nicotine patch (Nicoderm CQ, Habitrol)

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Jay W. Marks, MD
    Jay W. Marks, MD

    Jay W. Marks, MD

    Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

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GENERIC NAME: nicotine patch

BRAND NAME: Nicoderm CQ

DISCONTINUED BRAND: Habitrol

PRESCRIPTION: No

GENERIC AVAILABLE: Yes

USES: Nicotine patches are used to control nicotine withdrawal symptoms and cravings associated with smoking cessation.

SIDE EFFECTS: Nicotine patches can cause the following side effects:

PREPARATIONS: Nicotine patches are available in doses of: 21 mg (Step 1), 14 mg (Step 2), and 7 mg (Step 3) per patch. Each patch delivers nicotine over 24 hours.

DRUG INTERACTIONS: Nicotine patches may cause palpitations and abnormal heart rate. Patches should be used with caution in patients who take medications for abnormal heart rhythm.

PREGNANCY AND BREASFEEDING SAFETY: There are no adequate studies of nicotine to determine safe and effective use in pregnant women.

It is not known whether nicotine enters breast milk; therefore, it is best to be cautious before using it in nursing mothers.

STORAGE: Nicotine patches should be stored at room temperature, 20 C to 25 C (68 F to 77 F).

DOSING:

Smoking more than 10 cigarettes per day:

  • Step 1: Use one 21 mg patch per day for weeks 1 to 6 then,
  • Step 2: Use one 14 mg patch per day for weeks 7 to 8 then,
  • Step 3: Use one 7 mg patch per day for weeks 9 to 10 then stop.

Smoking 10 or less cigarettes per day:

  • Do not use Step 1 (21 mg)
  • Start with Step 2: Use one 14 mg patch per day for weeks 1 to 6 then,
  • Step 3: Use one 7 mg patch per day for weeks 7 to 8 then stop.

Apply one new patch every 24 hours to dry, clean, hairless skin. Patients may wear the patch for 16 to 24 hours. Do not wear one patch for more than 24 hours due to chances of skin irritation and loss of effectiveness of patch.

Medically Reviewed by a Doctor on 1/5/2016

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25 Effects of Smoking on Your Looks and Life
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