotinic acetylcholine 136 0 obj <>stream 0000050137 00000 n 0000032501 00000 n 2 fN…Ä@¿Ÿİ.Uú &ÎÑÑ¦]\2::Àz�@œ�Ùª H±)XD•A€i“5ã3†ÇFŒ+£€,o_. xref This combination therapy allows the patient to keep a steady level of nicotine in their bloodstream throughout the day, while also responding to cravings. 0000002708 00000 n 0000033996 00000 n If client is given patch on admission they 0000161150 00000 n 0000013585 00000 n 0000099740 00000 n %%EOF 0000038339 00000 n 62 75 0000044173 00000 n Nicotine replacement therapy is safe in smokers with stable cardiovascular disease. Clinical staff shall consider combination pharmacotherapy for all patients. Arguments are presented for the following guidelines which may be used when recommending NRT to patients with CVD; (i) NRT can normally be … 0000031472 00000 n 0000000016 00000 n 0000078691 00000 n Combination pharmacotherapy is the provision of fast acting products (such as gum, lozenge or inhaler) to combine with the patch. 0000032589 00000 n Treatment with NRT usually lasts 8-12 weeks, before you gradually reduce the dose and eventually stop. 0000103552 00000 n d`¼ÆÄÈXÏØÄØÉåÆ#Ë—(¸ŠïŸ;?¿ÀNŸ‘…. 0000157612 00000 n 0000023738 00000 n trailer … 0000082056 00000 n 1.2 These guidelines concentrate on the practicalities and the protocol of offering NRT to 0000066345 00000 n 0000139080 00000 n 2 The aim of the present guideline is to provide guidance in the development of clinical studies for the 3 treatment of nicotine dependence. Once a smoker expresses an interest and willingness to begin treatment, the next step is to assess their smoking habits and level of nicotine dependence in order to determine the right Nicotine Replacement Therapy (NRT) dose.