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Overview

Tuloplast 2Mg Transdermal Patch

Tuloplast 2Mg Transdermal Patch

Manufacturer: Zuventus Healthcare Ltd
Medicine composition: Tulobuterol
Prescription vs.OTC: Prescription by Doctor required

Tuloplast 2Mg Transdermal Patch, a bronchodilator, is used as a prevention drug for reversible obstructive air way disease. Tuloplast 2Mg Transdermal Patch is usually shown in conditions like asthma, bronchospasm, chronic bronchitis and emphysema. Tuloplast 2Mg Transdermal Patch blocks the formation of leukotriene which in turn decreases the symptoms of asthma.

Possible side effects of Tuloplast 2Mg Transdermal Patch include hypertension, angina and CNS stimulation. Some of the severe side effects are headache, vomiting, palpitation, insomnia and Vertigo. Some side effects may happen very rarely but are serious. Therefore, it is best to consult your doctor or health care provider if you observe any of these side effects. Patients suffering from diabetes mellitus, hypertension and hyperthyroidism should be very cautious before using this medicine. Consult your doctor or health care professional before using this medicine if you are a cardiac patient.

Inform your doctor or health care professional about your current medications before using Tuloplast 2Mg Transdermal Patch. Do not take this medicine if you are allergic to it. Also, tell your doctor if you have any allergies or diseases before using this medicine as it may worsen your health condition. Consult your doctor if you are pregnant, planning to be pregnant or breastfeeding.

chronic obstructive pulmonary disorder (copd)
In addition to its intended effect, Tuloplast 2Mg Transdermal Patch may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Insomnia (difficulty in sleeping)
Headache
Vasodilation
Allergic dermatitis
Oropharyngeal pain
Muscle cramp
Tachycardia
Increased blood pressure
Tremor
Nasopharyngitis
Is It safe with alcohol?
No interaction found
Are there any pregnancy warnings?
Unknown. Human and animal studies are not available. Please consult your doctor.
Are there any breast-feeding warnings?
Unknown. Human and animal studies are not available. Please consult your doctor.
Is it safe to drive while on this medicine?
There is no data available. Please consult doctor before consuming the drug.
Does this affect kidney function?
There is no data available. Please consult doctor before consuming the drug.
Does this affect liver function?
There is no data available. Please consult doctor before consuming the drug.
Below is the list of medicines, which have the same composition, strength and form as Tuloplast 2Mg Transdermal Patch, and hence can be used as its substitute.
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.

Popular Questions & Answers

How to increase testosterone level? And how can we find the level of testosterone and estrogen in our body? Also fat percentage.

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
How to increase testosterone level? And how can we find the level of testosterone and estrogen in our body? Also fat ...
In order to increase Testosterone levels I would initially undertake a detailed evaluation of hormonal and metabolic parameters and then treat appropriately. If there is no satisfactory increase in Testo levels or symptoms in 3 to 6 months I would consider Testosterone Replacement Therapy (TRT) through Transdermal bioidentical Testosterone cream after detailed discussion on the pros and con of TRT for someone of your age. The levels of sex hormones can be measure through blood test. Fat percentage can be estimated using body measurements or measured using various instruments.

I don't have morning erection I have slightly low testosterone Should I consult a urologist.

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
I don't have morning erection I have slightly low testosterone
Should I consult a urologist.
One of the commonest feedback I get from my male patient after commencing TRT through transdermal bioodentical Testo cream is that they experience early morning erections. Other TRT benefits take about 3 to 6 months to appear.

What is the cost for the treatment of low testosterone level. What is relation in between low testosterone and high androgen level in males. Can high androgen level effect any male body parts?

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
What is the cost for the treatment of low testosterone level. What is relation in between low testosterone and high a...
Low T is often associated with other hormonal and nutrient insufficiencies. I prefer to use compounded bioidentical testo transdermal cream along with appropriate nutrient supplementation. Cost of treatment is usually about Rs. 3000 to Rs. 5000 per. Month if done in a comprehensive manner.
1 person found this helpful

