What is the key counseling point for patients using nicotine lozenges?

The key counseling point for patients using nicotine lozenges is to let the lozenge dissolve in the mouth. This method allows for the gradual release of nicotine, which helps to manage cravings and withdrawal symptoms effectively. By allowing the lozenge to dissolve, nicotine is absorbed through the mucous membranes in the mouth, which can provide a steady and controlled dose of nicotine to help reduce the urge to smoke.

When patients chew the lozenge or swallow it whole, they may not only hinder the absorption of nicotine but also may not experience the desired effect in managing their cravings. Chewing may lead to faster nicotine release than intended, possibly resulting in side effects such as nausea or hiccups. Additionally, swallowing the lozenge deprives the patient of the beneficial oral absorption route, reducing the effectiveness of the medication.

Using the lozenge only at bedtime is not appropriate, as it is meant to be used actively when the cravings occur throughout the day. Patients should use it as needed to address cravings whenever they arise rather than limiting its use to specific times, such as bedtime.

Overall, the instruction to let the lozenge dissolve is fundamental in ensuring that patients receive the most benefit from this form of nicotine replacement therapy.