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NiQuitin Transparent Patches 21mg/24h Step 1 NiQuitin Transparent Patches 21mg/24h Step 1
NiQuitin Transparent Patches 21mg/24h Step 1 NiQuitin Transparent Patches 21mg/24h Step 1
Over-the-counter medication

NiQuitin Transparent Patches 21mg/24h Step 1

Brand : Niquitin Niquitin

Niquitin 21 MG Anti-tobacco patches 24H step 1 NiQuitin patches are nicotine substitutes with proven efficacy. Transparent, they enable you to wean off smoking discreetly. They can provide invaluable help in your attempt to stop smoking.

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For warnings, precautions for use and contraindications, please consult the instructions for use.

Niquitin 21 MG transparent anti-tobacco 24H patches are a good solution for smokers who want to take a treatment once a day and stop thinking about it. They are an invaluable aid to quitting smoking, because by using them, you double your chances of success.

NIQUITIN 21 MG 28 ANTI-SMOKING PATCHES 24H STEP 1

24-hour effectiveness: NiQuitin Clear patches feature an exclusive control membrane. Thanks to this, a regulated quantity of nicotine is delivered to the body over a 24-hour period. As a result, the body always receives a constant dose of nicotine, which also helps fight the urge to light up a cigarette in the morning. NiQuitin Clear patches are transparent, offering a discreet solution.

NiQuitin patches ensure a constant and regular delivery of nicotine over 24 hours. They therefore enable you to fight cravings throughout the day. NiQuitin patches are 24-hour patches with a unique technology:

  • thanks to their flow-controlled membrane, they deliver a steady supply of nicotine over 24 hours
  • thanks to an adhesive pre-charged with nicotine, they release a greater quantity of nicotine during the first two hours to fight the urge to light up a cigarette after waking up: they thus help reduce morning withdrawal sensations.

Step by step :

Step 1 - 6 weeks

For the first six weeks, use NiQuitin Clear - Step 1. Each patch releases
21 mg of nicotine to the body. Stick on your first patch after
your last cigarette.

Step 2 - 2 weeks

For the next two weeks, continue with NiQuitin Clear - Step 2. Throughout the day
day (24 h), each patch delivers 14 mg of nicotine to the body.

Step 3 - 2 weeks

This brings you to the final step, NiQuitin Clear - Step 3. For 24 hours, each
patch delivers 7 mg of nicotine to the body. Have you followed the treatment to the end?
If so, you're more likely to succeed in quitting.

INSTRUCTIONS FOR USE NIQUITIN 21 MG 28 ANTI-TOBACCO PATCHES 24H STEP 1

COMPLETE STOPPING OF TOBACCO - Monotherapy :

NiQuitin patches are used in 2 or 3 stages, depending on your degree ofdependence on tobacco (Fagerström test), with decreasing dosages of 21 mg, 14 mg, 7 mg /24 hours. Gradually, the dosage of patches isreduced until you can do without nicotine.

Initial phase
3 to 4 weeks

Follow-up treatment
3 to 4 weeks

Therapeutic withdrawal
3 to 4 weeks

Fagerström test score of 5 or more or smokers of 20 cigarettes or more per day

Patch 21 mg/24 h

Patch 14 mg/24 h or

Patch 21 mg/24 h*

Patch 7mg/24 h

or Patch 14 mg/24 h

then Patch 7 mg/24 h*

Fagerström test score less than 5 or smokers of less than 20 cigarettes a day

Patch 14 mg/24 h or

increase to

Patch 21 mg/24 h*

Patch 14 mg/24 h or

Patch 7 mg/24 h**

Patch 7 mg/24 h or discontinuation**

*according to results on withdrawal symptoms.
** in case of satisfactory results

The total duration of treatment should not exceed 6 months.

Method of administration

Every day, preferably in the morning when you wake up, you only need to do one thing: place your patch on a dry, lesion-free area of skin where hair is scarce (trunk, upper arms). The location should be different every day.
Application time: 24 hours.
Treatment duration: 10 to 12 weeks.
Caution: NiQuitin patches cannot be cut, otherwise the effectiveness of nicotine delivery is no longer guaranteed.

PRECAUTIONS FOR USE NIQUITIN 21 MG 28 ANTI-TOBACCO PATCHES 24H STEP 1

The total duration of treatment should not exceed 6 months.

In association with oral forms UNDER MEDICAL CONTROL :

If, during your treatment, you continue to experience irrepressible cravings to smoke, or if your treatment has failed, consult your doctor.

It is preferable to stop smoking altogether.

PRESENTATION NIQUITIN 21 MG 28 PATCHES ANTI TABAC 24H ETAPE 1

Box of 28 patches 24h Niquitin 21 mg Step 1 and 2

IT IS IMPORTANT TO CONSULT A DOCTOR IF THERE IS NO IMPROVEMENT. IF IN DOUBT, ASK YOUR DOCTOR OR PHARMACIST FOR ADVICE.

YOUR PHARMACIST'S ADVICE

  • The degree of nicotine dependence is assessed by the number of cigarettes smoked per day, or by the Fagerström test.
  • This medication may be used as monotherapy or in combination with NIQUITIN 2 mg chewing gum or NIQUITIN 2 mg chewable tablets.

