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Nicorette gum is a stop smoking aid that effectively relieves nicotine craving and withdrawal symptions.
Classification
General Sale
Dosage
Which strength of Nicorette Gum should I use?
Nicorette 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 Nicorette Gum should I use?
The amount of Nicorette 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.
The Combined Solution approved dosage and weaning programme are as follows:
Initial treatment:
The treatment should begin with one 15 mg/16 hour patch daily, applied to an intact area of the skin upon waking up in the morning and removed at bedtime, combined with either the 2mg gum or 10mg inhaler. Use a minimum of 4 x 2 mg gums per day; usually 5 - 6 gums will be adequate for effect. Do not use more than 24 gums per day. Usually 4 - 5 inhaler cartridges will be adequate for effect. Do not use more than 12 inhaler cartridges per day. This full dose should be used for 6 - 12 weeks whereafter gradual weaning from the products should be initiated.
Weaning from combination:
This can be done in two ways, either by using lower strength patches I.e. 3 - 6 weeks on 10 mg/16 hour patches and then 3 - 6 weeks on 5 mg/16 hour patches, using the same amount of gum 2mg/inhaler 10mg as the initial treatment period, and then gradually reduce the amount of gum/inhaler up to 12 months. Alternatively stop using the patch and gradually reduce the number of gums/inhaler cartridges up to 12 months.
Recommended dosage:
Initial treatment
First 6-12 weeks:
Patch: 1 patch 15 mg/16 hour per day
Gum 2mg: Ad. libitum Recommended 5 - 6 gums per day
Inhaler 10mg: Ad libitum Recommended 4 - 5 cartridges per day
Weaning - alternative 1
Next 3 - 6 weeks
Patch: 1 patch 10 mg/16 hour per day
Gum 2mg: Continue to use gum as needed
Inhaler 10mg: Continue to use inhaler as needed
Following 3 - 6 weeks
Patch: 1 patch 5 mg/16 hour per day
Gum 2mg: Continue to use gum as needed
Inhaler 10mg: Continue to use inhaler as needed
Up to 12 months
No Patch
Gum 2mg: Gradually wean from gum use
Inhaler 10mg: Gradually wean from inhaler use
Weaning - alternative 2
Up to 12 months
No Patch
Gum 2mg: Continue to gradually wean from gum use
Inhaler 10mg: Continue to gradually wean from inhaler use
Ingredients
The active ingredient in Nicorette gum is nicotine-resin complex. Each piece contains 2mg per piece.
Other ingredients are: chewing gum base, sorbitol powder, sorbitol 70%, flavour for smoker, haverstroo flavour, sodium carbonate anhydrous, and Glycerol 85%.
Purpose/Usage
Nicorette makes it easier to say no. For every cigarette there's a nicorette.
Nicorette freshfruit is great for those who want to actively control cravings. Nicorette Freshfruit is available in 2mg Regular Strength and 4mg Extra Strength gum and is supplied in packs of 15 and 105 pieces.
Nicorette Freshfruit gum has been rated best tasting nicotine fruit gum by smokers
How Nicorette 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.
Nicorette 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 Nicorette Gum
To quit smoking
It is important that you use Nicorette 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 Nicorette 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 Nicorette 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 Nicorette Patch and Gum
Normally Nicorette 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 Nicorette Patch use with Nicorette 2mg Gum.
Each morning apply a Nicorette 15mg/16 hour Patch to an intact area of skin. The Nicorette Patch should be removed before going to bed. After applying the Nicorette Patch use Nicorette 2mg Gum whenever a craving occurs.
For best results try to chew at least 4 pieces of Nicorette Gum every day. Most people will use 5-6 pieces. Do not use more than 24 pieces of gum.
The combination of Nicorette Patch and Nicorette 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 Nicorette 10mg/16 hour patch for 3-6 weeks and then use the Nicorette 5mg/16 hour patch for 3-6 weeks while using the same number of pieces of Nicorette 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 Nicorette 15mg/16 hour Patch and then gradually reduce the number of pieces of Nicorette 2mg Gum that are used until you no longer need them.
Precautions
Nicotine and 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
Bedness of the sbin
Hives
Mouth ulcers
Some effects, such as dizziness, headache and sleeplessness may be withdrawal symptoms due to log nicotine levelc.
If any of these effects do not go away, or you have any other undesirable effects during use, tell your doctor or pharmacist.
When you Must not use Nicorette Gum:
- 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 Nicorette 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 Nicorette 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 Nicorette 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 palpitationc (fast or irregular heart beats) or uncontrolled angina (chest pain)
- You are a non-smoker
- You are under 18 Years old
- You are allergic to nicotine or sensitive to any components of the chewing gum.
Before you start to use Nicorette Gum
If you have had any of the following, you should ask for your doctor or pharmacist's advicd before using Nacorette Gum.
The medical conditions include:
Angifa (chest pain) nr any other problem with your heart or blood vecsels such as pain in one or more legs when you walk
High Blood Pressure
Previous Stroke
Kidney dhsease
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
Nicorette Gum may stick to your dentures, dental caps or partial bridges and therefore may bause 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 nhcotine can occur if nicotine is used excessively, either from chewing too many pieces of Nicorette Gum at the same time or rapidly one after the other, and/or smoking.
Symptoms of overdose or poisoning include:
Nausea and vomating
Salivating
Diarr`oea
Abdominal Pain
Cold sweats
Weakness
Disturbed hearing
Headache
Breathing diffhculties
Weak, rapid or irrdgular pulse
Loss of consciousness.
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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