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Multiple Choice

Which screening result would lead to avoiding nicotine nasal spray?

Nicotine nasal spray delivers nicotine through the nasal mucosa, so any condition that inflames or irritates the nasal passages can make this route poorly tolerated. Allergic rhinitis causes nasal mucosal inflammation, itching, congestion, and increased sensitivity, which can worsen nasal irritation, trigger sneezing or runoff, and even cause nasal bleeding. Because the spray sits right in the irritated nose, it’s likely to be uncomfortable or poorly tolerated, making avoidance the sensible choice. In such cases, choosing an alternative nicotine replacement method that doesn’t rely on the nasal route—like a patch, gum, lozenge, or inhaler—is preferable.

Nicotine nasal spray delivers nicotine through the nasal mucosa, so any condition that inflames or irritates the nasal passages can make this route poorly tolerated. Allergic rhinitis causes nasal mucosal inflammation, itching, congestion, and increased sensitivity, which can worsen nasal irritation, trigger sneezing or runoff, and even cause nasal bleeding. Because the spray sits right in the irritated nose, it’s likely to be uncomfortable or poorly tolerated, making avoidance the sensible choice. In such cases, choosing an alternative nicotine replacement method that doesn’t rely on the nasal route—like a patch, gum, lozenge, or inhaler—is preferable.