Most people are told to use 1 to 2 doses per hour. At least 8 doses 16 sprays each day may be needed when you first start, but use as directed by your health care provider. You should not use more than 40 doses 80 sprays per day.
Instructions can vary. The FDA recommends that the spray be prescribed for 3-month periods and that it not be used for longer than 6 months. Stop using the spray to see if the feelings get better and talk to your health care provider if this happens. You may need to use it less often. If you have asthma, allergies, nasal polyps, or sinus problems, your provider may suggest another form of NRT. Special note: This form of NRT poses a more serious risk to small children and pets because the empty bottles of nasal spray contain enough nicotine to harm them.
Do not get the liquid on your skin. If a bottle breaks or liquid leaks out, put on plastic or rubber gloves to clean it up.
The nicotine inhaler is a thin plastic tube with a nicotine cartridge inside. They are not the same as electronic cigarettes, which are not approved by the FDA to help people quit smoking. At this time, inhalers are the most expensive form of NRT available. You puff on the inhaler and the cartridge sends a pure nicotine vapor into your mouth.
You may use up the cartridge all at once over about 20 minutes, or puff on it only a few minutes at a time. The recommended dose is between 4 and 20 cartridges a day, slowly tapering off over 6 months. Stop using the inhaler to see if the feelings get better and talk to your health care provider if this happens.
Special note: This form of NRT poses an extra risk to small children and pets because the used cartridges still have enough nicotine in them to cause harm if it gets on skin or mucous membranes for instance, if licked or touched to the eyes, mouth, or other mucous membrane.
Be sure to store and dispose of the cartridges away from children and pets. The lozenge is available in 2 strengths: 2 mg and 4 mg. The needed dose should be based on how long after waking up a person normally has their first cigarette.
So, if you smoke your first cigarette within 30 minutes of waking up, use 4 mg nicotine lozenges. If you smoke your first cigarette more than 30 minutes after waking up, use 2 mg-nicotine lozenges. Some people who are using NRT prefer the lozenge to the gum because its use is less conspicuous. The recommended dose is 1 lozenge every 1 to 2 hours for 6 weeks, then 1 lozenge every 2 to 4 hours for weeks 7 to 9, and finally, 1 lozenge every 4 to 8 hours for weeks 10 to The lozenge makers also recommend:.
No one type of nicotine replacement therapy NRT - by itself or in combination - is necessarily any better than another. When choosing the type of NRT you will use, think about which method will best fit your lifestyle and pattern of smoking or using smokeless tobacco.
Are you looking for once-a-day convenience? How urgent are your cravings for nicotine? Whatever type you use, take your NRT at the recommended dose. NRT is not recommended for long-term use, but if it's needed to prevent relapse, continuing to use NRT is preferable than returning to smoking.
If you smoke very heavily very lightly, or are a smokeless tobacco user, talk with your health care provider about how to get the NRT dose that best fits your needs. Accessed Jan. Tobacco use adult. Mayo Clinic; Stead LF, et al. Individual behavioural counselling for smoking cessation. Cochrane Database of Systemic Reviews. Hartmann-Boyce J, et al. Nicotine replacement therapy versus control for smoking cessation. Cochrane Database of Systematic Reviews. Current and emerging pharmacotherapies for cessation of tobacco smoking?
Benowitz NL, et al. Cardiovascular safety of varenicline, bupropion, and nicotine patch in smokers: A randomized clinical trial. Evins AE, et al. Neuropsychiatric safety and efficacy of varenicline, bupropion, and nicotine patch in smokers with psychotic, anxiety, and mood disorders in the EAGLES trial.
Journal of Clinical Psychopharmacology. Rigotti NA. Overview of smoking cessation management in adults. Park ER. Behavioral approaches to smoking cessation. Office of Patient Education.
My smoke-free future. Zyban prescribing information. GlaxoSmithKline; Chantrix prescribing information. Pfizer; See also Cancer-prevention strategies Chewing tobacco Cigar smoking E-cigarettes Hookah smoking Massage Quit smoking: Try stop-smoking products Tobacco cravings Secondhand smoke Skin care tips Smoking and wrinkles Tobacco sticks and other heated tobacco products Nicotine addiction Show more related content.
Mayo Clinic Press Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. If you are pregnant, breastfeeding, or younger than 18, you should not use these medicines without talking to your doctor. If you use tobacco products other than cigarettes like cigars, chew, snuff, hookah, or e-cigarettes , talk to your doctor or other healthcare provider or call the quitline QUIT-NOW to get help with quitting. Some of the ways have not been evaluated or approved by the FDA.
Skip directly to site content Skip directly to page options Skip directly to A-Z link. Section Navigation. Facebook Twitter LinkedIn Syndicate. Do not apply to skin that is oily, burned, irritated, or damaged in any way. Remove backing from patch and immediately press onto a clean, dry, hairless part of your upper arm or hip.
Press firmly and hold in place for 10 seconds to ensure it sticks well. Wash your hands after applying or removing the patch. Apply a new patch at the same time each day. Be sure to use a different skin site to avoid skin irritation and to maximise nicotine absorption. Do not cut the patch in half or into smaller pieces.
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