Nicorette

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Generic Name: Nicorette Brand Name(s): Generics only. No brands available.

Uses

What is Nicorette® (nicotine) used for?

Nicorette® gum and lozenges are medical products used to aid in smoking cessation in adults. Using a controlled amount of nicotine helps reduce nicotine withdrawal symptoms when you quit smoking.

Nicorette® may also be used for purposes not listed in this medication guide.

How should I take Nicorette® (nicotine)?

Nicorette® is only part of a complete program of treatment that may also include counseling, group support, and behavior changes. Your success will depend on your participation in all aspects of your smoking cessation program.

Use Nicorette® exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Nicorette® comes with patient instructions for safe and effective use. Your dose will depend on how many cigarettes you smoked daily before quitting. Follow the guide in the patient instructions. Ask your doctor or pharmacist if you have any questions.

Do not smoke or use other nicotine products (including snuff, chewing tobacco, nicotine patches, inhaler, or nasal spray). Using many forms of nicotine together can be dangerous.

To use Nicorette® gum:

  • Chew the Nicorette® gum slowly and stop chewing when your mouth starts to tingle. “Park” the gum between your cheek and gum and leave it there until the tingly feeling is gone. Then slowly chew a few more times until the tingling returns. Park the gum again in a different place in your mouth.
  • Remove a piece of gum after 30 minutes, or when chewing no longer causes the tingly feeling.
  • If you have very strong or frequent cravings, you may chew a new piece of gum within 60 minutes.
  • Avoid chewing one piece of gum right after the other, or you may have side effects such as hiccups, heartburn, or nausea.
  • For best results, use at least 9 pieces of gum per day for the first 6 weeks of treatment. Do not use more than 24 pieces of gum per day.

To use Nicorette® lozenges:

  • Place the Nicorette® lozenge in your mouth and allow it to dissolve slowly over 20 to 30 minutes, without chewing or swallowing.
  • Move the lozenge from one side of your mouth to the other until it has completely dissolved.
  • You may notice a warm or tingly feeling in your mouth.
  • For best results, use at least 9 lozenges per day for the first 6 weeks of treatment. Do not use more than 5 Nicorette® lozenges in 6 hours (20 lozenges per day).
  • After removing the gum or lozenge, wrap it in paper and throw it away in a place where children and pets cannot reach it.

Do not use Nicorette® for longer than 12 weeks without the advice of your doctor.

Do not use more than one lozenge or piece of gum at a time. Do not use the gum and lozenges together at the same time.

How do I store Nicorette® (nicotine)?

Nicorette® is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Nicorette® in the bathroom or the freezer. There may be different brands of Nicorette® that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush Nicorette® down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Nicorette® (nicotine)?

Before using this drug, tell your doctor if:

  • You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
  • You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
  • You have allergy with any of active or inactive ingredients of Nicorette® or other medications.
  • You have any other illnesses, disorders, or medical conditions.

Smoking cigarettes during pregnancy can cause low birth weight, miscarriage, or stillbirth. Using a nicotine replacement product during pregnancy or while breastfeeding may be safer than smoking. However, you should try to stop smoking without using a nicotine replacement product if you are pregnant or breast-feeding. Talk with your doctor about the best way for you to stop smoking.

Nicorette® lozenges may contain phenylalanine. Tell your doctor if you have phenylketonuria (PKU).

Do not give Nicorette® to anyone under 18 years old without medical advice.

Is it safe during pregnancy or breastfeeding?

There are no adequate studies in women for determining risk when using Nicorette® during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Nicorette®. Nicorette® is pregnancy risk category D, according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk
  • B=No risk in some studies
  • C=There may be some risk
  • D=Positive evidence of risk
  • X=Contraindicated
  • N=Unknown

Side effects

What side effects can occur from Nicorette® (nicotine)?

Get emergency medical help if you have any of these signs of an allergic reaction to Nicorette: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using Nicorette® and call your doctor at once if you have:

  • Fast or pounding heartbeats, fluttering in your chest
  • Blisters inside your mouth
  • Problems with your teeth or jaw
  • Wheezing, tightness in your chest, trouble breathing

Common side effects may include:

  • Mild dizziness
  • Dry mouth, upset stomach, burping, or hiccups
  • Mouth or throat soreness
  • Changes in taste
  • Headache

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with Nicorette® (nicotine)?

Nicorette® may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with Nicorette® (nicotine)?

Nicorette® may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with Nicorette® (nicotine)?

Nicorette® may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Nicorette® (nicotine).

What is the dose of Nicorette® (nicotine) for an adult?

Stop smoking completely when you begin using the gum.

If you are smoke more than 25 cigarettes a day; use 4mg nicotine gum.

If you smoke less than 25 cigarettes a day; use according to the following 12-week schedule:

  • Weeks 1 to 6: 1 piece every 1 to 2 hours
  • Weeks 7 to 9: 1 piece every 2 to 4 hours
  • Weeks 10 to 12: 1 piece every 4 to 8 hours

Nicotine gum is a medicine and must be used a certain way to get the best results.

Chew the gum slowly until it tingles. Then park it between your cheek and gum. When the tingle is gone, begin chewing again, until the tingle returns.

Repeat this process until most of the tingle is gone (about 30 minutes).

Do not eat or drink for 15 minutes before chewing the nicotine gum, or while chewing a piece.

To improve your chances of quitting, use at least 9 pieces per day for the first 6 weeks.

If you experience strong or frequent cravings, you may use a second piece within the hour. However, do not continuously use one piece after another since this may cause you hiccups, heartburn, nausea or other side effects.

Do not use more than 24 pieces a day.

It is important to complete treatment. Stop using the nicotine gum at the end of 12 weeks. If you still feel the need to use nicotine gum, talk to your doctor.

What is the dose of Nicorette® (nicotine) for a child?

The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.

How is Nicorette® (nicotine) available?

Nicorette® is available in the following dosage forms and strengths:

  • Chewing gum, White Ice Mint: nicotine 2mg

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of Nicorette®, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

msBahasa Malaysia

Review Date: September 11, 2017 | Last Modified: September 11, 2017

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