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Nicotine Nasal Spray
Nicotine nasal spray became available by prescription in
March 1996. It comes in a pump bottle and is sprayed into
the nose, one time in each nostril. If you decide to use the
spray, it’s important not to inhale while spraying because
you want the nicotine to attach to the nasal lining. Once
it’s on the nasal lining, it can be absorbed into the
bloodstream. (If you inhale through your nose while spraying,
the nicotine will end up in your throat and you will swallow
it. Any swallowed nicotine doesn’t work because the
acids in your stomach destroy it.)
Start by using 8 to 40 doses, which is 16 to 80 sprays each
day. Each bottle contains about 200 sprays, so you will be
using one-quarter to one-half a bottle each day. You can use
the spray up to five times an hour. You’ll taper the
number of sprays over a period of about three months, but
you may find that you need to go for a longer period of time.
The most common complaints about using the nicotine nasal
spray are nasal, sinus, and eye irritation. People with asthma
should use another method because the spray may trigger an
attack. People with allergies should also use another method
because a stuffy nose blocks the nicotine in the spray from
being absorbed into your body.
Nicotine Inhaler
There is also a nicotine inhaler available by prescription.
It works in the same way that the other nicotine products
work, except that the inhaler directly places the medication
in the lungs, which gets the nicotine into the bloodstream
more quickly and in larger doses. The inhaler is shaped like
a cigarette and is made out of plastic. It’s held between
the fingers and puffed on.
There are tiny little cartridges in the plastic inhaler that
contain the nicotine. As you inhale, air passes through the
cartridges. This air turns the nicotine in those cartridges
into a vapor. The vapor is inhaled into your lungs and absorbed
into your bloodstream. These inhalers provide you with the
nicotine but leave out the harmful tars, carbon monoxide,
and smoke of a cigarette.
Each nicotine cartridge provides about 20 minutes of active
puffing. This adds up to about 80 deep puffs or 300 shallow
puffs. If you don’t use up an entire cartridge, the
nicotine will still be there, so you can use it again later.
People who use this method typically use 6 to 16 cartridges
a day. The dose is then slowly tapered over 6 to 12 weeks.
Just like the other nicotine replacement products, the nicotine
inhaler can be used for longer than several months if needed.
Some people reduce usage over six months. Like all nicotine
replacement products, people with stomach ulcers, thyroid
problems, heart problems, high blood pressure, diabetes requiring
insulin, kidney or liver disease, or asthma should be careful.
Nicotine Anonymous:
The Pros & Cons of the 12-Step Program
The following Are the Twelve Steps of Nicotine Anonymous:
1. We admitted that we were powerless over nicotine - that
our lives had become unmanageable.
2. Came to believe that a Power greater than ourselves could
restore us to sanity.
3. Made a decision to turn our will and our lives over to
the care of God as we understood him.
4. Made a searching and fearless moral inventory of ourselves.
5. Admitted to God, to ourselves, and to another human being
the exact nature of our wrongs.
6. Were entirely ready to have God remove all these defects
of character.
7. Humbly asked him to remove our shortcomings.
8. Made a list of all persons we had harmed, and became willing
to make amends to them all.
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