Nicotine transdermal patch
Function and Efficacy
This product is a smoking cessation drug. The main pharmacological effect of its active ingredient nicotine is to stimulate the sympathetic and parasympathetic nervous systems, thereby producing corresponding cardiovascular effects, such as increasing blood pressure and heart rate. Nicotine can also produce cholinergic effects, thereby stimulating the central nervous system, relaxing skeletal muscles, promoting gastrointestinal motility and secreting digestive juices. After using nicotine transdermal patches (20cm2) overnight without eating, smokers who quit smoking can cause a slight increase in average heart rate (increase of 6 times/minute), a slight increase in systolic blood pressure and a decrease in stroke volume. After patients repeatedly use nicotine transdermal patches for 10 days, such changes in heart rate and stroke volume still exist, indicating that patients have not completely tolerated the effects of nicotine. However, its effect is weaker than smoking, and compared with the placebo control group, the skin temperature and blood flow of patients using this product have not changed. The following withdrawal symptoms often occur after quitting smoking: such as nicotine addiction, irritability, depression, anger, restlessness, mental tension, anxiety, hunger, weight gain, difficulty concentrating and sleep disorders. In a placebo-controlled double-blind clinical trial, it was found that in the initial weeks or months of smoking cessation, if this product was used as a replacement therapy, the success rate of smoking cessation was significantly increased, regardless of whether psychological therapy was used at the same time, and the occurrence of withdrawal symptoms could be significantly reduced.
Ingredients
nicotine.
Appearance
This product is a round patch with a backing. The backing is square and shiny on both sides. After removing the backing, a uniform, nearly colorless sticky surface can be seen. Under this surface is a light yellow active substance layer. The diameter of the patch is about 36 mm (10 cm2: 17.5 mg specification).
Indication
Helps quit smoking and alleviates addictive behavior and various withdrawal symptoms in nicotine-dependent smokers.
Usage and Dosage
Apply one tablet of this product once a day and keep it for 24 hours. After removing the protective aluminum foil, apply this product to clean, dry, intact skin (there should be no detergent, alcohol or residual ointment on the skin). The best place to apply is the trunk, upper arm or buttocks. Press with the palm of your hand for 10 seconds after applying. Choose different parts to apply every day. At the end of the treatment, if this product still cannot stop the patient from smoking, it should be stopped.
Adverse Reactions
1. Skin skin allergy: manifested as burning pain, edema, erythema, itching, eczema, urticaria and small blisters at the site of use. Most symptoms disappear within 48 hours, and severe erythema can last for 1-3 weeks. Serious adverse reactions often occur 3-8 weeks after treatment. Once severe or persistent skin allergies occur, stop using this product and seek medical attention. 2. Central nervous system headache (about 30% of patients have this symptom), dizziness, nausea and sleep disorders. Occasionally, rarely: difficulty concentrating, nightmares, fatigue, dry mouth, confusion, migraine, sweating, increased appetite, paresthesia, taste disorders, blurred vision and tremor. 3. Cardiovascular system occasionally: palpitations, hypertension, hot flashes. Rarely: chest pain, dyspnea, arrhythmia. If you already have cardiovascular system diseases, such as coronary heart disease (angina pectoris) and/or peripheral arterial occlusive disease (intermittent claudication), symptoms may worsen. 4. Gastrointestinal tract occasionally gastrointestinal discomfort, vomiting, constipation, diarrhea, abdominal distension and dry mouth. 5. Other systems Common: Flu-like symptoms Occasionally, Rare: Movement dysfunction, back pain, arthralgia, myalgia. Very rare: Systemic allergic reactions, such as systemic urticaria, angioedema and anaphylactic reactions.
Precautions
1. This product should not be used by non-smokers, children or occasional smokers. 2. It is contraindicated for pregnant and lactating women. 3. It is contraindicated for those who are known or suspected to be allergic to nicotine or any of the ingredients of this product. 4. It is contraindicated for patients with systemic skin diseases. 5. It is contraindicated for patients with unstable or worsening angina, acute myocardial infarction, and severe arrhythmia. 6. It is contraindicated for patients who have recently suffered a stroke.
Special Population Medication
Precautions for children: Nicotine is a highly toxic substance. The dose that adults can tolerate during treatment can cause serious poisoning symptoms in children. In other words, if not promptly noted, children's misuse of this product may be fatal. Therefore, this product must be kept out of reach of children. In order to protect children, this product is sealed in a small bag that children cannot tear open. Cut the small bag with scissors before use, and be careful not to damage the nicotine transdermal patch inside. The transdermal patch still contains nicotine after use, so it should be properly handled to prevent it from being exposed to children. Precautions for pregnancy and lactation: It is forbidden for pregnant and lactating women. Precautions for the elderly: No effect.
Drug Interactions
The enzyme induction observed in smokers is not caused by nicotine but by tar compounds in tobacco smoke. This means that after cessation of smoking, although nicotine may be replaced by the drug, changes in metabolism and pharmacological effects of the co-administered medication may occur (normalization). Smoking reduces serum concentrations of certain drugs, such as antipyrine, estrogens, nordiazepam, lidocaine, oxazepam, warfarin, phenacetin, caffeine, theophylline, imipramine, and pentazocine. Effects of smoking include reduced analgesia of propranolol, reduced diuretic effect of furosemide, altered pharmacodynamic response to propranolol, and reduced cure rate of ulcers treated with H2-receptor antagonists. Both smoking and nicotine increase circulating cortisol and catecholamine levels. Nifedipine, an adrenergic receptor agonist
Storage
Store below 25°C.
Packaging Specification
10 cm2: 17.5 mg
Validity Period
24 months