If used in combination, medical advice should be sought.

Anticipating temptations
During the first few weeks of quitting, nicotine cravings can manifest themselves in frequent, sudden peaks, during which the desire to resume smoking becomes very intense. These sudden cravings are not always unexpected. They correspond to circumstances in which you used to smoke, or are triggered by stimuli such as smells or the sight of a cigarette. These are conditioned reflexes.
These peaks last an average of 3 to 4 minutes, and it's important to be prepared for them, so as to better overcome them and avoid relapse. When the irresistible urge for a cigarette strikes, do something to occupy the moment:

  • Drink a large glass of water.
  • Eat a piece of fruit.
  • Take a deep breath.
  • Change activity, room, do something else to occupy your mind.
  • Call a friend.

WARNINGS ABOUT MEDICATION

Medication is not like any other product. Read the package insert carefully before ordering. Keep medicines out of the reach of children. If symptoms persist, ask your doctor or pharmacist for advice. Beware of incompatibilities with your current products.

  • Please inform your online pharmacist of your current treatments to identify any incompatibilities. The order validation form contains a personalized message field for this purpose.
  • Click here to find the package leaflet for this drug on the Agence Nationale de Sécurité du Médicament et des Produits de Santé website.

Pharmacovigilance Report an adverse drug reaction(s)

Download PDF leaflet

NOTICE

ANSM - Updated on : 01/03/2023

Product name

NIQUITIN 21 mg/24 hours, transdermal device

Nicotine

Box

Please read this leaflet carefully before taking this medicine, as it contains important information for you.

Always take this medicine exactly as instructed in this leaflet or by your doctor or pharmacist.

- Keep this leaflet. You may need to read it again.

- Ask your pharmacist for advice and information.

- If you experience any side effects, talk to your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. See section 4.

- You should contact your doctor if you do not feel any improvement or if you feel less well.

KEEP OUT OF THE REACH OF CHILDREN.

What does this leaflet contain?

1. What is NIQUITIN 21 mg/24 hours, transdermal device and what is it used for?

2. What do I need to know before taking NIQUITIN 21 mg/24 hours, transdermal device?

3. How do I take NIQUITIN 21 mg/24 hours, transdermal device?

4. What are the possible side effects?

5. How do I store NIQUITIN 21 mg/ 24 hours, transdermal device?

6. Package contents and other information.

1. WHAT IS NIQUITIN 21 mg/24 hours, transdermal device AND WHAT IS IT USED FOR?

Drugs used in nicotine dependence - ATC code: N07BA01.

This drug is indicated for the treatment of tobacco dependence, to relieve nicotine withdrawal symptoms in subjects wishing to stop smoking.

You should consult your doctor if you do not feel any improvement or if you feel less well.

2. WHAT DO I HAVE TO KNOW BEFORE TAKING NIQUITIN 21 mg/24 hours, transdermal device?

Never take NIQUITIN 21 mg/24 hours, transdermal device:

- if you are allergic to the active substance or to any of the other ingredients of this medicine, as listed in section 6.

- if you do not smoke or if you are an occasional smoker.

- if you have a skin condition that may interfere with the use of a transdermal system.

If in doubt, ask your doctor or pharmacist.

Warnings and precautions

In order to successfully stop smoking, it is essential to quit completely. Read the health education advice carefully.

Certain diseases require medical examination and follow-up before using this medicine. For example, in the case of :

- cardiovascular disease, severe hypertension or heart failure

- cerebrovascular disorder or arteritis of the lower limbs

- diabetes

- hyperthyroidism or pheochromocytoma (adrenal gland disease leading to severe hypertension)

- severe hepatic and/or renal insufficiency,

- ulcer of the stomach or duodenum,

- history of convulsions.

Talk to your doctor before using NIQUITIN.

If you have stomach or duodenal ulcers or inflammation of the esophagus or throat (the passage between the mouth and stomach), nicotine replacement therapy may worsen your symptoms.

If you have diabetes, you should monitor your blood sugar levels more often than usual when you start using nicotine transdermal devices. Your insulin or medication requirements may change.

If you are in hospital because of a heart attack, severe heart rhythm disturbance or heart attack, you should try to stop smoking without using nicotine replacement therapy unless your doctor has recommended it.

If you have heart problems, you should consult a healthcare professional before using nicotine replacement therapy for gradual cessation or in combination.

If you experience skin redness, swelling or rash, you should stop using the transdermal device and consult a healthcare professional.

If you develop dermatitis, it is likely that you are having a reaction to the transdermal device.

If in doubt, ask your doctor or pharmacist.

Precautions for use

Certain signs indicate underdosing. If, despite treatment, you experience a sensation of "withdrawal", such as

- urge to smoke,

- irritability, sleep disorders,

- agitation,

- difficulty concentrating.

Consult your doctor or pharmacist. It may be necessary to adjust the dosage.

Certain signs may indicate overdosage: if signs of overdosage appear, i.e. :

- nausea, abdominal pain, diarrhea,

- hypersalivation,

- sweating, headache, dizziness, hearing loss,

- general weakness.

