Nicotinell TTS 30 Patches 21mg (Step 1) (Pack of 7)

Nicotinell TTS patches + patient support material pack of 7 day supply

Nicotinell Nicotine Patches
You’ve decided to quit smoking, but may still be confused about the right nicotine replacement product that best suits your needs. Lozenge, gum or patch? Which dosage is right for me?

Around-the-clock relief from cravings - 24 hours support

Nicotinell Patches are nicotine patches which provide a consistent supply of nicotine for 24 hours. With that in mind, a patch can help curb those intense morning cravings and help you stop smoking. Nicotinell Patches are available in three strengths. The dose you start with depends on how much you smoke per day.

Step 1- 21 mg patch per day for 3-4 weeks

Step 2- 14 mg patch per day for 3-4 weeks

Step 3- 7 mg patch per day for 3-4 weeks

Heavy smoker

Nicotinell TTS 30 Patches 21mg (Step 1) is a 7 day supply for smokers of more than 20 cigarettes a day.

If you smoke more than 20 cigarettes  per day, use Step1 Nicotinell TTS30 patch  per day for 3-4 weeks.

Moderate/light smoker

Nicotinell TTS 20 Patches 14mg/24 hour patch (Step 2) is a 7 day supply for smokers 14MG/24 hour patch per day for 3-4 weeks.

If you smoke less than 20 cigarettes a day or you have completed Step 1, you can use Step 2 Nicotinell TTS20 (14mg/24 hour) patches.

OR

Nicotinnell TTS 10 Patches 7mg/24 hour patch (Step 3) per day for 3-4 weeks.

If you smoke less than 20 cigarettes a day or you have completed Step 1 and Step 2, you can use Step 3 Nicotinell TTS10 (7mg/24 hour) patches.

Nicotinell Patch is a nicotine replacement therapy (NRT) which reduces:

• Some of the unpleasant withdrawal effects that frequently occur when giving up smoking such as feeling ill or irritable.
• Your desire to smoke by providing some of the nicotine previously inhaled from cigarettes and therefore helps your willpower to resist cigarettes.

If you need advice before starting to use nicotine patches, talk to your doctor, nurse, pharmacist or a trained counsellor. A support programme will increase your chances of quitting smoking.

Nicotinell Patches are for application to the skin. When applied to the skin, nicotine passes from the patch, through the skin and into your body.

Nicotinell Patches can be used to help you:

• Cut down the amount you smoke – perhaps before you go on to stop completely.
• Stop smoking completely

In addition, they may be used when you:

• Do not wish to smoke. For example in confined spaces (in the car: in the house) or where others
  (such as children) could be harmed by tobacco smoke.
• You are unable to smoke.
• Develop cravings once you have stopped smoking.

Reducing the number of cigarettes smoked can increase the chances that you will move on to quit completely.

Nicotinell Patches can be used during pregnancy and breastfeeding.

There are 3 steps:

• 1. Nicotinell TTS 30 (Step 1) patches contain 52.5mg of nicotine and deliver on average 21mg of nicotine over 24 hours.
• 2. Nicotinell TTS 20 (Step 2) patches contain 35mg of nicotine and deliver on average 14mg of nicotine over 24 hours.
• 3. Nicotinell TTS 10 (Step 3) patches contain 17.5mg of nicotine and deliver on average 7mg of nicotine over 24 hours.

For more advice, please visit us on Instagram @rightdose_uk.

Like all medicines, Nicotinell Patches can cause side effects, although not everybody gets them.

STOP using the patches and seek medical help immediately if you have any of the following allergic reactions:

• Difficulty breathing or swallowing, swelling of the face, lips, tongue or throat.
• Severe itching of the skin, with a red rash or raised lumps.

Some side effects are very common (may affect more than 1 in 10 people)

• application site reactions such as itching, redness, oedema (becoming swollen) and burning sensation where the patch is placed.

In the event of a severe skin reaction which will not go away, you should stop treatment and consult your doctor or pharmacist to find another form of nicotine replacement therapy.

These effects are usually caused by not changing the site of application each day. Changing the site each day will allow any irritation to disappear naturally and cause you very little discomfort.

Some side effects are common (may affect between 1 and 10 in every 100 people)

• agitation, anxiety, nervousness, difficulty sleeping, abnormal dreams
• headache, dizziness or disorder in muscle condition
• cough
• nausea, abdominal pain or indigestion
• muscle discomfort or arthritis

These effects are often mild and will wear off naturally and rapidly once you have removed the patch.

