For how long should a person using a nicotine patch, who smokes more than 10 cigarettes a day, use the 21 mg patch?

A person who smokes more than 10 cigarettes a day should use the 21 mg nicotine patch for a duration of about 4 weeks. This recommendation is based on clinical guidelines for nicotine replacement therapy, which suggest that individuals with a higher level of nicotine dependence, such as those who smoke more than 10 cigarettes, often require a higher dose of nicotine to manage withdrawal symptoms effectively.

The purpose of using the 21 mg patch for 4 weeks is to ensure adequate support as the individual begins to adapt to reduced nicotine intake. After this initial period of using the 21 mg patch, it is typically recommended to taper down to a lower dose patch (such as 14 mg) for an additional period to continue supporting the cessation process while minimizing withdrawal symptoms. This structured approach aims to increase the likelihood of successfully quitting smoking by gradually weaning the individual off nicotine.

By adhering to this recommended time frame, users can better manage cravings and withdrawal symptoms, leading to a higher chance of long-term cessation success.