It is essential to adapt your treatment with the help of your doctor or pharmacist.

If you experience burning, tingling, itching or skin rashes when exposed to the sun, we recommend that you temporarily discontinue treatment until the symptoms have disappeared.

If you are gradually giving up smoking (e.g. by using nicotine transdermal devices before quitting) and are experiencing undesirable effects, you should stop smoking. If the effects do not subside, you should remove the transdermal device and resume use when you feel better.

(See section 4 "What are the possible side effects? ").

Taking this medicine may lead to dependence.

IF IN DOUBT, ASK YOUR DOCTOR OR PHARMACIST.

Children and adolescents

Keep the transdermal device out of the reach of children before and after use.

After use, it is recommended to fold the transdermal device on itself before throwing it away.

The therapeutic dose intended for adults could cause serious or even fatal poisoning in children.

Keep all medicines out of the reach and sight of children.

Other drugs and NIQUITIN 21 mg/24 hours, transdermal device

Smoking cessation, with or without this medication, may modify the action of certain other medications taken at the same time. Your doctor may need to adjust your dose.

Tell your doctor or pharmacist if you are taking, have recently taken or may take any other medication.

NIQUITIN 21 mg/24 hours, transdermal device with food and drink

Not applicable.

Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to become pregnant, ask your doctor or pharmacist for advice before taking this medicine.

Pregnancy

It is very important to stop smoking during pregnancy, as it may slow down the growth of your baby. Delayed fetal growth, premature delivery and late fetal death have been observed in pregnant smokers.

Smoking cessation during pregnancy requires medical advice and follow-up. You should therefore consult the doctor who is monitoring your pregnancy, or your usual doctor, or a doctor at a center specializing in smoking cessation. If you are unable to stop smoking without nicotine replacement therapy, this medicine may be recommended by your doctor.

Breast-feeding

The use of this medicine should be avoided during breast-feeding, as nicotine passes into breast milk and may affect your child. However, if you wish to stop smoking and breastfeed your child, consult your doctor or a doctor at a center specializing in smoking cessation.

The use of intermittent doses of nicotine replacement therapy may minimize the amount of nicotine present in breast milk, compared with patches, as the time interval between taking the substitute and breast-feeding can be extended as much as possible.

Fertility

Smoking can affect fertility in both men and women. However, the specific contribution of nicotine to these effects in humans is not known.

Driving and use of machinery

Not applicable.

NIQUITIN 21 mg/24 hours, transdermal device contains: not applicable.

3. HOW DO I TAKE NIQUITIN 21 mg/24 hours, transdermal device?

Always take this medicine exactly as instructed in this leaflet or as directed by your doctor or pharmacist. Check with your doctor or pharmacist if in doubt.

Dosage

For adults and children over 15 years of age.

Pediatric population

Limited data are available on adolescents (15-17 years). The advice of a healthcare professional should be sought before using this product in adolescents (15-17 years).

Three patch sizes are available: 7, 15 and 22 cm2 corresponding to 3 different dosages: 7, 14 and 21 mg/24 hours.

Your degree of nicotine dependence will be assessed by the Fagerström test (see Health education advice) or by the number of cigarettes consumed per day. This will enable you to choose the right dosage for your needs.

The dose should be increased if you experience withdrawal symptoms. It should be reduced if you experience signs of overdosage: please reread the chapter on precautions for use, and don't hesitate to ask your pharmacist for advice.

Treatment is divided into 3 periods:

o Initial period: this lasts 3 to 4 weeks and will enable you to stop smoking.

o Treatment follow-up: this period consolidates smoking cessation and begins nicotine withdrawal.

o Therapeutic weaning: this period should enable you to stop taking the treatment.

On average, the entire treatment lasts 3 months.

However, the duration of treatment may vary according to individual response.

If you continue to experience cravings during treatment, or if your treatment has failed, CONSULT YOUR DOCTOR. Your doctor may advise you to combine NIQUITIN transdermal devices with oral substitutes (NIQUITIN 2 mg chewing gum or NIQUITIN 2 mg chewable tablets).

The total duration of treatment should not exceed 6 months.

- Complete cessation of smoking

Initial phase 3 to 4 weeks

Follow-up treatment 3 to 4 weeks

Smoking cessation 3 to 4 weeks

Fagerström test score of 5 or more or smoker of 20 or more cigarettes a day

NIQUITIN 21 mg/24 h

NIQUITIN 14 mg/24 h or NIQUITIN 21 mg/24 h

NIQUITIN 7 mg/24h or NIQUITIN 14 mg/24h then NIQUITIN 7 mg/24h*

Fagertröm test score less than 5 or Smoker of less than 20 cigarettes a day

NIQUITIN 14 mg/24 hr or increase to NIQUITIN 21 mg/24 hr

NIQUITIN 14 mg/24 hr or NIQUITIN 7 mg/24 hr**

NIQUITIN 7 mg/24 h or discontinuation**

* Depending on results of withdrawal symptoms.

** In case of satisfactory results.

- Stop gradually

If you find it difficult to stop smoking completely, CONSULT YOUR DOCTOR.