Sir my age is 25. Height 5 ft 11 inch. Weight 82 kg. Unmarried.from 2 years I was having problem of numbness and tinging in whole body, bone and muscle pain, muscular weakness in whole body, chest enlargement and belly fat enlargement, frequent urination, high blood pressure 150/100. Many doctors advised me many medicine but no one worked for me. I was also noticing a huge reduction in my testis size. All my test were clear except serum testosterone was low every time i.e 241 ng/dl (in hypogonadal range. All problems are increasing with time. Few days ago I met to an urologist who is M.CH in urology. He understand my problem of low sr testosterone and asked mw to get test done like semen analysis, FSH and LH and ultrasound of scrotum. So I had all my test on 17/7/2017, FSH was 6.26mIU/mL (range 0.67 to 11. 7mIU/mL), LH was 1.29mIU/mL (range 1.9 to 12mIU/mL) and serum testosterone was 249 ng/dl (range 240 to 820), semen analysis shows azoospermia (volume-3.5 ml, sperm - nil, colour - greyish white, viscosity- normal. Then he saw the test and asked me to again do that test for confirm analysis, ultrasound shows left testis volume 8 cc and right 9 cc. So on 24/7/2017 I again had those test report, it shows FSH was 11. 07mIU/mL (reference 0.67 to 11.7),LH was 2.29mIU/mL (reference 1.9 to 12) and serum testosterone was 306 ng/dl. Transrectal ultrasound shows normal study. Prostate size 13. 4 cc.Then doctor take me to checkup room. And see my testis saying that these are small in size but not flabby, he said vas deferens is observable means it is there, epdidimis also there. Then he said he suspect it as case of NON-OBSTRUCTIVE AZOOSPERMIA. Then at last he asked me to get FNAC of testis and said then he will plan further. But I did not get fnac done because I am scared of the pain. So I want to ask you that if had a case of testicular failure, will I be able to marry in future and able to do proper sex. As I heard testosterone are very essential for erection. And if there will be hormonal failure will I be able to enjoy sex life or I will live alone?

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
Sir my age is 25. Height 5 ft 11 inch. Weight 82 kg. Unmarried.from 2 years I was having problem of numbness and ting...
I can see that you are under the care of a very good Urologist and you must continue to consult him for the testicular issue. Now let me give you the Endocrinology (hormonal) perspective with respect to your "Low Testosterone" level. In a case such as yours, I would undertake a comprehensive evaluation of all associated hormones and metabolic parameters and treat the insufficiencies, if any. All this along with positive lifestyle changes. In many cases we are able to increase Testo levels without actually having to give exogenous Testosterone. If the above does not result in achieving satisfactory levels of Testosterone, I would consider Testosterone replacement Therapy (TRT) not so much for the sexual benefit but for ensuring good health at multiple levels in the long term. My preferred method of TRT is through use of transdermal cream. Whether you will be able to father a child or not is a completely different issue which will have to be addressed separately.

How can I develop muscles I have low T. Is there any medication like steroids etc.

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
How can I develop muscles I have low T. Is there any medication like steroids etc.
If you have low T, I would address it in a comprehensive manner and try and improve the levels through nutrient supplementation and optimizing metabolic parameters. If the above does not succeed in raising T levels to satisfactory levels, I would consider TRT using transdermal cream after having a detailed counselling session on the pros and cons of TRT at your age. Feel free to schedule a private consult with me on the matter.
1 person found this helpful

Popular Health Tips

Pain Management During Cancer- An Inherent Part Of The Treatment!

MBBS, MD - Oncology, DNB - Super Speciality, Immuno Oncology
Oncologist, Delhi
Pain Management During Cancer- An Inherent Part Of The Treatment!

With every passing day, there are new advancements in the field of medicine, and cancer care is no exception either. A condition that still frightens the mass has come a long way in terms of cure and management. Cancer is life threatening but when diagnosed in the early stages, can be cured with proper medical intervention.

Many cancer patients experience pain which is caused as a result of the disease or as the result of the treatments for cancer. When the cancer spreads or the malignant tumor increases in size, it puts pressure on the surrounding (bones, tissues, etc.) which intrigues the pain. The cancer treatments like chemotherapy, radiation therapy, and surgery may also cause pain in the patients.

Here is an account on managing pain during cancer.

Treatment for Cancer Pain
Cancer pain can be dull, sharp, or achy. It can be constant or intermittent and can be mild, severe, or moderate. There are several over-the-counter or prescription medicines available in the market which can reduce the pain caused by the growing tissues or the treatments/therapies. A few such pain relievers include aspirin, acetaminophen, and ibuprofen.

