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NiQuitin Transparent Patches 7mg/24h Last Step NiQuitin Transparent Patches 7mg/24h Last Step
NiQuitin Transparent Patches 7mg/24h Last Step NiQuitin Transparent Patches 7mg/24h Last Step
Over-the-counter medication

NiQuitin Transparent Patches 7mg/24h Last Step

Brand : Niquitin Niquitin
product contains :

Niquitin 7 mg Anti-tobacco patches 24H step 3. NiQuitin patches are nicotine replacement products with proven efficacy. Transparent, they enable you to wean off smoking discreetly. They can provide invaluable help in your attempt to quit smoking.

€28.88 EXCL. VAT €31.77 INCL. VAT
This product is an over-the-counter medication. Please consult the package insert before ordering online.
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Reference : 3400930260388
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Niquitin 7 mg Anti-smoking patches 24H step 3

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

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.

24-hour effectiveness: NiQuitin Clear patches feature an exclusive control membrane. Thanks to this, a regulated amount of nicotine is delivered to the body over a 24-hour period, so 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 7 MG 7 ANTI-TOBACCO PATCHES 24H STEP 3

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 7 MG 7 PATCHES ANTI TABAC 24H ETAPE 3

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 cravings to smoke, or if your treatment has failed, consult your doctor.

It is preferable to stop smoking altogether.

PRESENTATION NIQUITIN 7 MG 7 PATCHES ANTI TABAC 24H ETAPE 3

Box of 7 patches 24h Niquitin 14mg Etape 3

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.

DRUG WARNINGS

Caution: this medicine is not like any other. 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 : 15/04/2025

Product name

NIQUITIN 7 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 any advice or information you may need.

- 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 7 mg/24 hours, transdermal device and what is it used for?

2. What do I need to know before taking NIQUITIN 7 mg/ 24 hours, transdermal device?

3. How do I take NIQUITIN 7 mg/ 24 hours, transdermal device?

4. What are the possible side effects?

5. How do I store NIQUITIN 7 mg/ 24 hours, transdermal device?

6. Package contents and other information.

1. WHAT IS NIQUITIN 7 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 7 mg/24 hours, transdermal device?

Never take NIQUITIN 7 mg/24 hours, transdermal device:

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

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

- if you have any 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 liver and/or kidney failure,

- 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 passageway 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. When you are discharged from hospital, you can use nicotine replacement therapy as normal.

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: in the event of signs of overdosage, i.e. :

- nausea, abdominal pain, diarrhea,

- hypersalivation,

- sweating, headache, dizziness, hearing loss,

- general weakness.

It is essential to adapt the treatment with the advice 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 7 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 7 mg/24 hours, transdermal device with food and drink

Not applicable.

Pregnancy and breast-feeding

If you are pregnant or breastfeeding, 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 for you and your child 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, your usual doctor or a doctor at a center specializing in smoking cessation. If you are unable to stop smoking without nicotine replacement therapy, your doctor may recommend this medicine.

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 7 mg/24 hours, transdermal device does not contain any excipient of note.

3. HOW DO I TAKE NIQUITIN 7 mg/24 hours, transdermal device?

Always take NIQUITIN 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 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. He/she 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.

- Smoking cessation

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 cigarettes or more per 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.

- Stopping gradually

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

He/she may consider letting you smoke for the first 2 weeks of treatment with NIQUITIN transdermal devices. NIQUITIN 7 mg/24 hours, transdermal device may be used in the follow-up and weaning phase as described below.

Preparing to stop

Initial phase

Treatment follow-up

Treatment withdrawal

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

Preparation for stopping

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.

Avoid areas with skin folds or where the skin wrinkles. The device should be kept in its closed protective pouch until use.

It is essential to fold the device on itself, place it in the bag 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 in its holder. 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 held 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 7 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 7 mg/24 hours, transdermal device

Not applicable.