He or she may consider letting you smoke for the first 2 weeks of treatment with NIQUITIN transdermal devices. You can then start using NIQUITIN 21 mg/24 hours, transdermal device while you are still smoking. After 2 weeks, stop smoking and continue treatment as described below.

Preparing to quit

Initial phase

Treatment follow-up

Therapeutic weaning

Fagerström test score of 5 or more or smoker of 20 or more cigarettes a day

2 weeks

6 weeks

2 weeks

2 weeks

NIQUITIN 21 mg/24 h/d

NIQUITIN 21 mg/24 h/d

NIQUITIN 14 mg/24 h/d

NIQUITIN 7 mg/24 h/d

Preparing to stop

Initial phase

Treatment follow-up

Therapeutic weaning

Fagerström test score below 5 or smoker of fewer than 20 cigarettes a day

2 weeks

6 weeks

2 weeks

2 weeks

NIQUITIN 14 mg/24h/d or increase to NIQUITIN 21 mg/24 h* NIQUITIN 14 mg/24h/d or increase to NIQUITIN 21 mg/24 h

NIQUITIN 14 mg/24h/d or increase to NIQUITIN 21 mg/24 h* NIQUITIN 14 mg/24h/d or increase to NIQUITIN 21 mg/24 h* NIQUITIN 14 mg/24 h

NIQUITIN 7 mg/24h/d or increase to NIQUITIN 14 mg/24h *

NIQUITIN 7 mg/24 h/d or discontinuation of treatment

* Depending on results of withdrawal symptoms.

Mode and route of administration

Transdermal.

Open the sachet with a pair of scissors and remove the transdermal device.

Remove the pre-cut protective film.

Apply NIQUITIN immediately after opening to a clean, dry, hair-free skin surface, preferably in the morning on waking.

Do not apply to red, irritated or damaged skin.

To ensure perfect adhesion, press firmly against the skin with the palm of your hand for 10 seconds.

The device should remain in place for 24 hours.

An area of skin used for one device should not be used for a new device for at least 7 days.

The device should be kept in its closed protective pouch until use.

It is essential to fold the device onto itself, place it in the pouch from which you took your new transdermal device after use and dispose of it in a safe place, out of the reach of children or pets.

Any used or unused device should be kept out of the reach of children.

During handling, avoid contact with eyes and nose, and always wash hands with water only after application.

Do not cut the transdermal device.

In the event of prolonged bathing in the sea or swimming pool, you have 2 options:

- before bathing, remove the transdermal device and immediately replace it on its backing. It can then be re-adhered to dry skin,

- cover the transdermal device with a waterproof adhesive bandage for the duration of the bath.

In the event of a short shower, the transdermal device can be kept in place, avoiding directing the shower jet onto it.

Duration of treatment

Reducing tobacco consumption should gradually lead to complete cessation.

This should be attempted as soon as possible within 6 months of starting treatment. If after 6 months from the start of treatment, the attempt to stop smoking completely has failed, it is recommended that you seek advice from a healthcare professional to consider an alternative strategy.

If you have taken more NIQUITIN 21 mg/24 hours, transdermal device than you should have

In case of accidental overdose, or if a child has sucked or applied a transdermal device, CONTACT A PHYSICIAN OR EMERGENCY DEPARTMENT.

Severe intoxication may occur, manifested by hypotension, weak and irregular pulse, respiratory distress, prostration, cardiovascular collapse and convulsions.

If you have used too many transdermal devices, you may start to feel unwell, dizzy and ill. Remove the devices, wash your skin with water and dry it, then consult a doctor immediately.

If you forget to take NIQUITIN 21 mg/24 hours, transdermal device

Not applicable.

If you stop taking NIQUITIN 21 mg/24 hours, transdermal device

Not applicable.

If you have any further questions about the use of this medicine, please ask your doctor or pharmacist.

4. WHAT ARE THE POSSIBLE SIDE EFFECTS?

Like all medicines, this drug may cause undesirable effects, but they do not occur systematically in everyone.

Undesirable effects are listed below by frequency of occurrence.

Very common (affects more than 1 in 10 people)

- skin reactions at the site of application of the transdermal device,

- sleep disorders, including insomnia and irregular sleep patterns,

- nausea, vomiting,

- headache,

- dizziness.

Common (affects between 1 in 10 and 1 in 100 people)

- nervousness,

- tremor,

- shortness of breath,

- coughing,

- sore or swollen throat,

- indigestion,

- stomach pains,

- diarrhea

- constipation,

- sweating,

- dry mouth,

- joint, muscle, chest or limb pain,

- fatigue and general weakness,

- palpitation (feeling your heart beat),

Very rare (affects less than 1 in 10,000 people),

- skin photosensitivity,

- symptoms of a severe allergic reaction including sudden wheezing, chest tightness, skin rash, general feeling of weakness.

You may experience slight redness and itching, burning and tingling of the skin where the transdermal device was placed. This disappears rapidly after removal of the transdermal device. Rarely, a more severe reaction at the application site may occur. If this occurs, discontinue use of the transdermal device and notify your doctor.

