What should a person use if their first cigarette is smoked more than 30 minutes after waking up?

The choice of a 2 mg lozenge is appropriate for someone whose first cigarette is smoked more than 30 minutes after waking up because it indicates a lower level of nicotine dependence. This scenario typically reflects that the individual does not have a strong immediate craving for nicotine upon waking, which is an essential factor in determining the appropriate dosage for nicotine replacement therapy.

Individuals who smoke their first cigarette shortly after waking often require higher doses of nicotine replacement, as it suggests a higher level of dependence. Therefore, for those who wait longer—more than 30 minutes—it is suitable to start with a lower dose such as the 2 mg lozenge to help manage withdrawal symptoms without excessive nicotine intake.

Other options such as the 4 mg lozenge, nicotine patches, or gum are generally recommended for individuals with higher nicotine dependence, making them less suitable for someone in this specific situation.