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Encyclopedia of Health and Medicine

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298 Lifestyle Variables: Smoking <strong>and</strong> Obesity<br />

gums are available over the counter as well as by<br />

prescription, depending on the strength (nicotine<br />

DOSE). With all nicotine replacement products<br />

nicotine OVERDOSE can occur if the person combines<br />

nicotine products or continues to smoke or<br />

use other tobacco products (such as chewing<br />

tobacco or cigars) while using a nicotine replacement<br />

product. It is important to keep nicotine<br />

replacement products, especially gums <strong>and</strong><br />

lozenges, out <strong>of</strong> the reach <strong>of</strong> children.<br />

Other possible side effects include local irritation<br />

<strong>of</strong> the tissues, HICCUPS with the gum or<br />

lozenges, <strong>and</strong> COUGH with any nicotine replacement<br />

product except transdermal patches. Some<br />

people may develop dependence on the nicotine<br />

replacement product, which is more <strong>of</strong> a risk with<br />

nasal sprays <strong>and</strong> inhalers because these methods<br />

deliver nicotine rapidly to the blood circulation in<br />

similar fashion as cigarette smoking. The typical<br />

course <strong>of</strong> smoking cessation therapy with nicotine<br />

replacement is 12 to 16 weeks <strong>and</strong> should not<br />

extend longer than 6 months.<br />

See also ADDICTION; ANTISMOKING EFFORTS; SMOK-<br />

ING AND HEALTH.

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