Reporting side effects

If you experience any side effects, please tell your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. You can also report adverse reactions directly via the national reporting system: Agence nationale de sécurité du médicament et des produits de santé (ANSM) and the network of Regional Pharmacovigilance Centers.

By reporting adverse reactions, you are helping to provide more information on drug safety.

5. HOW TO CONSERVE NIQUITIN 21 mg/24 hours transdermal device?

Keep out of sight and reach of children.

Do not use this medicine after the expiration date indicated on the packaging after EXP. The expiration date refers to the last day of that month.

Store at a temperature not exceeding 30°C.

Do not dispose of any medicine down the drain or in the household waste. Ask your pharmacist to dispose of any medicines you no longer use. These measures will help protect the environment.

6. CONTENTS AND OTHER INFORMATION

What NIQUITIN 21 mg/24 hours, transdermal device, contains

- The active substance is :

Nicotine........................................................................................................................... 114.00 mg

For one 22 cm2 transdermal device.

- Other components are :

Ethylene/vinyl acetate copolymer (40% AV)

Occlusive backing: ethylene, vinyl acetate, polyethylene terephthalate.

Flow control membrane: polyethylene film.

Contact adhesive: polyisobutylene.

Removable protective layer: siliconized polyester film.

What NIQUITIN 21 mg/24 hours, transdermal device is and what it contains

This medicine is presented as transdermal devices in sachets; boxes of 7, 14 or 28.

Not all presentations may be marketed.

Marketing authorization holder

LABORATOIRE PERRIGO FRANCE

20, RUE ANDRE GIDE

92320 CHATILLON

Marketing authorization holder

LABORATOIRE PERRIGO FRANCE

20, RUE ANDRE GIDE

92320 CHATILLON

Manufacturer

FAMAR A.V.E ANTHOUSSA PLANT

ANTHOUSSA AVENUE 7

ANTHOUSSA ATTIKI

15344

GREECE

oU

LTS LOHMANN THERAPIE-système AG

LOHMANNSTR.2

ANDERNACH

RHEINLAND-PFALZ

55626

GERMANY

Product names in member states of the European Economic Area

Not applicable.

The last date on which this leaflet was revised was :

[to be completed subsequently by the holder].

Other

Detailed information on this drug is available on the ANSM (France) website.

Health education advice :

Quitting smoking as soon as possible has immediate health benefits. It's never too late to quit, even if you've smoked a lot for a long time.

As soon as you stop smoking

- you will no longer absorb the irritating and toxic substances of cigarettes,

- you'll notice certain improvements: gradual disappearance of headaches, coughing, throat irritation and shortness of breath,

- you'll often enjoy the satisfaction of better sleep, food flavors and smells, and improved physical performance,

- reduce your risk of developing lung cancer or cardiovascular disease. In the case of heart or arterial disease (angina pectoris, arteritis of the lower limbs), it is particularly important to succeed in quitting smoking.

What is tobacco dependence?

Tobacco addiction is twofold:

- Psychological dependence:

Smoking a cigarette involves a ritual of automatic, repetitive gestures associated with particular circumstances (pleasure, response to stress, intellectual stimulation, support for morale, need for the gesture of conviviality). This is psychological and behavioral dependence.

- Physical dependence:

The body's need for nicotine is due to the effects of this substance on the nervous system. This is physical dependence. Failure to satisfy this need leads to a sensation of craving (see description in the chapter "How to overcome your physical dependence").
Nicotine substitutes are designed to treat this dependence.

How to overcome your psychological dependence?

- To increase your chances of success, you need to stop smoking completely:

o choose a day when you feel most confident about quitting.

o Throw away your last pack of cigarettes, your lighter and put away your ashtrays.

o In the case of a smoking couple, it's best for both partners to quit at the same time.

- Let your family and colleagues know that you're quitting smoking. Ask them to respect your decision (not to smoke near you, not to offer you any more cigarettes).

- Be prepared for the urge to smoke. It may come on suddenly and intensely, especially in the first few weeks after you've stopped smoking, but it shouldn't last more than 3 or 4 minutes.

You need to plan what you will do in this case and act very quickly to avoid "cracking", for example

o drinking a large glass of water

o chew gum,

o count to 100,

o take a few deep breaths,

o leaving the room,

o change activity...

- Avoid situations associated with smoking (coffee, aperitifs, etc.), avoid temptations (sit with non-smokers). Find ways to compensate for smoking (hobbies, sports, cultural activities, etc.).

How can you overcome your physical dependence?

If you're addicted to nicotine, you may need to use nicotine substitutes to succeed.

To assess your level of dependence, we suggest you take the Fagerström test.

FAGERSTROM TEST

How soon after waking up do you smoke your first cigarette?

- within 5 minutes: 3

- 6 to 30 minutes: 2

- from 31 to 60 minutes: 1

- after 60 minutes: 0

Do you find it difficult not to smoke in places where smoking is prohibited?

- yes: 1

- no: 0

Which cigarette of the day would you find most difficult to give up?

- the first: 1

- another: 0

How many cigarettes do you smoke a day?

