NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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For a smoker consuming more than 10 cigarettes per day, what is the starting dose of the nicotine patch according to the 8-10 week schedule?

  1. 7 mg

  2. 14 mg

  3. 21 mg

  4. 28 mg

The correct answer is: 21 mg

The starting dose for a smoker consuming more than 10 cigarettes per day according to the 8-10 week schedule is 21 mg. This may seem high compared to the usual starting dose of 14 mg for smokers consuming less than 10 cigarettes per day, but it is necessary for heavier smokers to receive a higher dose of nicotine to help combat withdrawal symptoms and cravings. The other options are incorrect because they are either too low (7 and 14 mg) or too high (28 mg) for the specified amount of cigarettes smoked per day. It is important to follow the recommended dosage schedule to ensure the patch is as effective as possible in helping a smoker quit nicotine use.

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