Nicotine Replacement Therapy and Special Programs for Pregnant and Postpartum Members

There is no one right way to quit using tobacco or nicotine products. Some people can stop completely and use other activities to help them handle their cravings. However, some people find the cravings difficult to deal with and ask their doctor for help.

Nicotine replacement therapy (NRT) can help address cravings and help you stay away from tobacco. NRT can be ordered by any doctor, including your primary care physician, certified nurse practitioner, or psychiatrist.

To help curb cravings, NRT delivers a small dose of nicotine without the other harmful chemicals in tobacco. NRT can deliver nicotine in several ways, including gum, sprays, inhalers, lozenges, and patches. These products may not take all of the cravings away, but they can help reduce them.

Some people who use NRT have side effects, such as nausea, headache, heartburn, and hiccups. NRT should be used for a limited time, and most people gradually reduce their dose before quitting.

Many people are able to quit without using NRT, but for some people, it may take a few tries. There are also medications in pill form that help stop tobacco use. You can talk to your doctor about these options.

NRT and pregnancy

It is not clear if NRT is safe to use if you are pregnant. The safest options are behavioral and support methods. Talk to your doctor about making a quit plan that is right for you.1

NRT and teens

The Food and Drug Administration has not approved NRT for teenagers and adolescents younger than 18. But, the American Academy of Pediatrics says that NRT is safer than using tobacco products. Talk with your doctor about safe ways to quit tobacco use. Your doctor can write you a prescription if they think NRT is a good option for you.1

Special quitline programs

The following information comes from the PA Quitline, which offers two special programs for youth and adolescents and people who are pregnant or postpartum:

  • The Pregnant and Postpartum Program offers:
    • Up to nine free, personalized coaching sessions
    • Incentives for each call completed
    • Free nicotine replacement therapy if you’re medically eligible
  • The Youth Tobacco and Vaping Cessation Program offers:
    • Five coaching sessions by phone, live texting, or chat
    • Coaches who help teens navigate social situations while finding healthy ways to cope with stress
    • A toll-free number (1-855-891-9989) to text or call for real-time coaching
    • Promotional and educational materials with messages from youth about quitting tobacco and vaping
    • For more information, visit mylifemyquit.com.

1 “Nicotine Replacement Therapy to Help You Quit Tobacco,” American Cancer Society, updated October 28, 2024, accessed February 28, 2025.

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