If you stop taking NIQUITIN 7 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,

- headaches,

- dizziness.

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

- nervousness,

- trembling,

- shortness of breath,

- cough,

- 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).

- photosensitivity of the skin,

- symptoms of a severe allergic reaction including sudden wheezing, chest tightness, skin rash, feeling of general 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 Centres Régionaux de Pharmacovigilance - Website: https://signalement.social-sante.gouv.fr

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

5. HOW TO CONSERVE NIQUITIN 7 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 7 mg/24 hours transdermal device contains

- The active substance is :

Nicotine............................................................................................................................. 36.00 mg

For one 7 cm2 transdermal device.

- The 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 7 mg/24 hours, transdermal device is and what it contains

This medicine is presented as a transdermal device in sachets; box of 7, 14 or 28.

Not all presentations may be marketed.

Marketing authorization holder

LABORATOIRE PERRIGO France

200 AVENUE DE PARIS

92320 CHATILLON

Marketing authorization holder

LABORATOIRE PERRIGO France

200 AVENUE DE PARIS

92320 CHATILLON

Manufacturer

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 a gradual disappearance of headaches, coughing, throat irritation and shortness of breath,

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

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

- Stopping smoking altogether is necessary to increase your chances of success:

o choose a day in the year that seems most favorable to you.

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

o In a couple of smokers, it's preferable 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 can 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 drink a large glass of water,

o chewing gum,

o count to 100,

o take a few deep breaths,

o leave the room,

o change activity...

- Avoid situations associated with smoking (coffee, aperitifs, etc.), and 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

- from 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 it's forbidden?

- 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 to 20: 1

- 21 to 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 sensation of "craving", such as

- urge to smoke

- irritability, sleep disturbances,

- agitation or impatience,

- difficulty concentrating.

Ask your doctor or pharmacist for advice, as doses may need to be adjusted.

How can you get help?

- 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.

- Because of 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

It may be necessary to modify your eating habits a little before your next attempt to stop smoking.

- Because of a drop in motivation, a painful event or difficult period, psychological difficulties (depression, anxiety, etc.), or 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.

VIDAL OF THE FAMILY

NIQUITIN transdermal patch

Medication for smoking cessation

nicotine

. Presentations . Composition . Indications . Contraindications . Warning . Drug Interactions . Pregnancy and breastfeeding . Directions for use and dosage . Advice . Undesirable effects . Lexicon

PRESENTATIONS (summary)

NIQUITIN 7 mg / 24 h: transdermal device of 7 cm2; box of 28.
-

NIQUITIN 14 mg / 24 h: transdermal device 15 cm2; box of 7.
-

NIQUITIN 14 mg / 24 h: transdermal device 15 cm2; box of 28.
-

NIQUITIN 21 mg / 24 h: transdermal device of 22 cm2; box of 7.
-

NIQUITIN 21 mg / 24 h: transdermal device of 22 cm2; box of 28.
-

Omega Pharma Laboratory

COMPOSITION (summary)
p 7 cm2 p 15 cm2 p 22 cm2
Nicotine released / 24 h 7 mg 14 mg 21 mg

