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NicoretteSkin Patch 15mg/16h Transdermal Patch
NicoretteSkin Patch 15mg/16h Transdermal Patch
NicoretteSkin Patch 15mg/16h Transdermal Patch NicoretteSkin Patch 15mg/16h Transdermal Patch
Over-the-counter medication

NicoretteSkin Patch 15mg/16h Transdermal Patch

Brand : Nicorette Nicorette
€29.33 EXCL. VAT €29.95 INCL. VAT
This product is an over-the-counter medication. Please consult the package insert before ordering online.
In stock
Reference : 3400939650920
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NicoretteSkin 15mg 16h Transdermal Patch : This medication is indicated in the treatment of tobacco dependence in order to relieve the symptoms of nicotine withdrawal in subjects wishing to stop their tobacco consumption.

What is NicoretteSkin Patch 15mg/16h used for?

For warnings, precautions for use and contraindications, please consult the instructions for use.

Healthy lifestyle habits are within reach for adults and adolescents over 15 years old thanks to the NicoretteSkin Patch 15mg/16h Transdermal Patch. Whether you are looking to quit smoking or reduce your nicotine addiction , this medication offers an effective and convenient solution. In this product description, we will explore the benefits and active ingredients of NicoretteSkin Patch in detail, explain how to use it correctly, and provide you with comprehensive information on its composition.

NicoretteSkin Patch 15mg/16h is a proven treatment option for those who want to quit smoking. It is a transdermal device that provides continuous delivery of nicotine for 16 hours, which mimics the fluctuations of nicotine in a smoker's body throughout the day, without disrupting sleep at night. Thanks to its practical design, the NicoretteSkin Patch 15mg/16h is easy to use and is an effective way to combat cravings.

Active ingredients: The key active ingredient in NicoretteSkin Patch is nicotine. Nicotine is the addictive element found in cigarettes, and by using this device you can help your body gradually adapt to lower nicotine levels, making smoking cessation easier.

Benefits:

  • Reduced cravings: The NicoretteSkin Patch provides continuous delivery of nicotine, helping to reduce cravings throughout the day.
  • Discreet method: It is easy to use and discreet. You can wear it under your clothes without anyone knowing.
  • No sleep disruption: Unlike nicotine taken at night, this transdermal patch does not disrupt your sleep.
  • Suitable for different levels of dependence: The device is available in three strengths ( 10 mg /16 h, 15 mg/16 h and 25 mg/16 h ), making it suitable for highly dependent, moderately dependent and low dependent smokers.

Conclusion: If you are looking to quit smoking or reduce your nicotine addiction, the NicoretteSkin Patch 15mg/16h Transdermal Patch can help you achieve your goal. With continuous nicotine delivery, ease of use and unrivaled discretion, it offers an effective solution for taking control of your health and well-being .

How to use this 15mg Patch?

Using the NicoretteSkin Patch 15mg/16h is simple and effective. Here are the steps to follow to apply it correctly:

  • Wash your hands: Before applying the transdermal patch, be sure to wash your hands thoroughly. This ensures that the application area remains clean and free of any contamination.
  • Open the sachet with scissors: Use scissors to open the NicoretteSkin Patch sachet according to the instructions provided.
  • Choose an appropriate area of skin: Apply the transdermal patch to an area of dry, uninjured skin where there is little hair growth. Commonly chosen locations are the hip, upper arm, or chest.
  • Remove the aluminum foil: Remove as much of the aluminum foil as possible, avoiding touching the sticky surface of the device with your fingers.
  • Apply the transdermal patch: Apply the sticky part of the patch to the skin, removing the remaining part of the aluminum foil.
  • Press firmly: Press the transdermal patch firmly with your fingers to ensure it adheres properly to the skin.
  • Rub the edges: Rub the edges of the transdermal patch firmly with your fingers to make sure it sticks properly.
  • Daily change: The transdermal patch must be applied in the morning upon rising and removed in the evening at bedtime, approximately 16 hours later. Be sure to change the application location each day to avoid over-stressing a specific area of the skin.
  • Avoid contact with eyes and nose: While handling the transdermal patch, avoid contact with eyes and nose. After application, wash your hands thoroughly.

Give your opinion on the advice for use and dosage of NicoretteSkin Patch 15mg/16h with our partner Avis checked after your purchase.

What is its composition?

Each patch consists of the following elements:

  • External layer: This layer provides protection for the transdermal patch and facilitates its application.
  • Nicotine Source Layer: This is the key layer that delivers nicotine continuously for 16 hours, helping to reduce cravings.
  • Adhesive layer: This layer allows the patch to stay in place on the skin throughout the day.
  • Siliconeized and aluminized removable protective sheet: This sheet protects the transdermal patch until it is ready for use.