Treatment According to Severity
For pain which is mild or moderate, you can opt for Non-opioids which are anti-inflammatory medicines and can be bought without the prescription from the drug counters. If you are having moderate to severe symptoms of pain, then you may be prescribed opioids like hydromorphone, hydrocodone, fentanyl, etc.

For burning and tingling sensation, antidepressants like imipramine or the trazodone, etc., can provide relief. You must not confuse antidepressant with medicines for depression; these are for pain management as well. You can also opt for the antiepileptics drugs which can reduce the burning or tingling sensation of cancer and have it doesn’t refer that you get seizures. If there is swelling, then steroids are the option for you to control the swelling and the pain caused from it.

Ways to Take Medicines for Cancer Pain
Most of the medications that your doctor would prescribe you have to be taken orally if not directed otherwise. The medications are usually in the pills form. If the patient, for any reason, is not able to take the drugs orally, then he/she may have to take them as rectal suppositories and even transdermal patches.

It can also be injected into your body through an intravenous opening in which the needle with the medicine is inserted directly into the veins. There is also a subcutaneous process where the medicine is injected with a small needle just under the first layer of your skin.

Studies report that often cancer pain is under-treated. A common reason is the reluctance of the patients to speak about the pain. Other reasons for not opting for pain medications are the fear of addiction and side-effects.

Cancer pain management is indeed an important part of the cancer treatment, and the goal is to manage the pain at a bearable level. And, the best part is that the goal is often achieved. Consult an Expert & get answers to your questions!

4220 people found this helpful

Male Menopause / Andropause:

Ph.D (Male Infertility), M.S (Infertility), D.G.L.S, D.R.C.O.G, C.Sc., D.M.R.D, M.B.B.S
Sexologist, Bangalore

Male menopause / andropause:
“Male menopause” is also called andropause. It describes a drop in testosterone levels that many men experience when they get older. 
Declining testosterone levels can cause many symptoms. For example, it can cause depression, reduced muscle mass, increased body fat, and erectile dysfunction.
To treat your problems, you have to change your 
Lifestyle. You may require antidepressant medications, counseling, or hormone therapy.
Male menopause” is the more common term for andropause. It describes age-related changes in male hormone levels. The same group of symptoms is also known as testosterone deficiency, androgen deficiency, and late-onset hypogonadism. 

Male menopause involves a drop in testosterone production in men who are age 50 or older. It’s often affiliated with hypogonadism. Both conditions involve lowered testosterone levels and similar symptoms.

Symptoms:
Male menopause can cause physical, sexual, and psychological problems. They typically worsen as you get older. They can include:

  • Low energy
  • Depression or sadness
  • Decreased motivation
  • Lowered self-confidence
  • Difficulty concentrating
  • Insomnia or difficulty sleeping
  • Increased body fat
  • Reduced muscle mass and feelings of physical weakness
  • Gynecomastia, or development of breasts
  • Decreased bone density
  • Erectile dysfunction
  • Reduced libido
  • Infertility

You may also experience swollen or tender breasts, decreased testicle size, loss of body hair, or hot flashes. Low levels of testosterone associated with male menopause have also been linked to osteoporosis. This is a condition where your bones become weak and brittle. These are rare symptoms. They typically affect men at the same age as women entering menopause. 

As you age, your testosterone levels will typically begin to drop. 

 

Diagnosis and treatment:

Get your blood serum testosterone levels tested in a laboratory.

The most common type of treatment for symptoms of male menopause is making healthier lifestyle choices. 

 

It is advisable to:

  • Eat a healthy diet
  • Get regular exercise
  • Get enough sleep
  • Reduce your stress

These lifestyle habits can benefit all men. After adopting these habits, men who are experiencing symptoms of male menopause may see a dramatic change in their overall health.

If you’re experiencing depression, you may require antidepressants, therapy, and lifestyle changes. 

Testosterone:
Onions and garlic are your allies in the kitchen and in the bedroom. They help you make more and better sperm. Both raise levels of a hormone that triggers your body to make testosterone. And both have high levels of natural plant chemical called flavonoids.

