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Nicotine replacement therapy … - Carlos A ... - Entretiens du Carla

Nicotine replacement therapy … - Carlos A ... - Entretiens du Carla

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COUNTRY NRT available<br />

MALTA<br />

POLAND<br />

PORTUGAL<br />

ROMANIA<br />

SLOVAKIA<br />

SLOVENIA<br />

SPAIN<br />

SWEDEN<br />

SWITZERLAND<br />

THE<br />

NETHERLANDS<br />

UNITED<br />

KINGDOM<br />

*Gum<br />

*Oral inhaler<br />

*Patch<br />

*Nasal spray<br />

*Sublingual tablets<br />

*Gum<br />

(2/4 mg)<br />

*Patch (15h/16mg)<br />

*Gum (2/ 4 mg)<br />

*Patch (5/10/15 mg 24h<br />

and 7/14/21 mg 24h)<br />

*Tablets (1 mg)<br />

*<strong>Nicotine</strong> gum (2/4 mg)<br />

*Patch (16h 15/10/5 mg<br />

and 24h 21/14/7 mg)<br />

*Nasal spray<br />

*Inhaler<br />

*Sublingual tablet<br />

*Gum<br />

*Oral inhaler<br />

*Patch<br />

*Sublingual<br />

*Patch (16/24h)<br />

*Gum (2/4 mg)<br />

*Sublingual tablet<br />

*Lozenge<br />

*Gum (2/4mg)<br />

*Nasal spray<br />

*Oral inhaler<br />

*Patch (16/24h)<br />

*Sublingual<br />

*Lozenge<br />

Prescription<br />

<strong>du</strong>ration<br />

3 months<br />

Usually, people do not<br />

use NRT for so long<br />

2 months<br />

Consumption<br />

re<strong>du</strong>ction<br />

Temporary<br />

cessation<br />

Increasing the<br />

dose<br />

and combine<br />

2 NRTs<br />

No Yes Yes<br />

Promoted by the<br />

pro<strong>du</strong>cer of the NRT<br />

or Not promoted<br />

NRT is not recommended<br />

in temporary cessation<br />

but it is practiced<br />

Maximum 6 months Yes No<br />

3 months Yes Yes<br />

*Gum 4mg : 4 to 6 weeks<br />

then 2 mg up to 1 year<br />

*Patch: max 3 month<br />

*Tablet : decrease dose<br />

after 2/3 months<br />

*Lozenge : decrease dose<br />

after 3 months<br />

General physicians can<br />

only prescribe for 2<br />

weeks and continue if the<br />

smoker stops<br />

But physicians can<br />

in practice prescribe<br />

for longer<br />

Nicotirette is registered for<br />

consumption re<strong>du</strong>ction<br />

Treatment guideline does<br />

not (yet) recommend<br />

Yes<br />

(licensed for certain<br />

pro<strong>du</strong>cts)<br />

28<br />

Not recommended<br />

in treatment guideline<br />

(yet)<br />

Yes<br />

(licensed for certain pro<strong>du</strong>cts)<br />

Yes<br />

Most health<br />

professionals<br />

do but health<br />

authorities<br />

do not approve<br />

*Official : No<br />

(compendium)<br />

*Guidelines : Yes<br />

(practice)<br />

Not recommended<br />

Indivi<strong>du</strong>al physicians<br />

do so in practice<br />

Recommended<br />

in a recent<br />

guidance as<br />

possibly beneficial

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