Reduce number of cartridges gradually. When reduced to 1-2 cartridges/day, patient should stop using the Inhaler.
Patients should try different schedules to help control cravings. Puffing on the inhaler for 5 minutes at a time will give enough nicotine for 4 uses. Puffing on the inhaler for 10 minutes at a time will give enough nicotine for 2 uses. In a few days patients will find what works best and know when nicotine in cartridges is used up.
It is important to complete treatment. If you feel that your patient needs to use NICORETTE® Inhaler for longer than 6 months to keep from smoking, reassess your patient.
If your patient is using NICORETTE® Inhaler while trying to quit smoking but they slip up and have a cigarette, instruct them that they should not stop using the NICORETTE® Inhaler. They should keep using it and keep trying to quit.
If the amounts of NICORETTE® Inhaler your patient is taking do not help them stop smoking, reassess them and explore about using more than one type of nicotine replacement therapy at the same time.
The Inhaler should not be used for more than 20 consecutive minutes per session.
DO NOT USE IF YOUR PATIENT IS: an occasional or non-smoker, pregnant or nursing a child, under 18 years of age or has allergies to nicotine or to menthol.
USE WITH CAUTION IF YOUR PATIENT: has/had heart disease, a heart attack, heart pain, irregular heartbeat or a stroke or have ever had high blood pressure, blood circulation problems or treatment for circulation disorders of the brain, asthma, chronic lung problems, throat diseases, thyroid problems, stomach problems, ulcers or inflammation of the esophagus, kidney or liver disease, diabetes requiring insulin or are taking any prescription medications.
Discontinue use if irregular heart beat or chest pain occurs or if severe persistent stomach upset (indigestion, heartburn) develops and assess your patient.