Skin patch (transdermal): androderm is a skin patch worn on the arm or upper body. It's applied once a day.
Gels: androgel and testim come in packets of clear testosterone gel. Testosterone is absorbed directly through the skin when you apply the gel once a day. Androgel, axiron, and fortesta also come in a pump that delivers the amount of testosterone prescribed by your doctor. Natesto is a gel applied inside the nose. 
Mouth patch: striant is a tablet that sticks to the upper gums above the incisor, the tooth just to the right or left of the two front teeth. Applied twice a day, it continuously releases testosterone into the blood through the oral tissues.
Injections and implants: testosterone can also be injected directly into the muscles, or implanted as pellets in the soft tissues. Your body slowly absorbs the testosterone into the bloodstream.
Oral testosterone is available. However, some experts believe oral testosterone can have negative effects on the liver. Using other methods, such as skin patches, gels, orally disintegrating tablets, or injections, bypasses the liver and gets testosterone into the blood.

Many men with low testosterone report improved energy levels, sex drive, and mood after. If testosterone is low, why not replace it? not so fast. A low testosteron level by itself doesn't need treatment. Testosteron can have side effects, and the long-term risks and benefits aren't known. Only men with symptoms of low testosterone and blood levels that confirm this as the cause of symptoms should consider testosterone replacement.

Types and Causes of Male Hypogonadism

MBBS
Sexologist, Jaipur
Types and Causes of Male Hypogonadism

Male hypogonadism, also known as testosterone deficiency, is a failure of the testes to produce the male sex hormone testosterone, sperm, or both.Testosterone play an important role in sperm production.This condition can be due to a testicular disorder or the result of a disease process involving the hypothalamus and pituitary gland.

This is of two types including:
Primary type of hypogonadism is also known as primary testicular failure, which originates from a problem in the testicles.
Secondary type of hypogonadism indicates a problem in the hypothalamus or the pituitary gland through which parts of the brain that signal the testicles to produce testosterone
Either type of hypogonadism may be caused by an inherited (congenital) trait or something that happens later in life (acquired), such as an injury or an infection. At times, primary and secondary hypogonadism can occur together.

Common causes of primary hypogonadism include:

  1. Klinefelter syndrome
  2. Undescended testicles
  3. Mumps orchitis
  4. Hemochromatosis
  5. Injury to the testicles
  6. Cancer treatment

Causes of secondary hypogonadism:
A number of conditions can cause secondary hypogonadism, including:

  1. Kallmann syndrome
  2. Pituitary disorders
  3. Inflammatory disease
  4. HIV/AIDS
  5. Medications
  6. Obesity
  7. Concurrent illness

How Is Hypogonadism Diagnosed?
Your doctor will conduct a physical exam to confirm that your sexual development is at the proper level for your age. They may examine your muscle mass, body hair and your sexual organs.

Treatment:
Testosterone replacement therapy (TRT) is the most commonly administered as a topical gel, transdermal patch or by injection and is the recommended treatment for male hypogonadism.

You can get testosterone replacement therapy by:

  1. Injection
  2. Patch
  3. Gel
  4. Lozenge
  5. Injections of a gonadotropin releasing hormone may trigger puberty or increase your sperm production.

Patients can also improve testosterone levels with lifestyle changes, including:

  1. Losing weight
  2. Exercising
  3. Managing stress
  4. Getting adequate sleep
  5. Avoiding alcohol
  6. Giving up smoking.

In adult males, hypogonadism may alter certain masculine physical characteristics and impair normal reproductive function. If you wish to discuss about any specific problem, you can consult a Sexologist.

6290 people found this helpful

Know More About Mesotherapy

MBBS, Diploma In Dermatology And Venerology And Leprosy (DDVL), DNB (Dermatology), MNAMS
Dermatologist, Delhi
Play video

How treatment is carried out in Mesotherapy

Hi! I am Dr. Nivedita Dadu. I am a dermatologist at skinology skin clinic. The url for skinology is www.skinology.in . I am creating this video to discuss about mesotherapy. Mesotherapy is a non surgical cosmetic procedure that employs administration of drugs to the skin depending upon the indications. While traditional mesotherapy uses needles, a transdermal mesotherapy machine at skinology utilizes the skins water based channels to promote drug delivery by electroporation. Meso-coctails of drugs are prepared at our clinic depending upon the indications.

For example a cocktail of glutatheon and vitamin c is used to reduce facial dullness and to give a fresher look to the skin. Hyaluronic acid cocktails are used for anti aging. These cocktails stimulate fibroplast that produce collagen and ellastin. For hairfall hair boosters and stem cells are used which reduce hairfall and promote hair growth.

