Additionally assigned to use ...

For example, receiving 4 mg chewing gum can be left only in the morning, if the patient has previously smoked immediately after waking up (section 1.2), and after meals or at night, the rest of the reception can be replaced by 2 mg. Maximum base therapy lasts at least 23 weeks and then begins to decline and completely abolished with the disappearance of permanent withdrawal symptoms. The leading factor at lower doses and the abolition of the basic therapy is being patient. Additionally appointed as the use of chewing gum, and inhaler. During the first visit the patient is desirable to offer to try and chewing gum, and inhaler. This will enable the patient to feel that there is a change of habitual cigarette for him, and he had great confidence treat appointed him to therapy. In addition, the patient may choose more convenient for him a drug that will be optional for NRT. Patients whose predominant motivators of smoking are the need to manipulate a cigarette, getting a relaxing effect, a simple habit, tend to choose the inhaler. The patient himself has to decide when it will take additional therapy. Medical advice should consist in the fact that additional intake of the drug required in the following cases: 1. The occurrence of any of the symptoms of withdrawal. 2. If a patient comes into the company of smokers. 3. If there comes a familiar situation for smoking (agitation, irritation, a hearty lunch, party, etc.). Additional therapy may be administered for longer than the base, and last a long time in accordance with the needs of the patient. Symptoms of withdrawal must be recorded daily in the patient within 1 month of smoking cessation. This allows to choose the correct dose and duration of basic therapy. Withdrawal symptoms, the presence of the patient daily notes in the table: a strong desire to smoke excitability restlessness irritability, impaired concentration worsening of mood feelings of anger and depression, headache, insomnia, somnolence tremor sweating improved appetite weight gain increased cough sputum discharge difficulty feeling of fullness in the chest muscle aches dizziness. Weight gain observed in almost all patients. Some have noted a slight increase in weight, others more substantial. On average, 23 months of quitting weight gain 34 kg. Many patients have this weight within a year to lose. The physician should warn patients in advance about such a possibility, and if it can play an important role in the decision to quit in advance to develop recommendations for losing excess weight, such as diet, and begin their implementation for some time before quitting. 3. Short treatment program for patients who do not want to quit Short treatment program designed for patients who do not want to quit, but did not reject this possibility in the future (the degree of motivation 46 points). In addition, this program can be offered to patients wishing to reduce the intensity of smoking.