Some side effects are uncommon (may affect between 1 and 10 in every 1000 people)

• disturbance in attention, sleepiness, mood changes, irritability, depressed mood or confusional state
• tingling or numbness, changes in taste or blurred vision
• palpitations (feeling of heartbeats)
• high blood pressure or hot flushes
• chest infections
• vomiting, constipation, diarrhoea, flatulence or dry mouth
• excessive sweating
• joint pain, muscle cramp or back pain
• feeling of weakness, pain or discomfort

Some side effects are rare (may affect between 1 and 10 in every 10,000 people)

• tremor
• chest pain, shortness of breath or irregular heart beat
• skin discolouration or inflammation of blood vessels often with skin rash

Before taking any medication, it is important to read the Patient Information Leaflet. You can find information leaflets for your medicines by typing them into the search bar at medicines.org, or by contacting us.

Nicotinell TTS30 PIL

10 Tips to Stop Smoking

Tip 1: Plan Your Quit

Quitting smoking isn’t an easy task. Create a plan that works for you to help you reach your goal. First, set a date! Choose a date to quit smoking and stick with it. It’s a great way to mentally prepare to stop smoking. Think about whether you want to quit completely or gradually and find the right product(s) that are right for you.

Tip 2: Remember Why You Decided to Quit
Make a list of all the reasons why you want to stop smoking and put it somewhere you’ll see it. When you feel like you want to give up, remind yourself of why you are doing this and keep going!

Tip 3: Use The Money You Save on Cigarettes to Treat Yourself

The average smoker spends around £5.92 a day on cigarettes, which is a whopping £180 a month*. Calculate how much you could save! 

Make sure you actually see the money you save. Set up a special account or just start a ‘quitting jar’, to store the saved cash. Then for the fun part - deciding how to spend it. *Based on a pack of 20 cigarettes costing £10.76 and the average number of 11 cigarettes a day.

Tip 4: Quit With a Friend

Grab a friend who also wants to quit. That way, you can keep each other motivated and you’ll know you’re not in it alone.

Tip 5: Identify what makes you crave a cigarette

Strengthen your willpower by limiting or skipping triggers you commonly associate with smoking. Learn how to identify your triggers and get tips for conquering your cravings.

Tip 6: Keep busy to resist the urge to smoke

Whenever you feel the urge to smoke, resist it by keeping busy. Cravings usually last 5-10 minutes so make a list of things to do in this time. For example, walk around the block, call a friend, tidy your desk or catch up on the news.

Tip 7: Work out the Stress

Physical activity is a great way of dealing with the stress of quitting. Walk, run, swim, or take up a new activity. Your lung capacity improves by as much as 10% nine months after you quit so you’ll be able to do more.

Tip 8: Lean on Your Loved Ones

Tell your friends and family that you’re trying to quit. They know what an incredible thing you are doing and will support you along the way! When you are struggling to keep it going, lean on them for encouragement!

Tip 9: Think Positive

At times you may want to pack it all in and have another cigarette. When this happens, take a moment to think of all the positives that come with being smoke-free. You could have more energy, better sense of taste and smell, healthier looking skin, whiter teeth and many more health benefits.

Tip 10: Try Nicotine Replacement Therapy (NRT)

When you stop smoking, nicotine withdrawal may make you feel irritable, anxious or down. NRT can help tackle these withdrawal symptoms so you can carry on with your day! 

Please read the leaflet enclosed in the pack and make sure you follow the instructions carefully.

How to use Nicotinell Patches

• Nicotinell Patches can be used for 24 hours.
• Apply a new nicotine patch every day, once you have removed the old one.
• It is important to choose a hairless area of skin to make sure that it sticks properly e.g. the front or side of the chest, the back or the upper arm. Avoid skin which is red or irritated.

Directions:

1. Allow yourself time to put the patch on.

2. Decide where you will put the patch.

3. If the patch does not stick successfully you may try it on any other body site (such as the outer thighs or top of the buttocks) or clean the area with surgical spirit and let it dry naturally before re-applying the patch. Avoid areas where the skin creases (such as over a joint) or folds when you move.

4. Make sure that the skin is completely clean and dry. After a hot bath or shower you may continue to sweat even after towelling. Wait until the skin is completely dry before sticking the patch on. Never powder or oil your skin before putting on a patch, as it may not stick properly.

5. Stick to a new area of skin which is unbroken, dry and hairless - this can be on your upper arm, upper back or hip.

6. Smooth out the edges of the nicotine patch to ensure it’s stuck properly.

Want to improve your chances of resisting the urge to smoke?