For any further queries or to book an appointment with skinology you can log on to www.skinology.in

3127 people found this helpful

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Pharmacological Treatments to Help Quit Smoking

Why is it so hard to quit smoking?
You have probably heard this before: "Smoking is so bad for you. Why do you do it"

People start smoking for different reasons. They might think it will help calm their nerves, make them look more mature, or maybe at the time it just seemed sort of adventurous. Looking back, it was not the best choice. Many people really want to quit, but why is quitting so hard?

It is hard to quit smoking because the nicotine in cigarettes, cigars, and other tobacco products gets you hooked and keeps you hooked. Most people try as many as three times to quit before they are able to do so. Look at smoking cessation as a process instead of a one-time event. That way, if you do slip, you can focus on what you can do differently to prevent future slips and relapse. Don?t give up?you will get there.

You have probably heard a lot about how smoking is harmful, but here are some positive things you can look forward to when you do quit.

If you quit, you will:

Prolong your life
Improve your health
Feel healthier (Smoking can cause coughing, poor athletic ability, and sore throats.)
Look better (Smoking can cause face wrinkles, stained teeth, and dull skin.)
Improve your sense of taste and smell
Save money (Most smokers spend about $90 a month on cigarettes.)
Smoking increases complications for those who have diabetes.

While smoking can increase your chances of getting diabetes, it can also make managing diabetes more difficult for those who already have it. Smoking-related complications of diabetes could include retinopathy (eye disease), heart disease, stroke, vascular disease, kidney disease, nerve damage, and/or foot problems.

What options do people have?
Some people try quitting on their own before they go to their doctor, but your doctor can be very helpful. He or she may offer tips and suggest medicines, both prescription and over-the-counter, to help you "kick the habit" It is also important to tell your doctor what types of products you might use or are using to quit smoking. The doctor can make sure that suggested products will not interact with other medicines you are already taking. Remember, there is no "magic bullet" when it comes to quitting smoking. Quitting requires persistent effort.

Over-the-Counter Medicines
Nicotine-based medicines
Over-the-counter medicines that contain nicotine can be very helpful in fighting off cravings. These products will not remove all cravings, but you can use them instead of smoking to reduce your nicotine intake gradually and ease off of its addictive effects.

When you give your body a steady dose of nicotine all the time and then stop suddenly, you will have more side effects (withdrawal symptoms) that usually make quitting a lot harder. Withdrawal symptoms include irritability, headache, and the craving to smoke. Go slow and lower the dose gradually with nicotine-based products until you feel you are able to resist the cravings on your own. You will still have cravings, but they will be weaker. It is very important to have some form of social support when you decide to quit, no matter if you use products or not. Support can come from your doctor, counselor, support group, close friend, or a family member.

When considering a nicotine-based product to help you quit, be sure to tell your doctor about any conditions you might have, especially:

Asthma or breathing problems
Heart or blood vessel disease
High blood pressure
Stomach ulcer
Diabetes mellitus
Kidney disease
Liver disease
Overactive thyroid
Pheochromocytoma (PCC)
Over-the-counter treatments are typically used for up to 12 weeks as part of a smoking cessation program.

Additional things to consider when taking nicotine-based medicines

Do not smoke while you are using the nicotine-based medicines. You could risk overdosing on nicotine.
Tell your doctor about any medicines you are taking or any allergies you have.
Do not use the nicotine-based medicines if you are breastfeeding, are pregnant, or think you might be pregnant.
Keep this and all medicines out of the reach of children and pets.
Common brand names of the nicotine patch, gum, and lozenge include:

Nicorelief? (gum)
Nicorette? (gum)
NicoDerm? CQ? (patch)
Commit? (lozenge)
Transdermal nicotine patch
The patch is worn directly on the skin. Nicotine passes through the skin into your bloodstream. Some brands have patches with different strengths so you can gradually reduce your dosage. Nicotine patches are available without a prescription. If you are not sure what kind of patch to use, ask your doctor.

