Did You Know - Nicotine Replacement Therapy

Providers at UNC Hospitals have asked about how to use Nicotine Replacement Therapy (NRT) to treat inpatients who smoke or use other tobacco. Review the following two frequently asked questions for more information.

  1. What NRT medications are available for patients at the hospital?
  • Nicotine Patch (21mg, 14mg, 7mg)
  • Nicotine Gum (2mg or 4mg)
  • Nicotine Lozenge (2mg or 4mg)
  • Nicotine Inhaler also known as the “puffer”
  • Can patients use more than one NRT at a time?
    Yes! A strong body of research shows that some combinations of NRT work better than single cessation medications. Combination NRT is safe and effective. Long acting medications, such as the NRT patch, provides continuous treatment for withdrawal symptoms.

    Short acting medications, such as the NRT gum, lozenge, and inhaler, help people to cope with breakthrough cravings.

    Remember that tobacco cessation consults can be ordered for inpatients through CPOE. If you have any other questions, contact either:



    • Barbara J. Silver, MA, CTTS                                              
      Tobacco Treatment Specialist
      UNC Nicotine Dependence Program


    Additionally, look for the following Q&As in future issues of Employee News Online related to NRT:


    1. How do you decide which milligram patch to use?
    2. What is the proper use of the inhaler?
    3. What is the proper way to chew the gum?
    4. What happens if a patient smokes while wearing the patch?
    5. What about the electronic cigarette?
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