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For smokers of less than 20 cigarettes per day, strong behavioural habit

Nicotine inhalers consist of a mouthpiece into which menthol-flavoured nicotine cartridge is placed. By puffing on the inhaler, nicotine is absorbed via the lining of the mouth and not via the lungs, and travels directly to the brain to reduce the craving for nicotine. The inhaler is particularly suitable for those who enjoy the ritual of smoking and the "hand to mouth" action. When used correctly, the nicotine inhaler provides about 30% of the nicotine provided by a cigarette.

What types of nicotine inhalers are available?
Currently there is only one brand of nicotine inhaler available in Ireland (Nicorette™).

How to use nicotine inhaler
Place the nicotine cartridges into the mouthpiece. The nicotine is released by either a shallow puff or a deep inhalation. Cartridges usually last about 20 minutes and can be smoked at intervals throughout the day. The inhaled air has a menthol flavour. It is recommended to use 6 -12 cartridges per day for the first 8 weeks of treatment, gradually reducing to zero over the following 4 weeks.

Success rate of nicotine inhaler
Studies have found that using the inhaler as NRT resulted in success rates of 11% to 29% after one year of quitting smoking compared to a placebo of 5% to 18%. The higher success rates were reported in groups that used the inhaler regularly.

Cautions when using nicotine inhaler
Those using nicotine inhalers have reported coughs, rhinitis, and irritation of the mouth and throat, which usually decline over time, while headache, heartburn and nausea have also been reported. Those who are pregnant, breast-feeding, who have diabetes mellitus; phaeochromocytoma, kidney or liver problems, heart disease, peripheral vascular disease; hyperthyroidism; history of gastritis and peptic ulcers should consult their doctor before using any nicotine product.

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