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Nicotine Inhaler and Nicotine Nasal Spray




I am covering the nicotine inhaler and the nicotine nasal spray together because they are very similar. In fact, the main difference that the inhaler is administered through the mouth and the nasal spray through the nose.

They both are, yet, another means of administering nicotine to help avoid nicotine withdrawal while the individual is trying to quit smoking. Therefore they help the person, like all other Nicotine Replacement Therapies (NRTs), deal with the psychological effects of smoking before they have to deal with the physical.

And again, like all the other NRTs, one should stop smoking while using them to avoid potentially adverse effects from an overdose of nicotine and not use longer than six months.

Side Effects

Side effects of the inhaler and nasal spray range from local irritation of the mouth and throat and the nose respectively to any of the following:

  • cough
  • sinusitis
  • dizziness
  • anxiety
  • sleep disorders
  • depression and
  • fatique.

There were also side effects relating to GI symptoms including:

  • nausea
  • diarrhea and
  • hiccups.


Precautions

Before starting to use these or any other NRTs you will need to let your physician know if you have any of these conditions:
  • diabetes
  • heart disease, angina, irregular heartbeat of previous heart attack
  • lung disease including asthma
  • overactive thyroid
  • pheochromocytoma
  • stomach problems or ulcers
  • an unusual or allergic reaction to nicotine, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast feeding


Dosage and Administration

The initial dosage is individualized. Persons may selftitrate to the level of nicotine they require but the most success was obtained by using 6 to 16 cartridges a day. The best effect was obtained by frequent continuous puffing for 20 minutes.

It is recommended that one use the inhaler or spray for 3 months and then gradually reduce the dose over the following 6 to 12 weeks. Care should be taken not to exceed 6 months.


The nicotine inhalers and nasal sprays are the most expensive of the NRTs. Just using the minimum recommended dose of 6 cartridges a day for the first 3 months would cost over $450. This is followed by another 12 weeks of weaning of the product which could easily run another $200 - $300 for a total of $650 - $750. And this is calculating based on the minimum dose, the cost could be more than double these amounts if more cartridges are used.


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