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Treatment of Nicotine Addiction in Primary Care

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NRT: <strong>Nicot<strong>in</strong>e</strong> nasal spray<br />

20<br />

Cigarette (1-2mg nicot<strong>in</strong>e)<br />

Venous lev els<br />

15<br />

10<br />

Plasma 5 nicot<strong>in</strong>e concentration (ng/ml)<br />

0<br />

M<strong>in</strong>utes<br />

0 30 60 90 120<br />

20<br />

15<br />

10<br />

5<br />

0<br />

<strong>Nicot<strong>in</strong>e</strong> nasal spray (1mg nicot<strong>in</strong>e)<br />

Plasma nicot<strong>in</strong>e concentration (ng/ml)<br />

0 30 60 90 M<strong>in</strong>utes120<br />

• Nasal sprays more closely mimic nicot<strong>in</strong>e<br />

from cigarettes<br />

• Common side effects with nasal sprays<br />

<strong>in</strong>clude nasal and throat irritation, cough<strong>in</strong>g<br />

and oral burn<strong>in</strong>g<br />

NRT <strong>in</strong>creases the odds <strong>of</strong> quitt<strong>in</strong>g about 1.5 to 2 fold<br />

Adapted from : Henn<strong>in</strong>gfield JE. <strong>Nicot<strong>in</strong>e</strong> medications for smok<strong>in</strong>g cessation. N Engl J Med 1995;333:1196-203

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