NicoretteSkin Patch 15mg/16h is a semi-transparent beige colored device. It is designed to be discreet and easy to wear under your clothes, allowing you to go about your daily activities while fighting cravings.

Overall, the NicoretteSkin Patch 15mg/16h Transdermal Patch offers an effective solution for those looking to quit smoking or reduce their dependence on nicotine. Its continuous nicotine delivery, ease of use, and discretion make it a popular choice among those who want to take control of their health and well-being.

When considering purchasing NicoretteSkin Patch 15mg/16h, be sure to follow the instructions for use and dosage provided, and share your experience with our Verified Reviews partner after your purchase. We are confident that this product can help you achieve your smoking cessation goals effectively and conveniently.

NicoretteSkin Patch 15mg/16h is available in boxes of 7 and 28 patches. Sold at the best price in your online organic pharmacy.

Please note, the medicine is not a product like any other. Read the medication leaflet carefully before ordering it. Do not leave medicines within the reach of children. If symptoms persist, seek the advice of your doctor or pharmacist. Beware of incompatibilities on your current products.

Pharmacovigilance Report an adverse drug reaction(s)

Download PDF leaflet

NOTICE

ANSM - Updated: 02/05/2017

Name of the drug

NICORETTESKIN 15 mg / 16 hours, transdermal patch

Nicotine

framed

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

You should always use this medicine exactly as described in this leaflet or by your doctor or pharmacist.

· Keep this leaflet. You might need to read it again.

· Talk to your pharmacist for any advice or information.

· If you get any side effects, talk to your doctor or pharmacist. This also applies to any undesirable effects that are not mentioned in this leaflet. See section 4.

· You should talk to your doctor if you do not feel better or if you feel worse.

What does this booklet contain ?

1. What is NICORETTESKIN 15 mg / 16 hours, transdermal patch and when is it used?

2. What you need to know before using NICORETTESKIN 15 mg / 16 hours, transdermal patch?

3. How to use NICORETTESKIN 15 mg / 16 hours, transdermal patch?

4. What are the possible side effects?

5. How to store NICORETTESKIN 15 mg / 16 hours, transdermal patch?

6. Contents of the package and other information.

1. WHAT NICORETTESKIN 15 mg / 16 hours transdermal patch AND WHAT IT IS USED FOR

Pharmacotherapeutic group: DRUGS USED IN NICOTINE DEPENDENCE - ATC code: N07BA01

NICORETTESKIN 15 mg / 16 hours, transdermal patch belongs to the range of drugs intended to help you quit smoking.

This medication is indicated for the treatment of smoking addiction to relieve the symptoms of nicotine withdrawal in subjects who wish to quit smoking.

2. BEFORE YOU USE NICORETTESKIN 15 mg / 16 hours, transdermal patch?

Never use NICORETTESKIN 15 mg / 16 hours, transdermal patch:

· if you are allergic to nicotine or any of the other ingredients of this medicine, listed in section 6.

· if you do not smoke or if you are an occasional smoker,

· if you have a skin condition that may interfere with the use of a transdermal system.

IN CASE OF DOUBT, IT IS ESSENTIAL TO ASK THE ADVICE OF YOUR DOCTOR OR PHARMACIST

Warnings and precautions

Talk to your doctor or pharmacist before using NICORETTESKIN 15 mg / 16 hours, transdermal patch.

In order to successfully quit smoking, complete cessation of smoking is essential.

Read the health education tips carefully.

Some diseases require medical examination and follow-up before using this medicine.

Thus, it is essential to consult your doctor before using this medicine if you present:

· recent history (< 3 months) of heart attack or stroke,

· chest pain (unstable angina pectoris), or stable angina,

· a heart problem affecting your heart rate or rhythm,

· high blood pressure that is not controlled by medication,

· a history of allergic reactions such as swelling of the lips, face and throat (Quincke's edema) or rash associated with itching (hives). Sometimes the use of a TRN triggers this type of reaction,

· severe or moderate hepatic impairment,

· severe kidney failure,

· diabetes,

· hyperthyroidism,

· a tumor of the adrenal gland (pheochromocytoma),

· an evolving stomach or duodenum ulcer,

· a chronic condition of the throat,

· asthma.

It is essential to consult your doctor before using this medicine.

It is imperative to keep the transdermal patch out of the reach of children before and after use.

In fact, the therapeutic dose intended for adults could cause serious intoxication or even death in children.

Some signs reflect an underdose. If you feel, despite the treatment, a feeling of "lack" such as :

· craving to smoke,

· irritability, sleep disorders,

· agitation or impatience,

· difficulty concentrating.

Consult your doctor or your pharmacist. Indeed, it may be necessary to change the dosage of the drug.

