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Some commonly used brand names are:
In the U.S.—
Generic name product may be available in the U.S.
Nicotine (NIK-o-teen), in a flavored chewing gum, a lozenge, or a skin patch, is used to help you stop smoking. It is used for up to 12 weeks as part of a stop-smoking program. This program may include education, counseling, and psychological support.
As you chew nicotine gum or suck on the nicotine lozenge, nicotine passes through the lining of your mouth and into your blood stream. When you wear a nicotine patch, nicotine passes through your skin into your blood stream. This nicotine takes the place of nicotine that you would otherwise get from smoking. In this way, the withdrawal effects of not smoking are less severe. Then, as your body adjusts to not smoking, the use of the nicotine gum is decreased gradually until use is stopped altogether. For most brands of patches, the strength of the patch you use will be decreased over a few weeks until use is stopped. If you are using the brand of patch that is available in only one strength, use is stopped after the treatment period indicated on the label.
Children, pregnant women, and nonsmokers should not use nicotine gum or patches because of harmful effects.
Nicotine gum or lozenge is available without a prescription. Some nicotine patches are available without a prescription. Nicotine is available in the following dosage forms:
Before Using This Medicine
If you are using this medicine without a prescription, carefully read and follow any precautions on the label. For nicotine gum, lozenges, and patches, the following should be considered:
Allergies—Tell your healthcare professional if you have ever had any unusual or allergic reaction to nicotine. Also tell your healthcare professional if you are allergic to any other substances, such as foods, preservatives, or dyes. If you plan to use the nicotine patches, tell your healthcare professional if you have ever had a rash or irritation from adhesive tape or bandages.
Pregnancy—Nicotine, whether from smoking or from the gum, lozenges, or patches, is not recommended during pregnancy. Studies in humans show that miscarriages have occurred in pregnant women using nicotine replacement products. In addition, studies in animals have shown that nicotine can cause harmful effects in the fetus.
Breast-feeding—Nicotine passes into breast milk. It may be necessary for you to stop breast-feeding during treatment.
Children—Small amounts of nicotine can cause serious harm in children. Even nicotine patches that have been used still contain enough nicotine to cause problems in children. Although there is no specific information comparing use of nicotine in teenagers with use in other age groups, this medicine is not expected to cause different side effects or problems in nicotine-dependent teenagers than it does in adults.
Older adults—Nicotine gum, lozenges, and patches have been used in a limited number of patients 60 years of age or older, and have not been shown to cause different side effects or problems in older people than in younger adults.
Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your healthcare professional may want to change the dose, or other precautions may be necessary. When you are using nicotine gum or patches, it is especially important that your healthcare professional know if you are taking any of the following:
Other medical problems—The presence of other medical problems may affect the use of nicotine gum or patches. Make sure you tell your healthcare professional if you have any other medical problems, especially:
Proper Use of This Medicine
For patients using the chewing gum :
For patients using the lozenge :
For patients using the transdermal system (skin patch) :
Dosing—The dose of nicotine will be different for different patients. Follow your healthcare professional"s orders or the directions on the label . The following information includes only the average doses of nicotine. If your dose is different, do not change it unless your healthcare professional tells you to do so.
Storage—To store this medicine:
Precautions While Using This Medicine
Do not smoke during treatment with nicotine gum, lozenges, or patches because of the risk of nicotine overdose.
Nicotine should not be used in pregnancy . If there is a possibility you might become pregnant, you may want to use some type of birth control. If you think you may have become pregnant, stop using this medicine immediately and check with your healthcare professional.
Nicotine products must be kept out of the reach of children and pets . Even nicotine patches that have been used still contain enough nicotine to cause problems in children. If a child chews or swallows one or more pieces of nicotine gum or lozenges, contact your healthcare professional or poison control center at once. If a child puts on a nicotine patch or plays with a patch that is out of the sealed pouch, take it away from the child and contact your healthcare professional or poison control center at once.
For patients using the chewing gum :
For patients using the lozenges :
For patients using the transdermal system (skin patch) :
Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your healthcare professional as soon as possible if any of the following side effects occur:
Injury or irritation to mouth, teeth, or dental work—with chewing gum only
High blood pressure
Fast or irregular heartbeat; hives, itching, rash, redness, or swelling of skin
Symptoms of overdose (may occur in the following order)
Nausea and/or vomiting; increased watering of mouth (severe); abdominal or stomach pain (severe); diarrhea (severe); pale skin; cold sweat; headache (severe); dizziness (severe); disturbed hearing and vision; tremor; confusion; weakness (severe); extreme exhaustion; fainting; low blood pressure; difficulty in breathing (severe); fast, weak, or irregular heartbeat; convulsions (seizures)
Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your healthcare professional if any of the following side effects continue or are bothersome:
Belching—with chewing gum and lozenges; headache (mild); increased appetite; increased watering of mouth (mild)—with chewing gum only; jaw muscle ache—with chewing gum only; redness, itching, and/or burning at site of application of patch—usually stops within 24 hours; sore mouth or throat—with chewing gum only
Less common or rare
Abdominal or stomach pain (mild); change in sense of taste; constipation; coughing (increased); diarrhea; dizziness or lightheadedness (mild); drowsiness; dryness of mouth; hiccups—with chewing gum and lozenges; hoarseness—with chewing gum only; indigestion (mild); loss of appetite; menstrual pain; muscle or joint pain; nausea or vomiting (mild); passing of gas; sweating (increased); trouble in sleeping or unusual dreams; unusual irritability or nervousness
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your healthcare professional.
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