- 10 or less: 0

- 11 à 20: 1

- 21 à 30: 2

- 31 or more: 3

Do you smoke more in the morning than in the afternoon?

- yes: 1

- no: 0

Do you smoke when you're so sick you have to stay in bed most of the day?

- yes: 1

- no: 0

TOTAL POINTS

score from 0 to 2: you are not addicted to nicotine. You can stop smoking without needing a nicotine replacement. However, if you're worried about quitting, ask your pharmacist or doctor for advice.

score of 3 to 4: you are mildly dependent on nicotine.

score 5 to 6: you are moderately dependent on nicotine. The use of nicotine substitutes will increase your chances of success. Ask your pharmacist or doctor for advice on the best treatment for you.

score from 7 to 10: you are strongly or very strongly dependent on nicotine. The use of nicotine substitutes is recommended to help you overcome this nicotine dependence. This treatment must be used in sufficient and appropriate doses.

Ask your pharmacist or doctor for advice, possibly in the context of a specialized smoking cessation consultation.

Withdrawal symptoms may persist for a long time, and treatment should be of sufficient duration, usually one to three months.

If, despite treatment, you experience a persistent "craving" sensation, such as

- the urge to smoke

- irritability, sleep disturbances

- restlessness or impatience,

- difficulty concentrating.

Consult your doctor or pharmacist, as dose adjustments may be necessary.

How can we help you?

- Support from healthcare professionals

The support, advice and follow-up provided by your doctor or pharmacist will be invaluable during the first six months of quitting smoking. You can also turn to a specialized smoking cessation consultation, especially if you've already failed.

- Psychological support

Quitting smoking requires a supportive family and social environment. If you're worried that the difficulties are too great, psychological support or temporary treatment can help.

- Diet

In the months following smoking cessation, you may notice a moderate weight gain. If you have any concerns in this area, you can speak to a health professional who will be able to advise you.

Why have you started smoking again?

Think of this relapse as an accident along the way, as a normal learning event: a relapse is not a failure.

Analyze the reasons why you started smoking again.

- Physical dependence

This may not have been properly taken into account, or it may have reappeared after several months, for example, during prolonged stays in smoky atmospheres.

- Because of excessive weight gain

You may need to modify your eating habits a little before your next attempt to stop smoking.

- Because of a drop in motivation, because of a painful event or a difficult period, because of psychological difficulties that have arisen during the quitting process (depression, anxiety...), because of a lack of energy, because of a lack of energy or because of a lack of energy..), or because of a very tempting situation. Understand the reason for the relapse, so you can prevent it if possible the next time you try.

In all cases, don't hesitate to ask a healthcare professional for advice, or seek out a specialized smoking cessation consultation.

If you've started smoking again, don't be discouraged. Experience shows that your chances of success increase after one or more quit attempts.

Fiche révisée le : 09/08/2024

Substitut nicotinique

nicotine

.Présentations. Composition.Indications.Contre-indications.Attention.Interactions médicamenteuses.Grossesse et allaitement.Mode d'emploi et posologie. Conseils.Effets indésirables.Lexique

PRÉSENTATIONS  (sommaire)

NIQUITIN 7 mg/24 h : dispositif transdermique de 7 cm2 ; boîte de 28.
Remboursé à 65 %. - prix : 23,09 euro(s).

NIQUITIN 14 mg/24 h : dispositif transdermique de 15 cm2 ; boîte de 7.
Non remboursé - Prix libre -

NIQUITIN 14 mg/24 h : dispositif transdermique de 15 cm2 ; boîte de 28.
Remboursé à 65 %. - prix : 23,09 euro(s).

NIQUITIN 21 mg/24 h : dispositif transdermique de 22 cm2 ; boîte de 7.
Non remboursé - Prix libre -

NIQUITIN 21 mg/24 h : dispositif transdermique de 22 cm2 ; boîte de 28.
Remboursé à 65 %. - prix : 23,09 euro(s).

Laboratoire Perrigo France

COMPOSITION  (sommaire)
 p 7 cm2 p 15 cm2 p 22 cm2 
Nicotine libérée/24 h 7 mg 14 mg 21 mg 