Combination Therapy - Patch used with *lozenge or gum.

Not smoking is tough. It takes about 84 days for most of us to get used to it and, in fact, the first 2 weeks are arguably the toughest.

To give you the best possible chance to get past those first 2 weeks, it may be worth giving combination therapy a try. Combination therapy is simple - it is when you use more than one nicotine replacement product at once. For example, wear a patch all day and take a *lozenge or a gum when you get the urge to smoke.

*refers to 1mg lozenge only.

Please note, you mustn’t wear two patches at once.

When you combine treatments, you can attack your smoking habit on two fronts and manage it around the clock. It’s a useful method if you need extra support to stop smoking, but make sure you talk to a healthcare professional before you start on this course of treatment.

Please note, however, if you are using the 1mg lozenge in combination with the patch, you should stop smoking completely.

Nicotinell suggestion tool can help you decide if combination therapy is right for you, providing you information on each treatment option. 

Safety information:

When the patch has adhered to your skin, it releases nicotine. Nicotine can irritate your skin, so you may notice red marks when you remove the patch. The redness usually disappears after a few days and is not dangerous.

If your skin feels itchy or if you notice blisters forming, then you should stop using the patch immediately, since this can indicate an allergic reaction to the nicotine or the adhesive.

Changing your patch

1. Apply a new patch at roughly the same time each day (preferably in the morning).
2. Leave it in place for 24 hours, unless you are pregnant. If you are pregnant you should remove the patch before going to bed.
3. When you take off the old patch, fold it in half with the sticky side inwards and throw it away carefully. Even used patches will contain some active medication which could be harmful to children, so make very sure that your patches are always kept well away from children.
4. Always place your new patch on a different area of skin.

DO NOT use the patches if you:

• are allergic to nicotine or to any of the other ingredients in the patches 
• are a non-smoker or occasional smoker
• have a skin disease that might be aggravated by the patches
• are under 12 years of age, except on the advice of a doctor

Take special care with Nicotinell Patches. Before using the patches, tell your doctor, nurse or pharmacist if you:

• are taking any other medicines (see next section)
• have a tumour of the adrenal gland (phaeochromocytoma)
• have an overactive thyroid gland
• are diabetic (see “Taking other medicines”)
• have ever had a stomach ulcer
• have serious liver or kidney problems
• have heart disease (including heart attack, worsening chest pain, disorders of heart rate and/ or rhythm), uncontrolled high blood pressure or stroke for which you are in hospital. Using nicotine replacement therapy is better than continuing to smoke
• are pregnant or breast-feeding (see Pregnancy/Breastfeeding sections).

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. The effect of some medicines can be altered when you stop smoking.
If you are already taking regular medication you should tell your doctor, nurse or pharmacist.

Diabetics should monitor their blood sugar levels more often than usual when starting to use a patch because insulin/medication requirements may alter.

Pregnancy
Smoking during pregnancy is associated with risks such as poor growth of the baby before birth, premature birth or stillbirth. Stopping smoking is the single most effective way to improve both your health and that of your baby. The earlier smoking stops, the better.

Ideally, stopping smoking during pregnancy should be done without nicotine replacement therapy.
However, if you have tried and this is not possible, nicotine replacement therapy may be used because the risk to the developing baby is less than that expected from continued smoking.

The decision to use nicotine replacement therapy should be made as early on in the pregnancy as possible with the aim of discontinuing use after 2–3 months. Patches may be preferred if you have nausea or sickness. If patches are used, they should be removed before going to bed at night.

Ask your doctor for advice before taking any medicine.

Breastfeeding
It is better to use nicotine replacement therapy products that can be taken intermittently (not patches). Try to breast-feed at a time just before you take the product to ensure that the baby gets the smallest amount of nicotine possible. If you need to use nicotine replacement therapy to help you give up smoking, the amount of nicotine that the baby may receive is considerably smaller and less harmful than the secondhand smoke they would otherwise be breathing in.

Driving and using machines
These patches are unlikely to affect your ability to drive or operate machinery. Nicotinell Patches contain Aluminium

Remove the patch before a medical scan or cardiac procedure to regulate your heart rate as aluminium is present in one of the layers of the patch.

Ingredients:

Nicotinell TTS 30 (Step 1) patches contain 52.5mg of nicotine and deliver on average 21mg of nicotine over 24 hours.

The other ingredients are: acrylate esters vinyl acetate, copolymers, fractionated coconut oil, methacrylic acid esters co-polymers, aluminised and siliconised polyester films.