Nicotine inhaler

Pronunciation

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

Nicotine inhaler is used for:

Helping you to quit smoking.

Nicotine inhaler 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 inhaler if:

  • you are allergic to any ingredient in nicotine inhaler or to menthol
  • you have had a recent heart attack
  • you have severe or worsening chest pain or a severely irregular heartbeat
  • you continue to smoke, chew tobacco, use snuff, or any other nicotine-containing products

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

Slideshow: View Frightful (But Dead Serious) Drug Side Effects

Before using nicotine inhaler:

Some medical conditions may interact with nicotine inhaler. 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, breathing problems (eg, asthma, chronic obstructive pulmonary disease [COPD]), an overactive thyroid, an ulcer, a tumor on your adrenal gland (pheochromocytoma), diabetes, kidney or liver problems, or blood vessel problems (eg, Buerger disease, Raynaud phenomena)

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

  • Acetaminophen, adrenergic antagonists (eg, prazosin), beta-blockers (eg, labetalol, propranolol), caffeine, imipramine, insulin, oxazepam, pentazocine, or theophylline 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 inhaler 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 inhaler:

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

  • An extra patient leaflet is available with nicotine inhaler. Talk to your pharmacist if you have questions about this information.
  • Do not exceed 16 cartridges per day.
  • Clean the mouthpiece regularly with soap and water.
  • If you miss a dose of nicotine inhaler, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

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

Important safety information:

  • Nicotine inhaler may cause dizziness or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use nicotine inhaler 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 inhaler before you receive any medical or dental care, emergency care, or surgery.
  • Avoid getting nicotine inhaler in your eyes. If you get nicotine inhaler in your eyes, wash them out immediately with cool tap water.
  • Do not smoke or use tobacco products while you are using nicotine inhaler.
  • Nicotine inhaler 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.
  • Do NOT use nicotine inhaler for longer than 6 months. If you still feel the need to use nicotine inhaler after 6 months, check with your doctor.
  • Diabetes patients - Nicotine inhaler may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
  • Use nicotine inhaler with caution in the ELDERLY; they may be more sensitive to its effects.
  • Use nicotine inhaler with extreme caution in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: Nicotine inhaler 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 inhaler while you are pregnant. Nicotine inhaler is found in breast milk. If you are or will be breast-feeding while you use nicotine inhaler, 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 inhaler. This is known as DEPENDENCE or addiction.

Do not suddenly stop taking nicotine inhaler without your doctor's approval. Stopping nicotine inhaler suddenly may cause serious WITHDRAWAL symptoms. These may include anxiety; depression; dizziness; fatigue; muscle aches; sleep problems.

Possible side effects of nicotine inhaler:

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:

Anxiety; coughing; diarrhea; flu-like symptoms; headache; hiccups; indigestion; mouth or throat irritation; muscle aches; nausea; pain in the jaw and neck; runny nose; taste changes.

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); abnormal skin sensations; chest pain; depression; fever; irregular or fast heartbeat; pounding in the chest; severe dizziness or headache; shortness of breath.

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. Symptoms may include cold and clammy skin; confusion; diarrhea; difficulty breathing; dizziness; excessive drooling; fainting; headache; hearing and vision problems; nausea; rapid, weak, or irregular heartbeat; seizures; stomach pain; sweating; tremor; vomiting; weakness.

Proper storage of nicotine inhaler:

Store nicotine inhaler at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Store the mouthpiece and cartridges in the plastic case provided. Do not store in the bathroom. Keep nicotine inhaler out of the reach of children and away from pets.

General information:

  • If you have any questions about nicotine inhaler, please talk with your doctor, pharmacist, or other health care provider.
  • Nicotine inhaler 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 inhaler 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 inhaler. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to nicotine inhaler. 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 inhaler.

Issue Date: July 2, 2014
Database Edition 14.3.1.001
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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