Bupropion, cytisinicline, and varenicline should only be supplied within specialist settings, defined as local authority–commissioned stop smoking services. These may be delivered through various models, such as stop smoking clinics, GP federations, GP practices via Local Commissioning Service (LCS), or community pharmacies via LCS or Patient Group Direction (PGD). For more information: Stop smoking services
Nicotine replacement therapy (NRT) should only be routinely provided through local authority–commissioned stop smoking services as described above. Primary care clinicians who are not part of a GP federation or LCS arrangement may prescribe NRT in exceptional circumstances, though it is recommended that NRT be offered alongside behavioural support for optimal outcomes
Second choice.
Also used as a 3rd line treatment for ADHD in adults. GP's should not prescribe for this indication.
Zyban is a branded option commissioned for prescribing.
| Pack |
|---|
| 60 tablet |
| 100 tablet |
Patches are first choice for most patients. The 16-hour patch (Nicorette) is preferable as nicotine can cause sleep disturbances. However, if the patient has the first cigarette within 30 minutes of waking, the 24-hour patch (NiQuitin CQ) would be more appropriate.
All the listed products can be used in pregnancy and lactation. However, patients should be advised to try and give up without the use of NRT due to the harmful effects of nicotine on the foetus and the fact that it also passes freely into breast milk.
Nicorette, NiQuitin CQ and Nicotinel are branded options commissioned for prescribing.
| Pack |
|---|
| 7 patch |
| Pack |
|---|
| 7 patch |
| 2 patch |
| 14 patch |
| Pack |
|---|
| 7 patch |
| 14 patch |
| Pack |
|---|
| 7 patch |
| Pack |
|---|
| 2 patch |
| 7 patch |
| 14 patch |
| Pack |
|---|
| 7 patch |
| 2 patch |
| 14 patch |
| 21 patch |
| Pack |
|---|
| 30 piece |
| 105 piece |
| 12 piece |
| 15 piece |
| 24 piece |
| 96 piece |
| 48 piece |
| 210 piece |
| 204 piece |
| 36 piece |
| 120 piece |
| 70 piece |
| 72 piece |
| 25 piece |
| 100 piece |
| 200 piece |
| 75 piece |
| 165 piece |
| Pack |
|---|
| 30 piece |
| 105 piece |
| 15 piece |
| 12 piece |
| 24 piece |
| 96 piece |
| 48 piece |
| 210 piece |
| 36 piece |
| 120 piece |
| 72 piece |
| 25 piece |
| 100 piece |
| 200 piece |
| 75 piece |
| 165 piece |
| Pack |
|---|
| 36 lozenge |
| 72 lozenge |
| 60 lozenge |
| 20 lozenge |
| 80 lozenge |
| 100 lozenge |
| 12 lozenge |
| Pack |
|---|
| 30 tablet |
| 105 tablet |
| 100 tablet |
| Pack |
|---|
| 10 ml |
| Pack |
|---|
| 13 ml |
| 26 ml |
| Pack |
|---|
| 4 cartridge |
| 20 cartridge |
| 36 cartridge |
First choice - smoking cessation Varenicline is a recommended option for smokers who want to stop, normally as part of a cessation programme.
| Pack |
|---|
| 56 tablet |
| 11 tablet |
| Pack |
|---|
| 28 tablet |
| 14 tablet |
| 56 tablet |