Some signs may reflect an overdose . In case of signs of overdose, such as :

· nausea, abdominal pain, diarrhea,

· hypersalivation,

· sweating, headache, dizziness, hearing loss,

· general weakness.

It is imperative to adjust the treatment with the help of your doctor or pharmacist.

In case of combination of NICORETTESKIN transdermal patch with oral forms of nicotine substitutes such as NICORETTE 2 Medicated Chewing Gum mg, the inhaler NICORETTE 10 mg, sucking tablets NICORETTE 2 mg, sublingual tablets NICORETTE MICROTAB 2 mg or NICORETTESPRAY 1 mg / dose, oral spray solution, refer to the package leaflet for each of these medicines for warnings and precautions for use.

IF IN DOUBT, DO NOT HESITATE TO ASK FOR THE ADVICE OF YOUR DOCTOR OR PHARMACIST.

Children and adolescents

Not applicable.

Other medicines and NICORETTESKIN 15 mg / 16 hours, transdermal patch

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This is especially important if you are taking medicines that contain clozapine (an antipsychotic), methadone (an opioid substitution treatment), ropinirole (a treatment for Parkinson's disease) or theophylline (used in treatment of asthma).

NICORETTESKIN 15 mg / 16 hours, transdermal patch with food and drinks

Not applicable.

Pregnancy and breast feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Pregnancy

It is important to stop smoking during your pregnancy as this can slow down the growth of your baby. It can also lead to premature birth or late fetal death. It is advisable to stop smoking without using drugs containing nicotine.

If you are unable to stop smoking without Nicotine Replacement Therapy, NICORETTESKIN can be used after consulting the health care professional following your pregnancy, your family doctor, or a doctor from a specialist care center. wishing to stop smoking.

feeding

If you smoke a lot and do not plan to stop smoking, you should not breastfeed but use artificial feeding. The use of this medication is not recommended during breastfeeding as nicotine passes into breast milk and may affect your child.

However, if you want to stop smoking and breastfeeding, consult your doctor or a doctor at a smoking cessation center.

Driving and using machines

NICORETTESKIN 15 mg / 16 transdermal patch has no effect or negligible effect on the ability to drive and use machines.

3. HOW TO USE NICORETTESKIN 15 mg / 16 hours, transdermal patch?

Always use this medicine exactly as described in this leaflet or as directed by your doctor or pharmacist. Check with your doctor or pharmacist if in doubt.

Reserved for adults and children over 15 years.

Dosage

Three sizes of transdermal devices are available: 9; 13.5; 22.5 cm 2 , corresponding to 3 different dosages: 10 mg / 16 hours, 15 mg / 16 hours, 25 mg / 16 hours .

The transdermal patch should be applied to a healthy part of the skin in the morning at dawn, and removed at bedtime by h later. The treatment mimics the fluctuations of nicotine during the day in the smoker, without administration of nicotine at night. Daytime nicotine administration by the transdermal patch does not cause sleep disturbances seen during overnight nicotine administration.

· It is recommended for heavily dependent smokers (Fagerström test score ≥ 7) to start with the transdermal patch 25 mg / 16 hours. A transdermal patch will be applied daily in the morning and removed at night for 8 weeks.

· Dose reduction is then initiated. A transdermal patch of 15 mg / 16 hours is used daily for 2 weeks and then a transdermal patch 10 mg / 16 hours during also 2 weeks.

· It is recommended for moderately addicted smokers (Fagerström test score 5 and 6), to start with step 2 with the transdermal patch 15 mg / 16 hours.

o If smoking cessation is obtained the first week with dosing 15 mg / 16 hours, a transdermal patch will be applied daily in the morning and removed in the evening, for 8 weeks then a transdermal patch of 10 mg / 16 hours will be applied during 4 weeks.

o If after 1-7 days of use of the patch 15 mg / 16 hours, the signs of lack persist, it is recommended to use a transdermal patch 25 mg / 16 hours and continue treatment according to the pattern of highly dependent patients (see "highly dependent smokers").

· It is recommended that low-dose smokers (Fagerström test score 3 and 4) start with step 2 with the transdermal patch. mg / 16 hours applied daily for 8 weeks and continue with a transdermal patch 10 mg / 16 hours applied during 4 weeks.

