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Titrating combination therapy Use starting NRT patch dose for 6 weeks and reduce dose by 7 mg every 2 weeks thereafter If strong cravings return when attempting downward titration, consider remaining at the higher dose for longer NRT can be used for 10-12 weeks or longer if necessary Gum, lozenge, inhaler or spray can be used after discontinuation of patch, as required Quitting Method: Abrupt quit Set target quit date in the next 30 days On target quit date, stop smoking cigarettes and begin using combination NRT Follow dosing and titration regimen Extend duration of NRT as long as necessary to prevent relapse Quitting Method: REDUCE TO QUIT REDUCE TO QUIT with a target quit date 3 Start NRT 2-4 weeks prior to quit date Use faster action NRT (such as gum or lozenge) to replace omitted cigarettes and when experiencing cravings Set goal to reduce daily cigarette consumption by 50% by target quit date

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