Combining NRTs is more effective than using either alone. Participating in behavioral counseling while using this medication will increase your likelihood of staying tobacco-free.
- Nicotine Patch
DOSAGE 21mg, 14mg, 7mg
What Does This Medication Do?
The patch will release small but continuous amounts of nicotine into the body through the skin to help decrease withdrawal symptoms.
How Do I Use It?
- Begin using the patch on your quit date.
- Each day, apply one new patch when you wake up. Make sure the old patch is removed before applying a new patch.
- Peel the back off the patch and put it on clean, dry, hair-free skin on your upper arm, chest, or back.
- Press patch firmly in place for 10 seconds so it will stick well to your skin.
- You can bathe, shower, and swim while wearing the patch.
- Avoid wearing the patch on the same area more than once a week.
- Fold the used patch in half with the sticky sides together and throw it in the regular trash, away from children or pets.
- Based on your nicotine dependence level, you will typically start with 21mg or 14mg patches and may use the same strength for 1-2 months before stepping down to a lower dose.
- Begin using the lozenge on your quit date along with the patch as needed for cravings/urges. May be more effective using it consistently in the beginning of your quit attempt to reduce cravings and withdrawals.
What Are The Possible Side Effects?
- May cause minor burning, itching or redness of skin. To reduce the risk of this problem, avoid using the patch on the same area within one week.
- If you have skin irritation for more than four days or if you have severe burning or hives, remove the patch and stop using it. Contact your healthcare provider right away.*
- Sleep problems or vivid dreams may occur. If so, remove the patch before going to sleep.
* Some people may be allergic to the adhesive material used in the patch.
If you are in crisis, call: 988 or 1-800-273-TALK and press 1 to talk to someone now.
- Nicotine Lozenge
DOSAGE 2mg, 4mg
What Does This Medication Do?
Use the nicotine lozenge as needed to manage breakthrough cravings and urges to use tobacco.
How Do I Use It?
- Begin using the lozenge on your quit date.
- Let the lozenge dissolve in your mouth near your cheek and gum.
- Rotate the lozenge to different parts of the mouth. One lozenge lasts 20–30 minutes. A mini lozenge lasts 10–15 minutes.
- Do not chew or swallow the lozenge.
- Avoid eating or drinking anything acidic 15 minutes before using the lozenge or during use.
- You may start with up to 20 lozenges per day and then reduce over time.
What Are The Possible Side Effects?
- May cause indigestion, upset stomach, nausea, hiccups, headache, mouth irritation and difficulty sleeping. Proper lozenge use can help to avoid these side effects.
- If you have any intolerable side effects, stop using the lozenge and contact your healthcare provider.
If you are in crisis, call: 988 or 1-800-273-TALK and press 1 to talk to someone now.
Use These Tools For Additional Support
If you use tobacco occasionally while taking the medicine, don’t give up. Continue to take the medicine and try not to use tobacco.
Sign Up For SmokefreeVET Text
Call the Quitline to Speak with a Quit VET coach Monday - Friday
Using medication together with behavioral counseling gives you the best chance of stopping tobacco use.
Talk with your health care provider about the best medication for you.
What NRT Can You Combine?
Nicotine Patch, Lozenge, and Counseling
The patch and lozenge release nicotine to help decrease withdrawal symptoms and control cravings. Use with counseling for your best chance of quitting tobacco.