Smokers strongly to weakly dependent

Highly dependent smokers

Moderately addicted smokers

Slightly dependent smokers

(Fagerström test ≥ 7)

(Fagerström test 5 - 6)

(Fagerström test 3-4)

Transdermal patch

duration

Transdermal patch

duration

Transdermal patch

duration

Step 1

NICORETTESKIN 25 mg / 16 hours

First 8 weeks

2nd step

NICORETTESKIN 15 mg / 16 hours

2 next weeks

2nd step

NICORETTESKIN 15 mg / 16 hours

First 8 weeks (NB: if smoking persists or if there is a high consumption of oral forms of substitutes, refer to stage 1 of the "highly dependent smoking" scheme from the first week)

2nd step

NICORETTESKIN 15 mg / 16 hours

First 8 weeks

Step 3

NICORETTESKIN 10 mg / 16 hours

Last 2 weeks

Step 3

NICORETTESKIN 10 mg / 16 hours

Next 4 weeks

Step 3

NICORETTESKIN 10 mg / 16 hours

Next 4 weeks

The entire treatment should last at least 3 month.

The duration of the treatment may however vary depending on the individual response.

It is recommended not to use transdermal patches beyond 6 month. Some "ex-smokers" may, however, require a longer duration of treatment to avoid relapse.

If during your treatment, you continue to feel irrepressible cravings for smoking or if your treatment has failed, ASK YOUR DOCTOR OR PHARMACIST.

He may advise you to associate the NICORETTESKIN transdermal devices with oral forms of substitution (medicinal chewing gums NICORETTE 2 mg, inhaler NICORETTE 10 mg, sucking tablets NICORETTE 2 mg sublingual tablets NICORETTE MICROTAB 2 mg or NICORETTESPRAY 1 mg / dose, oral spray solution).

In case of combination of NICORETTESKIN with an oral substitution form, the dosage to follow is the same as when these drugs are used alone in monotherapy. For the dosage of the oral form, consult the package leaflet of the chosen drug.

In case of association, use only one oral form at a time over a period of 24 hours.

Administration mode

· Wash your hands before applying the transdermal patch.

· Open the bag with a pair of scissors and take out the patch.

· Apply the patch immediately after opening on a dry skin surface, without skin lesions and where hair is scarce (hip, upper arm or chest).

· Remove as much of the aluminum foil as possible. Avoid as much as possible touching the sticky surface of the transdermal patch with your fingers.

· Apply the sticky part with your fingers and remove the remaining part of aluminum foil.

· Press the transdermal patch firmly on the skin with your fingers.

· Rub firmly with your fingers on the edges so that the patch sticks properly.

· The patch should be applied in the morning and removed at bedtime, approximately 16 hours later.

· The application site should be changed daily avoiding, if possible, replacing the patch at the same place for a few days.

· It is essential to fold the transdermal patch on itself after use before disposing of it in a safe place.

· Any transdermal patch used or not should be kept out of the reach of children.

· During handling, avoid contact with eyes, nose and wash hands after application.

· Do not cut the transdermal patch.

· In case of sea bath or extended pool, you have 2 possibilities :

o Before bathing, remove the patch and replace immediately on its support. It can be glued on a well dried skin.

o Cover the transdermal patch with a waterproof adhesive bandage for the duration of the bath.

· In the case of a short shower, the transdermal patch can be held in place by avoiding directing the shower jet over it.

http://agence-prd.ansm.sante.fr/php/ecodex/images/N0187553/image001.jpg

http://agence-prd.ansm.sante.fr/php/ecodex/images/N0187553/image002.jpg

Duration of treatment

The duration of use is limited to 6 months .

If you continue to feel lightheaded or if you have difficulty stopping this medicine, consult your doctor.

If you have used more NICORETTESKIN 15 mg / 16 hours, transdermal patch that you should have

Immediately consult your doctor or pharmacist.

In case of accidental overdose or if a child has sucked or has applied a transdermal patch CONTACT A PHYSICIAN OR EMERGENCY SERVICE.

Severe intoxication may occur and may include hypotension, weak and irregular pulse, difficulty breathing, prostration, cardiovascular collapse and seizures.

If you forget to use NICORETTESKIN 15 mg / 16 hours, transdermal patch

Not applicable.

If you stop using NICORETTESKIN 15 mg / 16 hours, transdermal patch

Not applicable.

If you have any further questions about the use of this medicine, ask your doctor or pharmacist for more information.

4. WHAT ARE THE POSSIBLE SIDE EFFECTS?

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Very common: affects more than 10 users in 100

- itching (pruritus).

Frequent: affects 1 to 10 users in 100

- rashes and hives,

- nausea and vomiting,

- digestive disorders,

- redness of the skin,

- headache,

- dizziness.

Uncommon: affects 1 to 10 users in 1000

- palpitations (unusual feeling to your heartbeat), or rapid heartbeat (tachycardia),

- abnormal dreams,

- excessive sweating, hot flashes,

- fatigue, malaise, pain / discomfort in the chest, difficult breathing (dyspnea),

- reaction to the application site,

- allergic reactions,

- hypertension,

- pain in the muscles,

- tingling sensation that can spread around the application site.

Very rare: affects less than 1 user in 10,000

- Heart rhythm disorders.