Always follow the instructions on the box, but here are some things to remember when using the nicotine patch:

Patches are supplied in child-resistant pouches; save the pouch for disposal of the patch.
Find a clean, dry part of the skin to apply it. Somewhere on your upper arm or torso usually works best. Try to find an area that has little hair and is without scars, cuts, burns, or rashes.
Right before applying the patch, wash your hands and the skin area with plain soap and water and dry completely. Avoid using any soap, lotion, hand cream, tanning lotion or oil, bath oil or insect repellent that contains aloe, lanolin or glycerin as a moisturizer since these agents can leave a moisturizing film on your skin, which can potentially interfere with the adherence of the patch.
When you have finished applying or removing the patch, wash your hands with water only.
Do not try to adjust the dosage by cutting the patch into sections.
Leave the patch on, even while bathing or swimming. If it falls off, do not try to re-apply it. Use a new one
Remove the patch according to the instructions on the box (usually after 16 to 24 hours).
Dispose by folding sticky ends of the patch together and putting in pouch.
When applying a new patch, choose a different place than before. Do not use the patch in the same place for at least a week.
Do not leave the patch on for longer than directed.
Remove the patch if you are going to do rigorous exercise. This might cause more nicotine to pass into your bloodstream.
If you are unsure how to use the product, be sure to ask your doctor or pharmacist to explain.
Remove the patch if you are having a magnetic resonance imaging (MRI) scan. Nicotine patches contain aluminum.
If you have vivid dreams or other sleep disturbances, try removing the patch at bedtime and applying a new one in the morning.
Common side effects of the nicotine patch:

Increased appetite
Mild headache
Irritation at the site of the patch, including itching, burning, or redness
There are other common or more serious side effects. Please read the information that comes with the product carefully, and be sure to contact your doctor if you have any questions.

Nicotine gum
Nicotine gum, like the patch, is a systemic way to receive nicotine. This means that the nicotine in the gum passes from the lining of your mouth right into your bloodstream. Like the patch, you will decrease the dosage during the recommended time (usually 12 weeks or sooner) if you are able to resist cravings on your own. Nicotine gum is sold without a prescription.

Always follow the instructions on the box, but here are some things to remember when using nicotine gum:

Use nicotine gum only when you feel the urge to smoke.
Slowly chew the gum until you begin to taste it or feel a tingling sensation in your mouth. Then stop chewing and park it between your cheek and gum. This helps release the nicotine. When the taste or tingling is almost gone, repeat these two steps for 30 minutes.
Use only one piece at a time.
Do not drink beverages (e.G, soft drinks, tea, coffee, and fruit juices) or eat food 15 minutes before or while chewing the gum.
Gradually decrease the number of pieces of gum you chew per day, until you reach three to six pieces per day. Some people can do this in less than 12 weeks. Do not chew more than twenty-four pieces in 1 day.
Try to have the nicotine gum handy at all times. You might try hard candy or using regular gum, if the nicotine gum is not available.
Nicotine gum can be difficult to use if you have dentures.
Common side effects of nicotine gum:

Belching (burping), gas, or heartburn
Increased appetite
Mild headache
Watery mouth
Jaw or muscle pain or fatigue
Sore mouth or throat
Nausea
Hiccups
There are other common or more serious side effects. Please read the information that comes with the product carefully and be sure to contact your doctor if you have any questions.

Nicotine lozenge
A nicotine lozenge, like the patch and gum, is a systemic way to receive nicotine. This means that the nicotine in the lozenge passes from the lining of your mouth right into your bloodstream.

Always follow the instructions on the box, but here are a few things to remember when using the nicotine lozenges:

Place the lozenge in your mouth; wait until it dissolves completely; and move it around from time to time without chewing. It takes around 20 to 30 minutes to dissolve.
Do not take more than one lozenge at a time or continuously use one lozenge after the other, this can cause hiccups, heartburn, or nausea.
Do not eat or drink 15 minutes prior to, during, or after use.
Do not use more than five lozenges in 6 hours or more than twenty lozenges in 24 hours.
Prescription Medicines
Nicotine nasal spray
Nicotine that can help you stop smoking also comes in the form of a nasal spray, available only by prescription. Like the patch and the gum, the amount taken is gradually decreased during a period of 12 weeks. It is to be used, like the gum and the patch, as part of a program that also includes support, education, and counseling.

Nicotrol NS? is one brand of nicotine nasal spray.

Always follow the instructions on the prescription label. Here are some other things to remember when using nicotine nasal spray:

Blow your nose prior to use.
You may gradually reduce your dose of nasal spray by skipping doses or using only half the usual amount.
Writing down the time you take the nasal spray and how much you take might be very useful when reducing your dose.
Common side effects of nicotine nasal spray:

Back pain
Constipation
Coughing
Indigestion or nausea
Runny nose
Sneezing
Watery eyes
Headache
A burning feeling in the back of the throat or nose
The nicotine nasal spray is not recommended for people with reactive airway disorders such as asthma. In addition, caution is urged in patients with chronic nasal disorders.

