What are the instructions for using a nicotine (NRT) patch 14 mg for smoking cessation?

Nicotine Patch 14 mg Instructions for Smoking Cessation

For the 14 mg nicotine patch, apply one new patch every 24 hours to clean, dry, hairless skin, and use it for 6 weeks followed by 2 weeks of the 7 mg patch if you smoke 10 or fewer cigarettes per day. 1

Dosing and Selection Guidelines

The appropriate nicotine patch strength depends on your smoking habits:

• For smokers of ≤10 cigarettes per day:

  • Start with the 14 mg patch (Step 2) for 6 weeks
  • Then use the 7 mg patch (Step 3) for 2 weeks 2, 1

• For smokers of >10 cigarettes per day:

  • Start with the 21 mg patch (Step 1) for 4 weeks
  • Then use the 14 mg patch (Step 2) for 2 weeks
  • Finally use the 7 mg patch (Step 3) for 2 weeks 2, 1

Proper Application and Use

1. Application:

   • Apply at the same time each day
   • Choose clean, dry, hairless skin
   • Remove backing from patch and immediately press onto skin
   • Hold for 10 seconds
   • Wash hands after applying or removing 1

2. Rotation and Disposal:

   • Use a different skin site for each new application
   • Remove after 24 hours
   • Dispose of used patches by folding sticky ends together and putting in the saved pouch 2, 1

3. Important Precautions:

   • Do not wear more than one patch at a time
   • Do not cut patch in half or into smaller pieces
   • Do not leave patch on for more than 24 hours (it may irritate skin and loses strength) 1

Special Considerations

• Sleep disturbances: If you experience vivid dreams, you may remove the patch at bedtime and apply a new one in the morning 1

• Duration: Complete the full treatment course (8 weeks total for light smokers, 12 weeks for heavier smokers) for optimal effectiveness 2

• Consultation: If you feel you need to use the patch for a longer period to avoid returning to smoking, consult your healthcare provider 1

Maximizing Success

• Combining the nicotine patch with behavioral counseling significantly improves success rates 2

• For best results, the American Academy of Pediatrics recommends starting NRT 2 weeks before your quit date 2

• Consider combination therapy with a short-acting form of NRT (like lozenges or gum) along with the patch for better craving control 2

Common Side Effects

• Local skin reactions (15.8% of users)
• Nausea, vomiting, sweating
• Sleep disturbances 2

Important Caution

Do not smoke while using nicotine patches to avoid excessive nicotine intake and potential adverse effects 2