Nicotine tablet: know the pros and cons of this treatment to stop smoking
The nicotine lozenge is one of the techniques that makes up nicotine replacement therapy (NRT), which restores the substance responsible for cigarette addiction, excluding other toxic substances of tobacco, which are harmful to health. This prevents nicotine withdrawal and helps to stop smoking.
One of these methods is the nicotine tablet, which usually comes with 4 or 2 mg of nicotine per gum. The nicotine patch usually has greater adhesion than it does, but still, it is a widely used method, especially for times of fissure.
For whom the nicotine patch is indicated
Nicotine Replacement Therapy, which includes the nicotine tablet, is indicated for patients who have high cigarette dependence, when there is a history of withdrawal symptoms at times when the person is deprived of the smoke or if he scored above five in a specific test called the Fagerström Test .
How the nicotine tablet works
The tablet has nicotine inside its capsule, which is released as the tablet dissolves in the mouth and is absorbed directly by the buccal mucosa or the during digestion. The release occurs gradually.
How to use the nicotine tablet
Ideally, the tablets should be placed under the tongue in the mouth and allowed to dissolve, releasing the nicotine slowly, which is absorbed into the oral mucosa. Because it is not necessary to chew, this method is a good choice for patients with temporo-mandibular joint or poor dentition disorders.
Placing under the tongue is important because nicotine is better absorbed there than in the rest of the digestive system, which results in the absorption of the equivalent of half the nicotine of a cigarette. In addition, when nicotine is absorbed in the stomach or intestine, much of it will be metabolized by the liver and will not reach the central nervous system, where it will act to quench abstinence.
Doctors usually indicate the schemes of use of these tablets according to the degree of dependency. If the person smokes 20 or more cigarettes per day, the treatment will last 12 weeks, in which:
- Week 1 to 4 = 4 mg gum every 1 to 2 hours
- Week 5 to 8 = gum 2 mg to every 2 to 4 hours
- Week 9 to 12 = 2 mg gum every 4 to 8 hours
If the patient smokes less than 20 cigarettes per day, the schedule is slightly different:
- Week 1 to 4 = 2 mg gum every 1 to 2 hours
- Week 5 to 8 = 2 mg gum every 2 to 4 hours
- Week 9 to 12 = gum 2 mg every 4 to 8 hours
The nicotine tablet is usually more effective when used as an ally of the patch, since while the latter brings constant and small amounts of nicotine throughout the day, the tablet will control cracking times.
However, it is possible to achieve more success in quitting smoking if you do follow-up treatment with a doctor who can assess your individual characteristics such as dependency and history, and model the treatment accordingly.
Advantages and Disadvantages Any Nicotine Replacement Therapy has the advantage of only replenishing nicotine, sparing the hitherto smoker from being in contact with other harmful substances of tobacco (such as tar, for example), but reducing abstinence crises, since nicotine is gradually reduced. There is no risk of the patient getting addicted to the patch or any other method of this type of therapy.
But one of the drawbacks of the tablet is that it only brings relief for a moment, like cigarettes.
Side effects of the nicotine tablet include nausea, irritation of the mucous membranes of the mouth and even ulceration of the gums in some people.Contraindications
Nicotine replacement therapies contain much smaller amounts of the substance and the resources used do not carry the other harmful substances of the cigarette, such as tar, for example. Therefore, they do not carry great risks, since nicotine is more responsible for the addiction itself than for the health problems caused by smoking.
Thus, there are not many contraindications for nicotine replacement therapies, such as nicotine lozenge, because continuing to smoke is always worse. Some experts claim that even people with heart disease and pregnant women can make use of these resources, even though there is no evidence that this type of treatment causes problems for the health of the fetus. However, new studies have shown the relationship between nicotine and the cancer. A study published in the scientific journal PLoS One in 2013 showed that the substance can alter the expression of the genes of the cells, making the appearance of the disease more likely. These findings may change the recommendation measures for this type of therapy.
Allotment Treatments Nicotine Patch
Nicotine Patch Most physicians indicate the tablet as an ally of the patch, to be chewed at times of greatest willingness to smoke, despite the use of the other resource. Thus, the patient is able to avoid further withdrawal syndrome, which is more hostile to those who want to stop smoking.
Bupropion When the patient is very dependent on nicotine, the doctor also recommends a drug treatment using bupropion. The medicine also reduces the urge to smoke and can be taken for up to three months, but can only be bought with prescription.
Who can indicate the nicotine tablet
Nicotine tablets are found in pharmacies and can be obtained without prescription. But prefer to use it with the guidance of a doctor, who will help you choose the technique that is right for you, including combining more than one treatment according to your history and degree of dependency.
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