(NIK oh teen) Brand: Commit, Commit Cappuccino, Commit Cherry, Leader Nicotine Polacrilex, Nicorelief, Nicorette, Nicorette Cherry, Nicorette Cinnamon Surge, Nicorette Fruit Chill, Nicorette Mini, Nicorette Mint, Nicorette White Ice Mint, Thrive
• Do not use this medicine if you are pregnant or breast-feeding unless your doctor has told you to.
• Ask a doctor or pharmacist till using nicotine gum or lozenges if you have heart malady, a heart rhythm mess, circulation problems, tall blood pressure, history of stroke or heart onslaught, mouth or dental problems, jaw problems that create chewing difficult, liver or kidney malady, diabetes, thyroid mess, stomach ulcer, asthma or another breathing mess, an adrenal gland tumor, or if you are on a low-salt diet.
• Do not smoke or use another nicotine commodity (including snuff, chewing tobacco, nicotine patches, inhaler, or nasal spray) while you are using nicotine gum or lozenges.
• Do not use nicotine gum or lozenges for longer than 12 weeks without the advice of your doctor.
• Hold both used and unused gum and lozenges out of the reach of children or pets. The amount of nicotine in a used or unused lozenge or piece of gum can be fatal to a baby who accidentally sucks or chews on it.
• Nicotine is the primary ingredient in tobacco products.
• Nicotine gum and lozenges are medical commodity used to help in smoking cessation in adults. Using a controlled amount of nicotine helps reduce nicotine withdrawal symptoms when you quit smoking.
• Nicotine may also be used for purposes not listed in this medicine guide.
• Ask a doctor or pharmacist if it is safety for you to use this medication if you have:
· coronary heart malady, chest pain (angina), or heart rhythm disorder;
· circulation problems, Raynaud's syndrome
· history of stroke, blood clot, or heart attack;
· untreated or uncontrolled tall blood pressure;
· mouth or dental problems;
· a jaw condition that makes chewing gum difficult or uncomfortable;
· liver or kidney disease;
· type 1 diabetes;
· a thyroid disorder;
· a stomach ulcer;
· asthma, bronchitis, or COPD (chronic obstructive pulmonary disease);
· pheochromocytoma (tumor of the adrenal gland); or
· if you are on a low-salt diet;
• Do not use this medicine if you are pregnant unless your doctor has told you to. Use effective birth control, and speak your doctor if you become pregnant during treatment.
• Nicotine can pass into breast milk and may harm a nursing child. Do not use this medicine if you are breast-feeding unless your doctor has told you to.
• Smoking cigarettes during pregnancy can reason low birth weight, miscarriage, or stillbirth. Using a nicotine replacement product during pregnancy or while breast-feeding may be safer than smoking. However, you must try to stop smoking without using a nicotine replacement product if you are pregnant or breast-feeding. Conversation with your doctor about the excellent way for you to stop smoking.
• Nicotine lozenges may contain phenylalanine. Speak your doctor if you have phenylketonuria (PKU).
• Nicotine gum or lozenges are 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.
• Take exactly as predesigned by your doctor. Do not take in larger or less amounts or for longer than recommended. Follow the directions on your prescription label.
• This medicine comes with patient instructions for safety and effective use. Your doze will depend on how much cigarettes you smoked daily till quitting. Follow the manual in the patient instructions. Ask your doctor or pharmacist if you have any questions.
• To use nicotine gum:
· Chew the gum slowly and stop chewing when your mouth starts to tingle. "Park" the gum between your cheek and gum and leave it there before the tingly feeling is gone. Then slowly chew a little more times before the tingling returns. Park the gum again in a various seat 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 another, or you may have side effects such as hiccups, heartburn, or nausea.
· For excellent results, use at least 9 pieces of gum for day for the first 6 weeks of treatment. Do not use more than 24 pieces of gum for day.
• To use nicotine lozenges:
· Seat the lozenge in your mouth and let it to dissolve slowly over 20 to 30 minutes, without chewing or swallowing.
· Move the lozenge from one side of your mouth to the another before it has completely dissolved.
· You may announcement a warm or tingly feeling in your mouth.
· For excellent results, use at least 9 lozenges for day for the first 6 weeks of treatment. Do not use more than 5 lozenges in 6 hours (20 lozenges for day).
• Do not ate or drink anything within 15 minutes till using the gum or lozenge or while the medication is in your mouth.
• Do not use nicotine gum or lozenges 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.
• After removing the gum or lozenge, wrap it in paper and throw it away in a seat where children and pets can't reach it.
• Store at room temperature away from moisture, heat, and light.
• Hold both used and unused gum and lozenges out of the reach of children or pets.
• Since nicotine is used as needed, you are not likely to miss a doze. Do not use more than 20 lozenges or 24 pieces of gum for day.
• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222. The amount of nicotine in a used or unused lozenge or piece of gum can be fatal to a baby who accidentally sucks or chews on it. Search abnormal medical attention if this happens.
• Overdose symptoms may include severe dizziness, nausea, vomiting, diarrhea, weakness, and quick heart rate.
• Do not smoke or use another nicotine commodity (including snuff, chewing tobacco, nicotine patches, inhaler, or nasal spray). Using much forms of nicotine together can be dangerous.
• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.
• Stop using this medicine and call your doctor at once if you have a serious side effect such as:
· blisters internal your mouth;
· quick or pounding heartbeats, fluttering in your chest;
· extreme weakness or dizziness;
· severe nausea and vomiting; or
· bronchospasm (wheezing, tightness in your chest, trouble breathing).
• Smaller serious side effects may include:
· mild dizziness;
· dry mouth, upset stomach, burping, or hiccups;
· muscle or joint pain;
· mouth or throat soreness;
· changes in taste; or
· headache.
• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.
• Speak your doctor about all another medicines you use, especially:
· cool or allergy medicine that contains phenylephrine (a decongestant);
· imipramine (Tofranil) or another antidepressant;
· insulin;
· isoproterenol (Isuprel) or another asthma medication;
· labetalol (Normodyne, Trandate);
· oxazepam (Serax);
· pentazocine (Talwin);
· prazosin (Minipress);
· propranolol (Inderal, InnoPran);
· theophylline (Theo-Dur, Theochron, Theolair); or
· varenicline (Chantix) or another non-nicotine smoking cessation product.
• This list is not complete and another drugs may interact with nicotine gum or lozenges. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.
• Your pharmacist can provide more information about nicotine gum or lozenges.
Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.
Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.