Not known: can not be estimated from the available data

- pain / discomfort in the belly,

- allergic reaction including swelling of the face and mouth (Quincke's edema).

Dizziness, headaches, sleep disturbances, mouth sores may be related to stopping smoking and not to your treatment.

In case of combination of the NICORETTESKIN transdermal patch with the oral forms of nicotine substitutes NICORETTE (Medicated chewing gums NICORETTE 2 mg, the inhaler NICORETTE 10 mg, sucking tablets NICORETTE 2 mg, sublingual tablets NICORETTE MICROTAB 2 mg or NICORETTESPRAY 1 mg / dose, oral spray solution), refer to the package leaflet for each of these medicines.

Declaration of side effects

If you get any side effects, talk to your doctor or pharmacist. This also applies to any undesirable effects that are not mentioned in this leaflet. You can also report side effects directly via the national reporting system: National Agency for the Safety of Medicines and Health Products (ANSM) and the network of Regional Pharmacovigilance Centers. Website: www.ansm.sante.fr .

By reporting side effects, you can help provide more information on the safety of the medicine.

5. HOW TO STORE NICORETTESKIN 15 mg / 16 hours, transdermal patch?

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton and sachet. The expiry date refers to the last day of this month.

Store at a temperature not exceeding 25 ° C.

Do not dispose of any medication in the sewage system or garbage. Ask your pharmacist to eliminate medications you no longer use. These measures will help protect the environment.

6. CONTENTS OF PACKAGING AND OTHER INFORMATION

What NICORETTESKIN contains 15 mg / 16 hours, transdermal patch

· The active substance is :

Nicotine................................................. .................................................. .................... 23.62 mg

For a transdermal patch of 13.5 cm 2 .

A transdermal device delivers 15 nicotine mg during 16 hours.

· The other components are:

Medium chain triglycerides, basic butyl methacrylate copolymer, film of polyethylene terephthalate (PET).

Acrylate matrix

Adhesive solution of acrylic copolymer, potassium hydroxide, croscarmellose sodium, aluminum acetylacetonate.

Detachable protective sheet

Polyethylene terephthalate (PET) film aluminized on one side and silicone on both sides.

Each transdermal patch is packaged in a heat sealed laminated dose bag made of paper, PET film, nitrile acrylic copolymer and aluminum.

What NICORETTESKIN 15 mg / 16 hours, transdermal patch and contents of the pack

Transdermal patch (box of 7, 14 or 28).

Semi-transparent, beige transdermal device consisting of an outer layer, a nicotine source layer, an adhesive layer and an aluminized and silicone release liner.

Not all presentations may be marketed.

Marketing Authorization Holder

JOHNSON & JOHNSON HEALTH BEAUTY FRANCE

1, RUE CAMILLE DESMOULINS

92130 ISSY-LES-MOULINEAUX

Operator of the marketing authorization

JOHNSON & JOHNSON HEALTH BEAUTY FRANCE

1, RUE CAMILLE DESMOULINS

92130 ISSY-LES-MOULINEAUX

Maker

LTS LOHMANN THERAPY-AG SYSTEM (LTS)

LOHMANNSTR. 2

56626 ANDERNACH

GERMANY

Names of the medicine in the member states of the European Economic Area

Not applicable.

The last date this leaflet was revised is:

[to be completed later by the holder]

Other

Detailed information on this medicine is available on the ANSM website (France).

Health Education Tips:

Stopping smoking as soon as possible leads to immediate health benefits. It's never too late to quit even if you have smoked a long time and a lot .

As soon as you stop smoking:

· You will no longer absorb the irritating and toxic substances of cigarettes,

· You will see some improvements: progressive disappearance of headaches, cough, irritation of the throat, shortness of breath,

· You will often have the satisfaction of getting better sleep, flavor of food, smells and improving your physical performance,

· You will reduce your risk of developing lung cancer or cardiovascular disease.

Moreover, in heart or arterial diseases (angina pectoris, arteritis of the lower limbs ...), it is particularly imperative to successfully quit smoking.

What is smoking addiction?

Tobacco addiction is twofold:

· Psychological dependence :

Smoking a cigarette entails a ritual of automatic and repetitive gestures associated with particular circumstances (pleasure, stress response, intellectual stimulation, support for morale, need for the gesture of conviviality). It is about psychological and behavioral dependence.

· Physical dependence :

The body's need for nicotine is due to the effects of this substance on the nervous system. It's about physical dependence. The non-satisfaction of this need leads to a feeling of lack (see description in the chapter " How to overcome your physical dependence ?").

Nicotine substitutes aim to treat this dependence.

How to overcome your psychological dependence?