INDICATIONS (summary)
This medication helps smokers detoxify tobacco. The transdermal device (patch) contains nicotine, the main active substance in tobacco; it passes through the skin, gains blood and acts on the nervous system, thus allowing the smoker not to feel the symptoms due to smoking cessation.
It is used exclusively in nicotine-dependent smokers, that is, who swallow the smoke and can not do without smoking for more than a few hours.
CONTRAINDICATIONS (summary)
This medication should not be used in the following cases:
  • non-smoker or occasional smoker,
  • extensive skin disease that does not allow the patch to stick.
WARNING (Contents)
The setting of the patch must lead to a complete stop of the tobacco.
Do not use other medicines containing nicotine, such as chewing gums.
Do not leave the new or used stamp within the reach of children: unintentional application can cause serious accidents. Fold the stamp before discarding.
Precautions are necessary in case of stomach or duodenal ulcer , renal or hepatic insufficiency . In these situations, prior medical consultation is essential before using this medication and a cessation of smoking without alternative treatment may be necessary.
DRUG INTERACTIONS (summary)
The products contained in tobacco smoke can accelerate the rate of elimination of certain drugs, especially theophylline. When smoking cessation, these drugs can see their effect strengthened and signs of overdose may appear. Contact your doctor in case of any doubt.
PREGNANCY AND BREAST-FEEDING (summary)
Pregnancy :
Smoking in pregnant women may cause fetal growth retardation. Stopping tobacco is always desirable. In women who are highly dependent on nicotine, the use of this medication may be an aid, but the effects of nicotine alone on the fetus are poorly understood. This drug has the advantage of not exposing the fetus to other toxic substances present in tobacco smoke. In summary: if the ideal is not to smoke and not to expose the fetus to nicotine intake, the use of this drug is a lesser evil compared to tobacco.

Breastfeeding:
Nicotine passes into breast milk, and breast-feeding is not recommended during treatment.
DIRECTIONS FOR USE AND DOSAGE (summary)
There are 3 dosages corresponding to 3 different patch surfaces: the amount of nicotine passing through the blood is proportional to the surface area of the patch .
The strongest dosage is for large smokers or nicotine-rich cigarette smokers; a high dependence on nicotine may also lead moderate smokers to prefer strong dosage.
In practice, it is useful to know the signs of under or overdose to adapt the choice of dosage after 1 or 2 days of treatment:
  • the overdose results in the condition of the smoker who has smoked too much and is mainly reflected in a nauseous condition and headaches. Difficulty in sight or hearing, trembling, dizziness are also possible;
  • an under-dosage causes symptoms of lack: irritability, nervousness, stomach cramps (kind of painful hunger), difficulty concentrating.
Once weaning is achieved, a shorter patch should be changed after a period of 3 to 4 weeks and then stopped after use of the lowest dosage.
Apply the patch to a dry, low-haired area with no skin lesions. Release the adhesive surface and carefully apply the patch by pressing the entire surface. Change location every day.

Usual dosage:

  • Adult: the stamp is placed in the morning after the toilet. It should normally be kept until the next day.
It is recommended not to exceed 6 months of continuous treatment.
TIPS (summary)
This medication can be used by smokers without medical advice. It is available without a prescription and can be accessed directly in certain pharmacies. Nevertheless, do not hesitate to have your choice chosen by your pharmacist. His advice is precious. He can help you determine the best time to quit and explain the causes of failure.
Nicotine taken by way skin to replace the cigarette has the same cardiovascular harmful than that in tobacco. Only the risk of lung cancer disappears. When smoking cessation is motivated by urgent medical reasons: recent infarction , arteritis , gastritis or ulcer , it is preferable to stop the absorption of nicotine in all its forms.
Like all smoke-free methods used to help smokers, this drug can only be effective when the will to quit is personal and accompanied by strong motivation. It is this motivation that will make it possible to fight against the desire to smoke, without being forced to make constant appeal to the will that dulls over time. A cessation of lasting tobacco in the smoker assumes that the smoker considers tobacco to be a poison, an unacceptable addiction. It must be done to the idea that it will never smoke, from the beginning of weaning. Every day without tobacco must be experienced as a release, not as a calvary. The smoker who is in this state of mind is a good candidate for definitive weaning.
Stopping smoking, which is a real drug, causes many problems: weight gain is frequent, concentration disorders can last several weeks. A mild depressive condition is possible. the weight gain should be controlled by a diet, and if possible by a sports program that has the advantage of reconciling the smoker with his body. Do not hesitate to consult your doctor in case of difficulty; his advice and experience will be invaluable in the fight against relapses.
Keeping the patch at night helps to fight the symptoms of lack at the rising. Nevertheless, the night port can cause sleep disturbances. In this case, it may be preferable to remove the patch at bedtime.
Remember to wash hands after application and avoid contact with eyes or nose.
POSSIBLE ADVERSE EFFECTS (summary)
Local reactions: redness and itching at the level of the application, which may necessitate stopping the treatment in the event of a significant reaction.
Also: palpitations , headaches, insomnia, dizziness , dreams, nausea, vomiting.


