Nicotine gum

Pronunciation

Generic Name: nicotine (NIK-oh-teen)
Brand Name: Nicorette

Nicotine gum is used for:

Helping you to quit smoking.

Nicotine gum is a smoking deterrent. It works by providing low levels of nicotine, which may help you to quit smoking by lessening the physical signs of withdrawal symptoms.

Do NOT use nicotine gum if:

  • you are allergic to any ingredient in nicotine gum
  • you have had a recent heart attack
  • you have severe or worsening chest pain or a severely irregular heartbeat

Contact your doctor or health care provider right away if any of these apply to you.

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Before using nicotine gum:

Some medical conditions may interact with nicotine gum. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have chest pain (eg, angina), heart problems (eg, coronary artery disease, irregular heartbeat), a history of heart attack, high blood pressure, an overactive thyroid, an ulcer, a tumor on your adrenal gland (pheochromocytoma), diabetes, a jaw problem (temporomandibular joint disorder [TMJ]), or blood vessel problems (eg, Buerger disease, Raynaud phenomena)
  • you continue to smoke, chew tobacco, use snuff, or use any other nicotine-containing products
  • if you take medicine for asthma or depression, or if you are using another medicine to stop smoking

Some MEDICINES MAY INTERACT with nicotine gum. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Acetaminophen, adrenergic antagonists (eg, prazosin), asthma medicines (eg, theophylline), beta-blockers (eg, labetalol, propranolol), caffeine, insulin, oxazepam, pentazocine, or tricyclic antidepressants (eg, imipramine) because the risk of their side effects may be increased when you stop smoking
  • Adrenergic agonists (eg, isoproterenol, phenylephrine) because their effectiveness may be decreased when you stop smoking

This may not be a complete list of all interactions that may occur. Ask your health care provider if nicotine gum may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use nicotine gum:

Use nicotine gum as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Do not eat or drink for 15 minutes before using nicotine gum or while chewing a piece of nicotine gum.
  • Do not swallow the gum.
  • Carry this gum with you at all times. Whenever you have the urge to smoke, chew 1 piece of gum. Chew the gum slowly. Bite 1 or 2 times until the gum tingles, then keep it between your cheek and gum. Wait until the tingle is gone and then repeat by chewing until the tingle returns and placing it between your cheek and gum. Continue until you cannot feel the tingle anymore (about 30 minutes).
  • Continue using the gum until your urge to smoke fades or until 1 to 2 pieces of gum per day satisfies your craving.
  • To improve your chances of quitting smoking, use at least 9 pieces of gum per day for the first 6 weeks unless your doctor tells you otherwise.
  • If you miss a dose of nicotine gum, use it as soon as you remember. Continue to use it as directed by your doctor or on the package label.

Ask your health care provider any questions you may have about how to use nicotine gum.

Important safety information:

  • Nicotine gum may cause dizziness, light-headedness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use nicotine gum with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Tell your doctor or dentist that you take nicotine gum before you receive any medical or dental care, emergency care, or surgery.
  • This gum may stick to dental work and damage it. If this occurs, stop using the gum and contact your dentist.
  • Dispose of used pieces by wrapping and placing in the trash out of the reach of children and away from pets.
  • Do NOT use nicotine gum for longer than 12 weeks. If you still feel the need to use nicotine gum after 12 weeks, check with your doctor.
  • Do not smoke or use tobacco products while you are using nicotine gum.
  • Do not chew more than 24 pieces of gum a day unless advised to do so by your doctor.
  • Nicotine gum should be used as part of a larger program to help you stop smoking. If you need help choosing a program, talk with your health care provider.
  • Use nicotine gum with caution in the ELDERLY; they may be more sensitive to its effects.
  • Nicotine gum should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: Nicotine gum may cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using nicotine gum while you are pregnant. Nicotine gum is found in breast milk. If you are or will be breast-feeding while you use nicotine gum, check with your doctor. Discuss any possible risks to your baby.

When used for long periods of time or at high doses, some people develop a need to continue taking nicotine gum. This is known as DEPENDENCE or addiction.

Do not suddenly stop taking nicotine gum without your doctor's approval. Stopping nicotine gum suddenly may cause serious WITHDRAWAL symptoms. These may include: anxiety, craving, impaired concentration, increased appetite, irritability, nervousness, sleep disturbances, and weight gain.

Possible side effects of nicotine gum:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Abnormal dreams; diarrhea; difficulty sleeping; dry mouth; joint pain; muscle pain; nervousness; sweating; weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); fast or irregular heartbeat; mouth, teeth, or jaw problems; pounding in the chest; severe diarrhea, dizziness, nausea, vomiting, or weakness.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of nicotine gum:

Store nicotine gum at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store nicotine gum in the original blister pack. Once removed from the blister, use immediately. Store away from heat, moisture, and light. Do not store in the bathroom. Keep nicotine gum out of the reach of children and away from pets.

General information:

  • If you have any questions about nicotine gum, please talk with your doctor, pharmacist, or other health care provider.
  • Nicotine gum is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take nicotine gum or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about nicotine gum. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to nicotine gum. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using nicotine gum.

Issue Date: November 5, 2014
Database Edition 14.4.1.002
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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