· Complete smoking cessation is necessary to increase your chances of success, but more:

o Choose a day J in the period that seems most favorable to you.

o Throw away your last pack of cigarettes, your lighter and put away your ashtrays.

o In a couple of smokers, it is preferable that the arrest attempt be made at the same time by both spouses.

· Notify your family and coworkers that you are quitting. Ask them to respect your decision (do not smoke near you, do not offer cigarettes).

· Prepare to deal with the desire to smoke. It can occur abruptly and intensely especially during the first few weeks after stopping smoking, but does not last more than 3 or 4 minutes.
You must anticipate what you will do in this case and act very quickly not to "crack" like for example:

o drink a big glass of water,

o to chew gum,

o count to 100,

o make some deep breaths,

o leave the room,

o change of activity ...

· Avoid situations associated with taking cigarettes (coffee, aperitif, ...), avoid temptations (settle with non-smokers).

· Find compensation for cigarettes (leisure, sport, cultural activity ...).

How to overcome your physical dependence?

If you are addicted to nicotine, the success of your approach may require the use of nicotine substitutes.

To assess your level of dependence, the Fagerström test is offered.

TEST OF FAGERSTROM

How long after you wake up do you smoke your first cigarette?

· within 5 minutes: 3

· from 6 to 30 minutes: 2

· from 31 to 60 minutes: 1

· after 60 minutes: 0

Do you find it difficult not to smoke in places where it is forbidden?

· yes: 1

· No: 0

Which cigarette of the day would it be the hardest to give up?

· the first: 1

· another: 0

How many cigarettes do you smoke a day?

· 10 or less: 0

· 11 to 20: 1

· 21 to 30: 2

· 31 or more: 3

Do you smoke at a faster pace in the morning than in the afternoon?

· yes: 1

· No: 0

Do you smoke when you are so sick that you have to stay in bed almost all day?

· yes: 1

· No: 0

TOTAL POINTS

score from 0 to 2 : you are not addicted to nicotine.

You can stop smoking without the need for a nicotine replacement.

However, if you are not sure, consult your pharmacist or doctor.

score of 3 to 4 : you are weakly dependent on nicotine.

score of 5 to 6 You are moderately addicted to nicotine.

The use of nicotine substitutes will increase your chances of success.

Take advice from your pharmacist or doctor to help you choose the most appropriate treatment for you.

score of 7 to 10 : you are highly or very strongly addicted to nicotine.

The use of nicotine replacement is recommended to help you overcome this addiction to nicotine. This treatment must be used in sufficient and appropriate doses.

Take advice from your pharmacist or doctor, possibly as part of a specialized consultation to help with smoking cessation.

Withdrawal disorders can persist for a long time and the duration of treatment should be sufficient, usually one to three months.

If you feel, despite the treatment, a feeling of persistent "lack" such as :

· craving to smoke,

· irritability, sleep disorders,

· agitation or impatience,

· difficulty concentrating,

Take advice from your doctor or pharmacist as dose adjustment may be necessary.

How to help you?

· The support of health professionals

The accompaniment, the advice, the follow-up that can bring you your doctor or your pharmacist will be precious during the first six months of your stop of the tobacco. You can also use a specialized smoking cessation counseling, especially if you have already failed.

· Psychological support

Quitting smoking requires a supportive family and social environment. If you are concerned that the difficulties are too great, psychological support or temporary treatment can help you.

· Dietetics

In the months after stopping smoking, you may experience moderate weight gain.
If you have concerns in this area, you can contact a health professional who will advise you.

You started smoking again, why?

Consider this relapse as an accident of course, as a normal event that can learn: the relapse is not a failure.

Analyze why you started smoking again.

· Because of physical dependence
This may have been poorly taken into account or may reappear after several months, for example, prolonged stays in smoky atmospheres.

· Due to excessive weight gain
It may be necessary to change your eating habits a little before your next quit attempt.

· Because of a decrease in motivation , because of a painful event or a difficult period, because of psychological difficulties appeared at the stop of the tobacco (depression, anxiety ...), because of a very tempting situation . Understand the reason for this relapse to prevent it if possible during your next attempt.

In all cases, do not hesitate to seek advice from a health professional or to resort to a specialized consultation of help with smoking cessation.

If you have started smoking again, do not be discouraged, experience shows that your chances of success increase after one or more stopping attempts.

VIDAL OF THE FAMILY

NICORETTESKIN

Smoking cessation drug

nicotine

. Presentations . Composition . Indications . Contraindications . Attention . Drug interactions . Pregnancy and breastfeeding . Instructions for use and dosage . Tips . Side effects . Lexicon

PRESENTATIONS (summary)

NICORETTESKIN 10 mg / 16 h: 9 cm2 transdermal patch ; box of 28.
Refunded at 65%. - price: 26,82 euro (s).

