Nicotine lozenges

Pronunciation

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

Nicotine lozenges is used for:

Helping you to quit smoking.

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

Do NOT use nicotine lozenges if:

  • you are allergic to any ingredient in nicotine lozenges
  • 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 use any other nicotine-containing products

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

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Before using nicotine lozenges:

Some medical conditions may interact with nicotine lozenges. 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 are on a low-sodium diet or if you have phenylketonuria (PKU)
  • if you have chest pain (eg, angina), heart problems (eg, coronary artery disease, irregular heartbeat), high blood pressure, or you have had a heart attack
  • if you have an ulcer, diabetes, an overactive thyroid, blood vessel problems (eg, Buerger disease, Raynaud phenomena), or an adrenal gland tumor (pheochromocytoma)
  • if you take medicine for asthma or depression, or if you are using another medicine to stop smoking

Some MEDICINES MAY INTERACT with nicotine lozenges. 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, insulin, oxazepam, pentazocine, theophylline, 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 lozenges 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 lozenges:

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

  • An extra patient leaflet is available with nicotine lozenges. Talk to your pharmacist if you have questions about this information.
  • Do not eat or drink for 15 minutes before taking nicotine lozenges or when it is in your mouth.
  • Do NOT chew or swallow the lozenge whole. Place the lozenge in your mouth and allow it to slowly dissolve. Occasionally move the lozenge from one side of your mouth to the other. Try not to swallow very often while nicotine lozenges is dissolving. It may take 20 to 30 minutes for nicotine lozenges to completely dissolve.
  • To improve your chances of quitting smoking, take at least 9 lozenges per day for the first 6 weeks unless your doctor tells you otherwise.
  • Do not take more than 1 lozenge at a time or continuously take one lozenge after another. Hiccups, heartburn, nausea, or other effects may occur.
  • Do NOT take more than 5 lozenges in 6 hours. Do NOT take more than 20 lozenges each day.
  • If you cannot finish a lozenge, wrap it in paper and dispose of it in the trash out of the reach of children and away from pets.
  • If you miss a dose of nicotine lozenges, take it as soon as you remember. Continue to take 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 lozenges.

Important safety information:

  • The dose of nicotine lozenges that you take is determined by how soon after waking you would normally smoke your first cigarette of the day. If you are not sure what dose of nicotine lozenges to take, ask your doctor or pharmacist.
  • Do not smoke or use tobacco products while taking nicotine lozenges.
  • Do NOT use nicotine lozenges for longer than 12 weeks. If you still feel the need to take nicotine lozenges after 12 weeks, check with your doctor.
  • Nicotine lozenges 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.
  • Some of these products contain phenylalanine. If you must have a diet that is low in phenylalanine, ask your pharmacist if it is in your product.
  • Do not use nicotine lozenges in CHILDREN younger than 18 years old without first talking with the child's doctor.
  • PREGNANCY and BREAST-FEEDING: Nicotine lozenges may cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of taking nicotine lozenges while you are pregnant. Nicotine lozenges is found in breast milk. If you are or will be breast-feeding while you take nicotine lozenges, 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 lozenges. This is known as DEPENDENCE or addiction.

Do not suddenly stop taking nicotine lozenges without your doctor's approval. Stopping nicotine lozenges 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 lozenges:

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:

Warm or tingling sensation in the mouth.

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 problems (eg, mouth pain, sores, or swelling); persistent indigestion; severe sore throat.

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; fast, weak, or irregular heartbeat; headache; hearing and vision problems; nausea; seizures; stomach pain; sweating; tremor; vomiting; weakness.

Proper storage of nicotine lozenges:

Store nicotine lozenges at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Store nicotine lozenges in the original blister pack. Once removed from the blister, use immediately. Do not store in the bathroom. Keep nicotine lozenges out of the reach of children and away from pets.

General information:

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

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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