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Nicotine replacement therapy in NYC and Long Island

Compare long-acting and short-acting nicotine options as part of a structured quit plan.

Nicotine replacement therapy, or NRT, provides nicotine without cigarette smoke. Patch, gum, and lozenge products are available over the counter; nicotine inhaler and nasal-spray products require a prescription. The right product depends on nicotine pattern, preferences, health history, age, pregnancy questions, and prior attempts.

A quit plan can be tailored The evaluation considers nicotine pattern, prior attempts, medical history, other medicines, readiness, and the kind of support the patient wants.

What this medication pathway covers

A complete quit plan may combine medication, behavioral support, follow-up, and a practical strategy for cravings and triggers.

Long-acting patch

A transdermal patch provides steadier nicotine over many hours and can form the base of a quit plan.

Short-acting options

Gum and lozenges can be used for breakthrough cravings; inhaler and nasal-spray products are prescription options.

Combination planning

A long-acting patch plus a short-acting form may be appropriate for some adults after the plan is reviewed.

What the clinician reviews before prescribing

Nicotine pattern

The clinician asks how soon nicotine is used after waking, daily use, vaping or smokeless-tobacco use, and peak craving times.

Heart and blood-pressure history

Recent heart events, rhythm problems, uncontrolled blood pressure, and current symptoms need review.

Pregnancy, breastfeeding, and age

These situations require individualized advice rather than self-selecting a standard adult plan.

Product technique

Patch placement, gum chewing-and-parking, lozenge use, and safe storage affect effectiveness and side effects.

Important safety boundaries

  • Keep every nicotine product away from children and pets. Used patches, gum, and lozenges can still contain nicotine.
  • Too much nicotine can cause nausea, vomiting, dizziness, weakness, diarrhea, or a rapid heartbeat. Contact Poison Control at 1-800-222-1222 for a suspected overdose and call 911 for severe symptoms.
  • Pregnant or breastfeeding patients and people younger than 18 should ask a clinician before using NRT.
  • Follow the specific package label. Strengths, maximum use, and taper schedules differ by product.

Medication-only care or added quit support

Medication-focused

The visit can focus on choosing a medication, reviewing safety, setting a quit plan, and arranging follow-up.

Medication plus counseling

Patients can add counseling, trigger planning, coping strategies, and relapse-prevention support.

Insurance and access

Nao accepts Medicaid and many major insurance plans. Visit and prescription coverage, copays, and authorization rules can differ.

Start a smoking cessation evaluation

Use the addiction-treatment evaluation route for tobacco-dependence medication planning. The team will confirm whether the first visit is virtual or in person.

Nao Medical 174th Street clinic

Bronx

174th Street

932 E 174th St, Bronx, NY 10460

Start with a confidential smoking-cessation evaluation. The care team will confirm the right visit type and whether any later in-person care belongs at this clinic.

Nao Medical Astoria clinic

Queens

Astoria

37-15 23rd Ave, Astoria, NY 11105

Start with a confidential smoking-cessation evaluation. The care team will confirm the right visit type and whether any later in-person care belongs at this clinic.

Nao Medical Bartow Mall clinic

Bronx

Bartow Mall

2063A Bartow Ave, Bronx, NY 10475

Start with a confidential smoking-cessation evaluation. The care team will confirm the right visit type and whether any later in-person care belongs at this clinic.

Nao Medical Crown Heights clinic

Brooklyn

Crown Heights

341 Eastern Pkwy, Brooklyn, NY 11216

Start with a confidential smoking-cessation evaluation. The care team will confirm the right visit type and whether any later in-person care belongs at this clinic.

Nao Medical Hicksville clinic

Long Island

Hicksville

232 W Old Country Rd, Hicksville, NY 11801

Start with a confidential smoking-cessation evaluation. The care team will confirm the right visit type and whether any later in-person care belongs at this clinic.

Nao Medical Jackson Heights clinic

Queens

Jackson Heights

80-10 Northern Blvd, Jackson Heights, NY 11372

Start with a confidential smoking-cessation evaluation. The care team will confirm the right visit type and whether any later in-person care belongs at this clinic.

Nao Medical Jamaica clinic

Queens

Jamaica

90-18 Sutphin Blvd, Jamaica, NY 11435

Start with a confidential smoking-cessation evaluation. The care team will confirm the right visit type and whether any later in-person care belongs at this clinic.

Nao Medical Mineola clinic

Long Island

Mineola

135 Mineola Blvd, Mineola, NY 11501

Start with a confidential smoking-cessation evaluation. The care team will confirm the right visit type and whether any later in-person care belongs at this clinic.

Nao Medical StuyTown clinic

Manhattan

StuyTown

259 1st Ave, New York, NY 10003

Start with a confidential smoking-cessation evaluation. The care team will confirm the right visit type and whether any later in-person care belongs at this clinic.

Nao Medical Williamsburg clinic

Brooklyn

Williamsburg

308 Graham Ave, Brooklyn, NY 11211

Start with a confidential smoking-cessation evaluation. The care team will confirm the right visit type and whether any later in-person care belongs at this clinic.

Related smoking cessation treatments

Varenicline

Review a non-nicotine prescription option for cravings and smoking reward.

Bupropion SR

Review a non-nicotine prescription option and its safety boundaries.

Frequently asked questions

Options include nicotine patch, gum, lozenge, inhaler, and nasal spray. Patch, gum, and lozenge products are commonly sold over the counter; inhaler and nasal spray require a prescription.
A long-acting patch and short-acting gum or lozenge may be used together for some adults, but the plan should be reviewed for strength, technique, side effects, and health history.
A clinician can review nicotine dependence related to vaping, but the product choice and plan should be individualized because nicotine exposure patterns vary.
Nao Medical accepts Medicaid and many major plans. Coverage can depend on the product, prescription status, quantity limits, and plan rules.
Yes. The visit can focus on medication selection and safe use, while counseling and quit support remain available.
NRT avoids the toxic products of tobacco combustion, but it is still medication and has warnings. A clinician can help compare risks for the individual patient.

Official sources

These sources support product identity, approved uses, and general safety boundaries. They do not determine whether a medication is appropriate for a specific patient.

Health information notice

General information only. The information here is not medical advice and does not replace diagnosis, treatment, or guidance from a licensed clinician.

Content was updated August 2, 2026 from the cited sources and Nao Medical's current service information. Medical guidance, prescribing information, medication availability, and insurance rules can change. A licensed clinician must confirm current information and determine each patient's eligibility, testing, treatment, administration setting, and follow-up. Call 911 for a medical emergency. Contact Nao Medical with a question or correction.

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