NICORETTESKIN 15 mg / 16 h: 13.5 cm2 transdermal patch ; box of 7.
Refunded at 65%. - price: 6,66 euro (s).

NICORETTESKIN 15 mg / 16 h: 13.5 cm2 transdermal patch ; box of 28.
Refunded at 65%. - price: 26,82 euro (s).

NICORETTESKIN 25 mg / 16 h: 22.5 cm2 transdermal patch ; box of 7.
Refunded at 65%. - price: 6,66 euro (s).

NICORETTESKIN 25 mg / 16 h: 22.5 cm2 transdermal patch ; box of 28.
Refunded at 65%. - price: 26,82 euro (s).

Johnson & Johnson Health Santé France Laboratory

COMPOSITION (summary)
p 9 cm2 p 13.5 cm2 p 22.5 cm2
Nicotine released / 16 h 10 mg 15 mg 25mg

INDICATIONS (summary)
This medication helps smokers to detoxify themselves from tobacco. The transdermal patch (patch) contains nicotine, the main active ingredient in tobacco; it passes through the skin, gains blood and acts on the nervous system, thus allowing the smoker not to feel the symptoms due to stopping smoking.
CONTRAINDICATIONS (summary)
This medicine should not be used in the following cases:
  • no smoking or occasional smoker,
  • extensive skin disease does not allow to stick the stamp.
ATTENTION (summary)
In the context of a definitive detoxification, stopping smoking is a necessary condition for successful treatment.
Do not use other medicines containing nicotine, including chewing gums without medical advice.
Precautions are necessary in cases of stomach or duodenal ulcer , renal insufficiency or liver failure : in these situations, a prior medical consultation is essential before using this drug and stopping smoking without treatment. substitution may be necessary.
Do not leave the new or used patch within reach of children: unintended application can cause serious accidents. Fold the stamp before throwing it away.
DRUG INTERACTIONS (summary)
The products contained in tobacco smoke can accelerate the elimination rate of certain drugs, theophylline in particular. When stopping smoking, these drugs may have an increased effect and signs of overdose may occur. Contact your doctor if there is any doubt.
PREGNANCY and BREASTFEEDING (summary)
Pregnancy :
Smoking in pregnant women can cause fetal growth retardation. Stopping smoking is therefore always desirable. In women highly dependent on nicotine, the use of this drug may be helpful, but the effects of nicotine alone on the fetus are poorly understood. This drug has the advantage of not exposing the fetus to other toxins found in tobacco smoke. In summary: if the ideal is not to smoke and not expose the fetus to nicotine intake, the use of this drug is a lesser evil compared to tobacco.

Breastfeeding:
Nicotine passes into breast milk, breastfeeding is not recommended during treatment.
DIRECTIONS AND DOSAGE (summary)
There are 3 dosages corresponding to 3 different patch surfaces: the amount of nicotine that passes into the blood is proportional to the surface of the transdermal patch .
The highest dosage is for heavy smokers or smokers of nicotine-rich cigarettes; a strong nicotine addiction may also lead moderate smokers to prefer the strong dosage.
In practice, it is useful to know the signs of under or overdose to adapt the choice of dosage after 1 or 2 days of treatment:
  • Overdose results in the smoker's over-smoking status, which mainly results in nausea and headache. Disturbances of sight or hearing, tremor, vertigo are also possible;
  • under-dosing causes withdrawal symptoms: irritability, nervousness, stomach cramps (a kind of painful hunger), difficulty concentrating.
Once weaning is achieved, it is advisable to switch to a less dosed patch after a period of 8 weeks, then stopped after the use of the lowest dosage.
Put the patch on a dry area, poor in hair, and free of cutaneous lesions. Release the adhesive surface and carefully apply the stamp by applying pressure to its entire surface. Change location every day.
Remember to wash your hands after application and avoid contact with the eyes or nose.

Usual dosage:

