East Sussex - Better Together
NHS

4.10.2 Nicotine dependence

NICE PH10: Smoking Cessation Services

  • Offer NRT, varenicline or bupropion, as appropriate, to people who are planning to stop smoking
  • If a smoker’s attempt to quit is unsuccessful using NRT, varenicline or bupropion, do not offer a repeat prescription within 6 months unless special circumstances have hampered the person’s initial attempt to stop smoking, when it may be reasonable to try again sooner
  • Smokers not wishing to quit straight away but wishing to follow the nicotine assisted reduction to stop (NARS) strategy should not be offered NRT until they are ready to fully quit

Bupropion should be started 1-2 weeks before target stop date

Pack
60 tablet

Patches are first choice for most patients. The 16-hour patch (Nicorette®) is preferable as nicotine can cause sleep disturbances. However, if the patient has the first cigarette within 30 minutes of waking, the 24-hour patch (NiQuitin CQ®) would be more appropriate.

All the listed products can be used in pregnancy and lactation. However, patients should be advised to try and give up without the use of NRT due to the harmful effects of nicotine on the foetus and the fact that it also passes freely into breast milk.

Pack
105 piece (7 x 15 pieces)
Pack
105 piece (7 x 15 pieces)
Pack
105 piece (7 x 15 pieces)
Pack
105 piece (7 x 15 pieces)
Pack
105 piece (7 x 15 pieces)
Pack
105 piece (7 x 15 pieces)
Pack
7 patch
Pack
7 patch
Pack
7 patch
Pack
7 patch
Pack
7 patch
Pack
7 patch
Pack
20 lozenge
Pack
20 lozenge
Pack
10 ml
Pack
26 ml (2 x 13.2ml bottles)
Pack
20 cartridge (5 x 4 cartridges)
4 cartridge
  • First Line Drugs
  • Second Line Drugs
  • Specialist Initiated Drugs
  • Specialist Only Drugs
  • Mixed Status