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Refer to product information for details
Young people, patients who are intermittent smokers, or have had a recent cardiovascular event or who are pregnant, should be offered cessation support (as above) and a short acting nicotine replacement therapy.
Nicotine Replacement Therapy (NRT)
The aim of NRT is to reduce usage over 8-12 weeks as per product information. If patients require treatment beyond 12 weeks they should be referred to specialist stop smoking services for further support and advice.
Pharmacy services should refer any patients requiring NRT beyond 12 weeks to other specialist stop smoking services for further support and advice, or patients can be advised to purchase NRT over the counter.
Women with symptoms of nausea related to pregnancy, may find the nicotine strips a useful NRT preparation.
Varenicline should only be prescribed when NRT has failed, and on the recommendation of specialist smoking cessation services.
Abnormal semen and sexual dysfunction have been reported with varenicline (uncommon). However no hazard for human fertility is evident when taking varenicline. As such there is no advice regarding the need to stop varenicline prior to conception. It should be borne in mind that smoking is known to have a detrimental effect on male fertility, causing sexual impotence, decreased sperm counts and increased proportions of abnormal sperm.
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