  • Adult: the patch is placed in the morning after the toilet and removed at bedtime; do not use more than one patch per day.
Keeping the patch at night helps to combat the symptoms of lack of sunrise. Nevertheless, nighttime wear can cause sleep disturbances. That is why it is better to remove the stamp at bedtime.
It is recommended not to exceed 12 months of continuous treatment.
This medicine may be used alone or in combination with 2 mg gums or NICORETTE inhaler . In this case, follow the recommendations of your doctor.
TIPS (summary)
Nicotine taken by the dermal route to replace the cigarette has the same cardiovascular toxicity as that which is contained in tobacco. Only the risk of lung cancer disappears. When the smoking cessation is motivated by urgent medical reasons: recent infarction , arteritis , gastritis or ulcer , it is better to stop the absorption of nicotine in all its forms.
Like all smoking cessation methods used to help smokers, this medication can only be effective when the will to quit is personal and comes with a strong motivation. It is this motivation that will fight against the urge to smoke, without being forced to constantly appeal to the will that dulls over time. A sustainable smoking cessation by the smoker supposes that the smoker considers the tobacco as a poison, an unacceptable dependence. He must be convinced that he will never smoke again, from the beginning of weaning. Every day without tobacco must be lived as a liberation, and not as a nightmare. The smoker who is in this state of mind is a good candidate for permanent weaning.
The cessation of smoking, which is a real drug, causes many problems: weight gain is common, disorders of concentration can last several weeks. A slight depressive state is possible. Weight gain should be combated by a diet, and if possible by a sports program that has the advantage of reconciling the smoker with his body. Feel free to consult your doctor in case of difficulty; his advice and experience will be invaluable in fighting relapse.
ADVERSE POSSIBLE EFFECTS (summary)
Local reactions: redness and itching in the application that may require stopping treatment in case of significant reaction.
Also: palpitations , headaches, insomnia, dizziness , dream troubles, nausea, vomiting.


LEXICON (summary)


arteritis
Artery disease favored by smoking and most often localized to the legs. It is characterized by a thickening of the arterial walls which hinders the flow of blood and causes pain during walking (intermittent claudication). Arteritis of the lower limbs increases the risk of myocardial infarction and requires medication. At an advanced stage, it can be treated surgically.
Synonym: arteriopathy obliterans of the lower limbs.


addiction
Psychic or physical need caused by taking certain natural or medicinal substances. This state may be accompanied, at the end of the catch, of various symptoms, grouped under the term of withdrawal syndrome.


transdermal patch
System, sometimes called patch or patch, allowing the absorption of a drug through the skin: it ensures the diffusion of the active substance to the blood vessels of the dermis. The substance then circulates in the blood and can act as if it had been swallowed or injected. This device makes it possible to avoid the effect of first pass through the liver.


duodenum
Part of the intestine into which food from the stomach enters.


depressed state
State of moral suffering associating a demotivation, a fatigue, a sense of uselessness, of self-depreciation. If left untreated, the depressive state may progress to severe depression with feelings of incurability, guilt, and suicidal risk.


gastritis
Inflammation of the stomach favored by stress, tobacco, alcohol and certain drugs such as aspirin or anti-inflammatories.


Hepatic insufficiency
Inflammation of the liver. It can be due to a drug, a virus, alcohol or some other cause.
Viral hepatitis usually heals without treatment. Unlike hepatitis A and E, which are almost always benign, hepatitis B and C can become chronic: the virus persists in the patient's body, which remains contagious but does not necessarily suffer from liver problems. Chronic hepatitis is said to be active when the virus continues to destroy the cells of the liver, destruction translated by the increase of transaminases in the blood.


infarct
Destruction of part of the heart muscle (myocardium), deprived of blood by obstruction of its arteries.


renal failure
Inability of the kidneys to dispose of waste or drug substances. Advanced renal failure does not necessarily result in a decrease in the amount of urine eliminated. Only a blood test and the determination of creatinine can reveal this disease.


palpitations
Abnormal perception of irregular heartbeat.


overdose
Excessive intake of a drug can lead to an increase in the intensity of the adverse effects, or even to the occurrence of particular adverse effects.
This overdose can result from an accidental poisoning, or voluntary for the purpose of suicide: it is then advisable to consult the poison control center of your region (list in appendix of the work). But most often, the overdose is the consequence of an error in the understanding of the prescription, or the search for an increase of the effectiveness by a surpassing the recommended dosage. Finally, untimely self-medication can lead to the excessive absorption of the same substance contained in different drugs. Some drugs are particularly exposed to this risk, because they are considered (wrongly) as harmless: vitamins A and D, aspirin, etc. Stopping or decreasing drug intake can eliminate the problems associated with overdose.


symptoms
Disorder felt by a person with an illness. The same symptom can translate different diseases and the same disease does not necessarily give the same symptoms in all patients.


ulcer
Intense lesion of the skin, mucous membranes or cornea.
  • Leg ulcer: chronic wound due to poor circulation of blood.
  • Gastroduodenal ulcer: localized wound of the lining of the stomach or duodenum, due to excess acidity and very often to the presence of a bacterium (Helicobacter pylori). The ulcer is favored by stress, alcohol, smoking and taking certain medications (aspirin, NSAIDs, etc.).


dizziness
Symptom that may indicate an impression of loss of balance (common sense) or, more strictly, a feeling of rotation on oneself or the environment (medical sense).


way
  • Path (route of administration) used to administer the drugs: oral, sublingual, subcutaneous, intramuscular, intravenous, intradermal, transdermal.
  • Set of hollow organs allowing the passage of air (airways), food (digestive tract), urine (urinary tract), bile (bile ducts), etc.

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