|Smoking Cessation Treatment Options|
|Presentation||Prolonged-release, film-coated tablets||Gum
Inhalator (Nicorette only)
Microtabs (Nicorette only)
Nasal Spray (Nicorette only)
Orodispersible film (Niquitin only)
Oromucosal spray (Nicorette only)
|Treatment duration||7-9 weeks||10-12 weeks||12 weeks|
|Use in pregnancy||No||Yes
|Use in lactation||No||Yes
(intermittent dosing products are preferable)
|Recommended by NICE?||Yes||Yes||Yes|
|Mode of action||Inhibits the reuptake of noradrenaline and dopamine resulting in a reduction in craving and withdrawal symptoms.||Nicotine replacement therapy allows the psychological addiction of the smoking habit to be dealt with separately from the physical addiction to nicotine.||Binds to nicotinic acetylcholine receptors to alleviate symptoms of craving and withdrawal.
Also competes with nicotine at the receptor binding sites, resulting in a reduction of the rewarding and reinforcing effects of smoking.
- All smokers should be advised to stop and offered help if interested in doing so.
- Smoking cessation therapies should be offered when appropriate, and where possible, smokers should have access to a smoking cessation clinic or programme for behavioural support.