NHS

4.10.2 Nicotine dependence

NICE NG92: Stop smoking interventions and services

Smoking cessation services

Smoking cessation services are provided by One You East Sussex (OYES) and participating community pharmacies.

Please refer all people requiring smoking cessation to OYES or participating community pharmacy.

Nicotine replacement therapy (NRT):

Only OYES and the participating community pharmacies may supply NRT. GPs/practices should not prescribe NRT; refer all patients requiring NRT to OYES/ participating community pharmacy.

Varenicline:

GPs must only prescribe varenicline at the written request of OYES or a participating community pharmacy. Please note that some participating community pharmacies are enabled to provide varenicline under a PGD but not all. People asking their GP/practice for varenicline should be referred to OYES/participating community pharmacy.

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 with Shared Care Guidelines
  • Specialist Only Drugs
  • Mixed Status