GLOSSARY (summary)


arteritis
Arterial disease favored by smoking and most often localized to the legs. It is characterized by a thickening of the arterial walls which interferes with blood circulation and causes pain during walking (intermittent claudication). Lower limb arteritis increases the risk of myocardial infarction and requires medication. At an advanced stage, it can be treated surgically.
Synonym: Occlusive arteriopathy of the lower limbs.


addiction
Psychic or physical need caused by taking certain natural or medicinal substances. This condition may be accompanied, at cessation of the catch, by various symptoms, grouped under the term of withdrawal syndrome.


transdermal device
System, sometimes called patch or patch, allowing the absorption of a drug through the skin: it ensures the diffusion of the active substance to the blood vessels of the dermis. The substance then circulates in the blood and can act as if it had been swallowed or injected. This device avoids the first-pass effect of the liver.


duodenum
A part of the intestine into which food from the stomach penetrates.


depressed state
State of moral suffering associating a demotivation, a fatigue, a feeling of uselessness, of self-depreciation. In the absence of treatment, the depressive state may develop into a serious depression with a sense of incurability, guilt, and a suicidal risk.


gastritis
Inflammation of the stomach favored by stress, tobacco, alcohol and certain drugs such as aspirin or anti-inflammatory drugs.


infarct
Destruction of part of the cardiac muscle (myocardium), deprived of blood by obstruction of its arteries.


hepatic
Inability of the liver to perform its function, which is essentially the elimination of some waste, but also the synthesis of many biological substances essential to the body: albumin, cholesterol and coagulation factors (vitamin K, etc.).


renal failure
Inability of the kidneys to eliminate waste or medicinal substances. Advanced renal insufficiency does not necessarily result in a decrease in the amount of urine excreted. Only a blood test and creatinine dosage may reveal this disease.


palpitations
Abnormal perception of irregular heartbeat.


overdose
Excessive intake of a drug may result in an increase in the intensity of adverse effects or even in the development of specific adverse effects.
This overdose may result from accidental or voluntary poisoning for suicide, so consult your local Poison Control Center (listed in the appendix to the book). However, in most cases, overdose is the result of an error in the understanding of the prescription, or the search for an increase in efficacy by exceeding the recommended dosage. Finally, untimely self-medication may lead to excessive absorption of the same substance contained in different drugs. Some drugs are particularly prone to this risk because they are (wrongly) considered to be harmless: vitamins A and D, aspirin, etc. Stopping or decreasing drug intake helps to remove the disorders associated with an overdose.


symptoms
Trouble felt by a person with an illness. The same symptom can translate different diseases and the same disease does not necessarily give the same symptoms in all the patients.


ulcer
Injury of skin, mucous membranes or cornea.
  • Leg ulcer: chronic wound due to poor circulation of blood.
  • Gastroduodenal ulcer: a localized wound in the mucosa of the stomach or duodenum due to excess acidity and very often to the presence of a bacterium (Helicobacter pylori). The ulcer is favored by stress, alcohol, smoking and certain medications (aspirin, NSAIDs, etc.).


dizziness
Symptom that can mean an impression of loss of balance (common sense) or, more strictly, a sense of rotation on oneself or the environment (medical sense).


way
  • Pathway (route of administration) used to administer drugs: oral, sublingual, subcutaneous, intramuscular, intravenous, intradermal, transdermal.
  • Set of hollow organs allowing the passage of air (airways), food (digestive tract), urine (urinary tract), bile (bile ducts), etc.

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