INDICATIONS  (sommaire)
Ce médicament aide les fumeurs à se désintoxiquer du tabac. Le dispositif transdermique (timbre) contient de la nicotine, principale substance active du tabac ; celle-ci traverse la peau, gagne le sang et agit sur le système nerveux, permettant ainsi au fumeur de ne pas ressentir les symptômes dus à l'arrêt du tabac.
Il est utilisé exclusivement chez les fumeurs nicotino-dépendants, c'est-à-dire qui avalent la fumée et ne peuvent se passer de fumer plus de quelques heures.
CONTRE-INDICATIONS  (sommaire)
Ce médicament ne doit pas être utilisé dans les cas suivants :
  • non fumeur ou fumeur occasionnel,
  • maladie de peau étendue ne permettant pas de coller le timbre.
ATTENTION  (sommaire)
La mise en place du timbre (patch) doit conduire à un arrêt total du tabac.
N'utilisez pas d'autres médicaments contenant de la nicotine, notamment les gommes à mâcher (chewing-gums).
Ne laissez pas le timbre neuf ou usagé à la portée des enfants : une application intempestive peut être à l'origine d'accidents graves. Pliez le timbre avant de le jeter.
Des précautions sont nécessaires en cas d'ulcère de l'estomac ou du duodénum, d'insuffisance rénale ou hépatique. Dans ces situations, une consultation médicale préalable est indispensable avant d'utiliser ce médicament et un arrêt du tabac sans traitement de substitution peut être nécessaire.
INTERACTIONS MEDICAMENTEUSES  (sommaire)
Les produits contenus dans la fumée du tabac peuvent accélérer la vitesse d'élimination de certains médicaments, la théophylline notamment. Lors de l'arrêt du tabagisme, ces médicaments peuvent voir leur effet renforcé et des signes de surdosage peuvent apparaître. Contactez votre médecin au moindre doute.
GROSSESSE et ALLAITEMENT (sommaire)
Grossesse :
Le tabagisme chez la femme enceinte peut être à l'origine d'un retard de croissance du fœtus. L'arrêt du tabac est donc toujours souhaitable. Chez les femmes fortement dépendantes à la nicotine, l'usage de ce médicament peut être une aide, mais les effets de la nicotine seule sur le fœtus sont mal connus. Ce médicament a l'avantage de ne pas exposer le fœtus aux autres toxiques présents dans la fumée du tabac. En résumé : si l'idéal est de ne pas fumer et de ne pas exposer le fœtus à des apports de nicotine, l'usage de ce médicament est un moindre mal par rapport au tabac.

Allaitement :
La nicotine passe dans le lait maternel, l'allaitement est déconseillé pendant le traitement.
MODE D'EMPLOI ET POSOLOGIE  (sommaire)
Il existe 3 dosages correspondant à 3 surfaces de timbre différentes : la quantité de nicotine qui passe dans le sang est proportionnelle à la surface du dispositif transdermique.
Le dosage le plus fort est destiné aux grands fumeurs ou aux fumeurs de cigarettes riches en nicotine ; une forte dépendance à la nicotine peut également conduire des fumeurs modérés à préférer le dosage fort.
En pratique, il est utile de connaître les signes de sous ou surdosage pour adapter le choix du dosage après 1 ou 2 jours de traitement :
  • le surdosage aboutit à l'état du fumeur qui a trop fumé et se traduit principalement par un état nauséeux et des maux de tête. Des troubles de la vue ou de l'audition, un tremblement, des vertiges sont également possibles ;
  • un sous-dosage provoque des symptômes de manque : irritabilité, nervosité, crampes d'estomac (sorte de faim douloureuse), difficulté de concentration.
Une fois le sevrage obtenu, il convient de passer à un timbre moins dosé après une période de 3 à 4 semaines, puis à l'arrêt après l'utilisation du dosage le plus faible.
Appliquer le timbre sur une région sèche, pauvre en poils, et dépourvue de lésions cutanées. Libérer la surface adhésive et appliquer soigneusement le timbre en effectuant une pression sur toute sa surface. Changer d'emplacement tous les jours.

Posologie usuelle:

  • Adulte : le timbre est posé le matin, après la toilette. Il doit normalement être gardé jusqu'au lendemain.
Il est recommandé de ne pas dépasser 6 mois de traitement continu.
CONSEILS (sommaire)
La nicotine prise par voie cutanée en remplacement de la cigarette présente la même nocivité cardiovasculaire que celle qui est contenue dans le tabac. Seul le risque de cancer du poumon disparaît. Lorsque l'arrêt du tabac est motivé par des raisons médicales urgentes : infarctus récent, artérite, gastrite ou ulcère, il est préférable d'arrêter l'absorption de nicotine sous toutes ses formes.
Comme toutes les méthodes antitabac utilisées pour aider les fumeurs, ce médicament ne peut être efficace que lorsque la volonté d'arrêter de fumer est personnelle et s'accompagne d'une forte motivation. C'est cette motivation qui permettra de lutter contre l'envie de fumer, sans être forcé de faire en permanence appel à la volonté qui s'émousse avec le temps. Un arrêt du tabac durable chez le fumeur suppose que celui-ci considère le tabac comme un poison, une dépendance inacceptable. Il doit se faire à l'idée qu'il ne fumera plus jamais, dès le début du sevrage. Chaque jour sans tabac doit être vécu comme une libération, et non comme un calvaire. Le fumeur qui est dans cet état d'esprit est un bon candidat au sevrage définitif.
L'arrêt du tabac, qui est une véritable drogue, induit de nombreux problèmes : une prise de poids est fréquente, des troubles de la concentration peuvent durer plusieurs semaines. Un état dépressif léger est possible. La prise de poids doit être combattue par un régime, et si possible par un programme sportif qui a l'avantage de réconcilier le fumeur avec son corps. N'hésitez pas à consulter votre médecin en cas de difficulté ; ses conseils et son expérience seront précieux pour lutter contre les rechutes.
Garder le timbre la nuit permet de combattre les symptômes de manque au lever. Néanmoins, le port nocturne peut provoquer des troubles du sommeil. Dans ce cas, il peut être préférable d'ôter le timbre au coucher.
Pensez à vous laver les mains après l'application et évitez tout contact avec les yeux ou le nez.
EFFETS INDÉSIRABLES POSSIBLES  (sommaire)
Réactions locales : rougeur et démangeaisons au niveau de l'application pouvant nécessiter l'arrêt du traitement en cas de réaction importante.
Également : palpitations, maux de tête, insomnie, vertiges, troubles des rêves, nausées, vomissements.


