This document discusses various methods for smoking cessation, including nicotine replacement therapies and medications. It describes nicotine gum, patches, lozenges, nasal spray, the prescription drugs Zyban and Chantix, and nicotine inhalers. All methods aim to deliver nicotine to reduce withdrawal symptoms but avoid the harmful chemicals in cigarettes. Common side effects include nausea, headaches, and skin irritation. The document emphasizes that quitting smoking improves health and that individuals can choose to live tobacco-free.

1. SMOKING CESSATION
Ashley Olsen
Stacy Coon
Nichole Carter
Angela Morgan

2. HEALTH EFFECTS
Harms every organ in the body
Causes many diseases/cancer
gum disease, cardiovascular disease, emphysema,
bronchitis
stomach, lung, esophagus, oral cancer

3. SIDE EFFECTS
CNS
Blood
Heart
Oral cavity

4. ORAL CAVITY
Bad breath
Inflammation of salivary glands
Plaque and tarter
Loss of bone within jaw
Leukoplakia
Delayed healing process following dental procedures
Alveolar osteitis (dry socket)

5. CUT THE HABIT!
Nicotine Replacement Therapies:
Gum, Patch
Lozenges, Nasal Spray
Medication, Inhaler

6. NICOTINE GUM
Common types:
Nicorette
Nicogum
Nicotinell

7. NICOTINE GUM CONT.
HOW IT WORKS:
Chewing the gum releases nicotine which is absorbed
into the bloodstream from the lining of the mouth
Chew slowly and only chew when more nicotine is
needed
Comes in different doses

8. NICOTINE GUM CONT.
SIDE EFFECTS:
Mouth ulcers
Dizziness
Nausea
Allergic reactions (swelling of the gums,
itching)

9. NICOTINE GUM CONT.
Advantages:
Convenient
Discrete
Fast acting
Many flavors

10. NICOTINE GUM CONT.
Disadvantages:
Do not drink or eat 15 min. before or while chewing
TMJ
Inconvenient for those with dental prosthesis

11. NICOTINE PATCH
Common types:
Nicoderm CQ
Habitrol
Nicotrol

12. NICOTINE PATCH CONT.
HOW IT WORKS:
Releasing a controlled dose
of nicotine throughout the
day through the skin
Comes in different doses: 7mg, 14mg, 21mg

13. NICOTINE PATCH CONT.
SIDE EFFECTS:
Mild itching
Redness
Burning
Stinging at the application site

14. NICOTINE PATCH CONT.
Advantages:
Greatly reduces the urge
Easy to use
Effective substitute for those who do not prefer oral
methods
Can combine with short acting NRT’s

15. NICOTINE PATCH CONT.
Disadvantages:
Vivid dreams
Skin rash/irritation
Allergic reaction
Needs to be changed
every 24 hrs.

16. LOZENGE
Common types:
Nicorette
Commit

17. LOZENGE CONT.
HOW IT WORKS:
Dissolves slowly in your mouth or under your tongue
Takes 30 min. to dissolve
Small doses of nicotine at a time
Dosage: 2mg, 4mg

18. LOZENGE CONT.
SIDE EFFECTS:
Heartburn
Hiccups
Sore throat
Increase heart rate

19. LOZENGES CONT.
Advantages:
Easy to use
Variety of flavors
Delivers 25% higher nicotine dosage than the
nicotine gum

20. LOZENGES CONT.
Disadvantages:
No drinking/eating 15 min. before or during use
Should not be chewed or swallowed
Nausea
Appealing to children and teens

21. NASAL SPRAY
Common types:
Nicotrol, Nicorette
Aerosolized nicotine contained in a spray pump

22. NASAL SPRAY CONT.
HOW IT WORKS:
The spray is pumped into each nostril and
absorbed via the nasal membranes
Recommended dosage; one spray in each
nostril 1-3x/hr.

23. NASAL SPRAY CONT.
SIDE EFFECTS:
Sneezing
Coughing/Sore throat
Watery eyes
Nasal/Sinus irritation

24. Advantages:
Fastest delivery of nicotine currently available
Easy to use
Disadvantages:
Prescription required
Must be used frequently to obtain adequate nicotine
levels

25. MEDICATION
Two FDA approved drugs:
Varenicline Tartrate(Chantix)
Bupropion(Zyban), first non-nicotine medicine shown to be
effective
In 2009 the FDA issued a black box warning for both because of
their detriment to mental health

26. MEDICATION
Zyban:
Blocks uptake of the neurotransmitters dopamine and
norepinephrine
Dopamine controls signals of pleasure and pain, motor
skills, and emotional responses
Norepinephrine helps relay messages to the brain and
help it respond to stimuli it receives
Categorized as an antidepressant

27. ZYBAN CONT.
Zyban:
Taken orally
Extended/sustained release tablets
Extended tablets; 1x/day
Sustained tablets; 2x/wk
Should be taken with food and same time each day

28. ZYBAN CONT.
SIDE EFFECTS:
Xerostomia, Drowsiness, Headache, Weight loss
Uncontrollable shaking of body parts
Severe side effects include:
Seizures, Chest pain, Irregular heart beat
Suicidal thoughts, Hallucination

29. ZYBAN CONT.
Advantages:
Non addictive, Pill form
Disadvantages:
Prescription required
Contraindicated w/ certain medical
conditions(seizures) and medications
May take up to 4 wks. to feel full effect
Strict time regiment

30. MEDICATION
Chantix:
When a person smokes, the nicotine attaches to
receptors that go to your brain and stimulate the
release of Dopamine, which causes the feeling of
pleasure people get from tobacco.
Chantix blocks this receptor so dopamine can't be
released, and therefore, people don't receive that
pleasure feeling when they smoke.

31. CHANTIX CONT.
Chantix:
Taken orally in tablet form
1-2 times per day
Dosage slowly increased over time, then maintained
over a three month period

32. CHANTIX CONT.
Side Effects:
Nausea, Constipation
Unusual dreams/nightmares
Weakness or numbness in
extremities
Swelling of extremities and face (lips, gums, eyes, etc.)
Suicidal thoughts and depression

33. CHANTIX CONT.
Advantages:
Easy to use; Pill form
No known drug interactions
44% success rate
Disadvantages:
Nausea is common
Prescription is required

34. NICOTINE INHALER
Nicotrol
Electronic cigarette

35. NICOTINE INHALER
HOW IT WORKS;
Transmucousal delivery, then enters bloodstream
Uses a nicotine cartridge
Delivers a small pump of nicotine vapor
Gives sensation of smoking w/o inhaling harmful toxins
that are found within cigarette smoke
8-10 puffs off of inhaler is equivalent to one cigarette

36. NICOTINE INHALER
Side Effects:
Acidic/Sour stomach
Belching
Coughing
Mouth/throat irritation

37. NICOTINE INHALER
Advantages:
Flexible dosing
You control nicotine intake
Can be used in conjunction with other NRT
Mimics the hand to mouth behavior

38. NICOTINE INHALER
Disadvantages:
Prescription is required
Needs to be used multiple times per day
May cause mouth/throat irritation

39. THE CHOICE IS YOURS!
One thousand Americans stop smoking every day - by dying.
“You don't get to choose how you're going to die. Or when.
You can only decide how you're going to live. Now.”