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Classification
General Sale
Dosage
Which strength of Nicotrol Gum should I use?
Nicotrol Gum is available in 2mg and 4mg strengths. Usually, the 4mg strength is recommended if you smoke 20 cigarettes or more in a day or are a smoker who has not been able to quite smoking using the 2mg strength. Otherwise you should use the 2mg strength.
How much Nicotrol Gum should I use?
The amount of Nicotrol Gum you chew each day depends on your former smoking habits. Usually, it is recommended that a piece of Nicorette should be used when the urge to smoke is felt. About 8-12 pieces per day, of either the 2mg or 4mg strength, will be adequate. No more than 24 pieces should be used daily.
Ingredients
The active ingredient in Nicotrol gum is nicotine-resin complex. Each piece contains 2mg per piece.
Other ingredients are chewing gum base, xylitol, peppermint oil, menthol, sodium carbonate anhydrous, magnesium oxide light, and sodium hydrogen carbonate.
Purpose/Usage
How Nicotrol Gum Works
It is your body's dependence on nicotine, which causes with-drawal symptoms when you suddenly stop smoking. Symptoms may include irritability, restlessness, depression, weight gain, and craving for cigarettes.
Nicotrol Gum is intended to ease such withdrawal symptoms by providing your body with nicotine. This leaves your mind free to concentrate on overcoming your psychological desire to smoke.
How long should I continue to use Nicotrol Gum
To quit smoking
It is important that you use Nicotrol Gum for long enough to help overcome your dependence on cigarettes. Normally this period will be at least 3 months. Then you can start to slowly wean yourself from using the gum. When you are only using 1 to 2 chewing gums each day, you can stop the treatment.
Smoking reduction:
Use Nicotrol Gum between smoking episodes to prolong smoke-free intervals and with the intention to reduce your smoking as much as possible. If after 6 weeks you have not reduced the number of cigarettes smoked each day, then you should seek professional advice.
you should try to quit smoking as soon as you feel ready, but no later than 6 months after starting your treatment. If 9 months has passed since starting Nicotrol Gum and you have still not been able to make a serious attempt at quitting smoking, then seek professional advice.
Regular use of the gum after 12 months is not recommended. Some ex-smokers may need longer treatment to avoid returning to smoking.
How to combine use of Nicotrol Patch and Gum
Normally Nicotrol Patch or Gum alone would provide enough nicotine to help most people control their craving for cigarettes. However, some people may find that even though they are using nicotine replacement therapy (NRT) they still have intense or frequent cravings they find difficult to cope with. If you are one of these people you may benefit from combining Nicotrol Patch use with Nicotrol 2mg Gum.
Each morning apply a Nicotrol 15mg/16 hour Patch to an intact area of skin. The Nicotrol Patch should be removed before going to bed. After applying the Nicotrol Patch use Nicotrol 2mg Gum whenever a craving occurs.
For best results try to chew at least 4 pieces of Nicotrol Gum every day. Most people will use 5-6 pieces. Do not use more than 24 pieces of gum.
The combination of Nicotrol Patch and Nicotrol Gum should be used in this way for 6-12 weeks. After this time if required you can wean yourself off NRT by either:
1. Use the Nicotrol 10mg/16 hour patch for 3-6 weeks and then use the Nicotrol 5mg/16 hour patch for 3-6 weeks while using the same number of pieces of Nicotrol Gum in a day that you have routinely used. Then when a patch is no longer needed, gradually reduce the number of pieces of gum until you no longer need them. OR
2. Stop use of the Nicotrol 15mg/16 hour Patch and then gradually reduce the number of pieces of Nicotrol 2mg Gum that are used until you no longer need them.
Precautions
When you Must not use Nicotrol Gum
Do not use Nicotrol Gum If:
You are pregnant or intend to become pregnant
There is medical evidence that nicotine in any form may be harmful to an unborn child. Therefore it is recommended that you do not use Nicotrol if you are pregnant or intend to become pregnant, unless you are unable to stop smokig without nicotine replacement. Talk to your doctor before using Nicotrol Gum during pregnancy.
You are breast-feeding or intend to breast-feed
Nicotine passes freely into breastmilk, and can affect the health of the baby. Therefore it is recommended that you do not use Nicotrol Gum if you are breast-feeding or intend to breast-feed.
You have had a recent heart attack or stroke
You have heart disease such as palpitations (fast or irregular heart beats) or uncontrolled angina (chest pain)
You are a non-smoker
You are under 18 Years old
There is not enough information about the use of Nicotrol Gum in children.
You are allergic to nicotine or sensitive to any components of the chewing gum.
Before you start to use Nicotrol Gum
If you have had any of the following, you should ask for your doctor or pharmacist's advice before using Nicotrol Gum.
The medical conditions include:
Angina (chest pain) or any other problem with your heart or blood vessels such as pain in one or more legs when you walk
High Blood Pressure
Previous Stroke
Kidney disease
Liver disease
Stomach ulcer or pain
Hyperthyroidism (a disorder of the thryroid gland)
Phaeochromocytoma (a tumour of the adrenal gland)
Diabetes
If you have dentures, dental caps or partial bridges
Nicotrol Gum may stick to your dentures, dental caps or partial bridges and therefore may cause damage to your dental work.
Taking Other medicines
If you are taking any other medicines, including medicines that you buy without a prescription, in a pharmacy, supermarket or health food shop, the way these medicines work may be affected once you stop smoking.
These medicines may include:
Theophylline (asthma medication)
Insulin
Imipramine (antidepressant)
Pentazocine (pain medication).
If you use too much (overdose) or in accidental poisoning
Overdose of nicotine can occur if nicotine is used excessively, either from chewing too many pieces of Nicotrol Gum at the same time or rapidly one after the other, and/or smoking.
Symptoms of overdose or poisoning include:
Nausea and vomiting
Salivating
Diarrhoea
Abdominal Pain
Cold sweats
Weakness
Disturbed hearing
Headache
Breathing difficulties
Weak, rapid or irregular pulse
Loss of consciousness.
Adverse Effects
Nicotine like all other medicines may cause unwanted side effects in some people.
You may notice the following:
Headache
Nausea and/or vomiting
Hiccups
Sore mouth or throat
Jaw-muscle ache
Redness of the skin
Hives
Mouth ulcers.
Some effects, such as dizziness, headache and sleeplessness may be withdrawal symptoms due to low nicotine levels.
If any of these effects do not go away, or you have any other undesirable effects during use, tell your doctor or pharmacist.
Manufactured by:
Pharmacia AB, Sweden
Distributed by:
Pharmacia
14 Normanby Road
Mt Eden
Auckland
Medicines have benefits and some may have risks. Always read the label
carefully and use strictly as directed. If symptoms continue or you have
side effects consult your pharmacist or doctor immediately.
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