There are other common or more serious side effects. Please read the information that comes with the product carefully and be sure to contact your doctor if you have any questions.

Nicotine inhalant
A nicotine inhalant?available only by prescription?used for up to 6 months (initial treatment period up to 12 weeks followed by gradual reduction period of up to 12 weeks) can be part of a smoking cessation program. When the inhaler is used, nicotine passes from the lining of the mouth and throat (not the lungs) into the bloodstream. Like other nicotine products, you will decrease the dosage during the recommended time (usually several weeks) or until you are able to resist cravings on your own.

Nicotrol Inhaler? is one brand name of nicotine inhalant.

Always follow the instructions on the box, but here are some things to remember when using a nicotine inhalant:

Store the inhaler in a dry area at room temperature not to exceed 77? F or 25? C.
Write down the time you take the inhalant and how much you take. This might be very useful when reducing your dose.
The normal first dose is between six and sixteen cartridges per day.
Common side effects of nicotine inhalants:

Coughing
Indigestion
Mouth and throat irritation
Stuffy nose or runny nose
There are other common or more serious side effects. Please read the information that comes with the product carefully and be sure to contact your doctor if you have any questions.

Bupropion
Bupropion is more commonly seen under the brand names of Zyban? or Wellbutrin?. Zyban is specifically indicated for smoking cessation. It is not a nicotine-based medicine; it is an antidepressant that is only available by prescription. It is prescribed along with counseling and support to aid in smoking cessation. Bupropion might also be used to treat major depressive disorders. It usually takes 2 weeks for bupropion to take effect, so plan to quit smoking 2 weeks after beginning the treatment.

Before considering bupropion, be sure to inform your physician if you have a history of seizure disorder, bulimia, or anorexia nervosa.

Bupropion comes in tablets that are to be swallowed whole, not crushed, divided, or altered in any other way. Individual prescription strengths might vary, so if you are taking bupropion, be sure to follow the directions on the label. Ask your doctor or pharmacist any questions you have about how to take it, when to take it, any potential side effects, and the duration of treatment.

Common side effects of bupropion:

Dry mouth
Sweating
Insomnia
Rash
Headache
Dizziness
Anxiety
Restlessness
Irritability
Indigestion
Decreased appetite
There are other common or more serious side effects. Please read the Medication Guide that comes with the product carefully and be sure to contact your doctor if you have any questions.

Do not take bupropion if you have taken a monoamine oxidase inhibitor (MAOI) within the last 14 days. Monoamine oxidase inhibitors are used to treat depression. Some examples include: tranylcypromine (Parnate?), phenelzine (Nardil?), and isocarboxazid (Marplan?). There are several products that might interact with bupropion, so be sure to tell your doctor about any over-the-counter and/or prescription medicines, as well as any herbal supplements you are taking.

While taking bupropion, immediately report any psychological changes (e.G, new onset depression) to your doctor.

Varenicline (Chantix?)
Varenicline, also known by the brand name Chantix, is a prescription medication that does not contain nicotine. This medicine helps to reduce the reinforcing effects of nicotine and can minimize the withdrawal effects from nicotine. It is recommended to set a quit date 1 week after initiation of varenicline therapy. Typically, this medication is taken for a minimum of 12 weeks accompanied by smoking cessation counseling. If you have stopped smoking, another 12 weeks of varenicline might be prescribed. If you have not stopped smoking after the first 12 weeks, stop taking this medication and return to your doctor for advice. Varenicline should be taken with food and a full glass (8 ounces) of water.

Varenicline can interact with over-the-counter and prescription medicines especially insulin, blood thinners, and asthma medications as well as with certain herbal supplements; therefore, it would be important to inform your physician of your entire medication regimen.

Contact your doctor immediately if you experience any psychological changes (e.G, new onset depression) while taking varenicline.

Common side effects of varenicline:

Nausea, which may dissipate over time
Headache
Insomnia
There are other common or more serious side effects. Please read the Medication Guide that comes with the product carefully and be sure to contact your doctor if you have any questions.

How could research benefit smokers who want to quit?
Researchers are testing a vaccine that could make quitting a lot less difficult. This type of treatment could potentially be used in a program, along with bupropion (Zyban) and counseling, to significantly reduce withdrawal symptoms.

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