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MEDICATION guide
Nicotine Replacement Therapy
Specifics on Nasal Spray
Dosing:
- User should start with 1-2 doses per hour.
- A usual single dose is two sprays, one in each nostril.
- The maximum recommended dose is 5 doses per hour or 40 doses total per day.
Product Strengths:
The nicotine in nasal spray is concentrated at 10 mg/ml.
Manufacturer's Recommended Treatment Duration:
The manufacturer recommends treatment for up to 8 weeks, then stopping or tapering dose for 4-6 weeks.
Adverse Reactions:
Some nasal spray users experience irritation in the nose and throat, watering eyes, sneezing and cough. These symptoms usually become less severe and more tolerable over time.
Unique Product Contraindications:
People with asthma, rhinitis, nasal polyps, or sinusitis should not use the nasal spray.
Cost:
The average retail price for nicotine nasal spray is approximately $5/day for average usage (13 doses)
and up to $15/day for maximum usage (40 doses).
Adapted with permission from materials from the Center for Tobacco
Prevention & Control, Massachusetts Tobacco Control Program, Department of Public Health.
Content author:
Alan S. Peters, CTTS-M
Reviewed by:
Andy Perez, MD, MBA, FACEP, February 2009
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