LEXIQUE  (sommaire)


artérite
Maladie des artères favorisée par le tabagisme et le plus souvent localisée aux jambes. Elle se caractérise par un épaississement des parois artérielles qui gêne la circulation du sang et entraîne des douleurs au cours de la marche (claudication intermittente). L'artérite des membres inférieurs augmente le risque de survenue d'infarctus du myocarde et nécessite un traitement médicamenteux. À un stade évolué, elle peut être traitée chirurgicalement.
Synonyme : artériopathie oblitérante des membres inférieurs.


dépendance
Besoin psychique ou physique entraîné par la prise de certaines substances naturelles ou médicamenteuses. Cet état peut s'accompagner, à l'arrêt des prises, de symptômes variés, regroupés sous le terme de syndrome de sevrage.


dispositif transdermique
Système, parfois appelé timbre ou patch, permettant l'absorption d'un médicament au travers de la peau : il assure la diffusion de la substance active vers les vaisseaux sanguins du derme. La substance circule ensuite dans le sang et peut agir comme si elle avait été avalée ou injectée. Ce dispositif permet d'éviter l'effet de premier passage hépatique.


duodénum
Partie de l'intestin dans laquelle pénètrent les aliments issus de l'estomac.


état dépressif
État de souffrance morale associant une démotivation, une fatigue, un sentiment d'inutilité, d'autodépréciation. En l'absence de traitement, l'état dépressif risque d'évoluer vers une dépression grave avec sensation d'incurabilité, de culpabilité, et un risque suicidaire.


gastrite
Inflammation de l'estomac favorisée par le stress, le tabac, l'alcool et certains médicaments tels que l'aspirine ou les anti-inflammatoires.


infarctus
Destruction d'une partie du muscle cardiaque (myocarde), privé de sang par obstruction de ses artères.


hépatique
Incapacité du foie à remplir sa fonction, qui est essentiellement l'élimination de certains déchets, mais également la synthèse de nombreuses substances biologiques indispensables à l'organisme : albumine, cholestérol et facteurs de la coagulation (vitamine K, etc.).


insuffisance rénale
Incapacité des reins à éliminer les déchets ou les substances médicamenteuses. Une insuffisance rénale avancée ne se traduit pas forcément par une diminution de la quantité d'urine éliminée. Seuls une prise de sang et le dosage de la créatinine peuvent révéler cette maladie.


palpitations
Perception anormale de battements cardiaques irréguliers.


surdosage
La prise en quantité excessive d'un médicament expose à une augmentation de l'intensité des effets indésirables, voire à l'apparition d'effets indésirables particuliers.
Ce surdosage peut résulter d'une intoxication accidentelle, ou volontaire dans un but de suicide : il convient alors de consulter le centre antipoison de votre région (liste en annexe de l'ouvrage). Mais le plus souvent, le surdosage est la conséquence d'une erreur dans la compréhension de l'ordonnance, ou de la recherche d'une augmentation de l'efficacité par un dépassement de la posologie préconisée. Enfin, une automédication intempestive peut conduire à l'absorption en quantité excessive d'une même substance contenue dans des médicaments différents. Certains médicaments exposent plus particulièrement à ce risque, car ils sont considérés (à tort) comme anodins : vitamines A et D, aspirine, etc. L'arrêt ou la diminution des prises médicamenteuses permettent de faire disparaître les troubles liés à un surdosage.


symptômes
Trouble ressenti par une personne atteinte d'une maladie. Un même symptôme peut traduire des maladies différentes et une même maladie ne donne pas forcément les mêmes symptômes chez tous les malades.


ulcère
Lésion en creux de la peau, des muqueuses ou de la cornée.
  • Ulcère de jambe : plaie chronique due à une mauvaise circulation du sang.
  • Ulcère gastroduodénal : plaie localisée de la muqueuse de l'estomac ou du duodénum, due à un excès d'acidité et très souvent à la présence d'une bactérie (Helicobacter pylori). L'ulcère est favorisé par le stress, l'alcool, le tabagisme et la prise de certains médicaments (aspirine, AINS, etc.).


vertiges
Symptôme qui peut désigner une impression de perte d'équilibre (sens commun) ou, plus strictement, une sensation de rotation sur soi-même ou de l'environnement (sens médical).


voie
  • Chemin (voie d'administration) utilisé pour administrer les médicaments : voie orale, sublinguale, sous-cutanée, intramusculaire, intraveineuse, intradermique, transdermique.
  • Ensemble d'organes creux permettant le passage de l'air (voies respiratoires), des aliments (voies digestives), des urines (voies urinaires), de la bile (voies biliaires), etc.

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