Generic Name: nicotine (NIK-oh-teen)
Brand Name: Nicotrol NS
Nicotine spray is used for:
Helping you to quit smoking.
Nicotine spray 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 spray if:
- you are allergic to any ingredient in nicotine spray
- you have had a recent heart attack
- you have persistent nose problems (eg, allergies, runny nose, nasal polyps, sinusitis) or severe asthma
- 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.
Before using nicotine spray:
Some medical conditions may interact with nicotine spray. 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), 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 spray. 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 spray 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 spray:
Use nicotine spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- An extra patient leaflet is available with nicotine spray. Talk to your pharmacist if you have questions about this information.
- Tilt your head back slightly while using nicotine spray.
- Spray nicotine spray in your nose whenever you feel the urge to smoke.
- Do not sniff, swallow, or inhale through the nose while the spray is being used
- Do not use more than 1 spray in each nostril for a dose without checking with your doctor.
- Do not exceed 5 doses per hour or 40 doses per day.
- If you miss a dose of nicotine spray, 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 spray.
Important safety information:
- Nicotine spray may cause dizziness, lightheadedness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use nicotine spray 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 spray before you receive any medical or dental care, emergency care, or surgery.
- Be careful while opening and closing the container of medicine. The container may break if it is dropped. If this happens, clean up the spill immediately with an absorbent cloth or paper towel. Avoid contact with the skin. Pick up broken glass carefully, using a broom. Wash the area several times. The absorbent material may be thrown away as household waste. If even a small amount of nicotine spray contacts your skin, lips, eyes, or ears, immediately rinse the area with water only.
- Do NOT use nicotine spray for longer than 6 months. If you still feel the need to use nicotine spray after 6 months, check with your doctor.
- Do not smoke or use tobacco products while you are using nicotine spray.
- Nicotine spray 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.
- Diabetes patients - Nicotine spray may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
- Use nicotine spray with caution in the ELDERLY; they may be more sensitive to its effects.
- Nicotine spray should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: Nicotine spray 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 spray while you are pregnant. Nicotine spray is found in breast milk. If you are or will be breast-feeding while you use nicotine spray, 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 spray. This is known as DEPENDENCE or addiction.
Do not suddenly stop taking nicotine spray without your doctor's approval. Stopping nicotine spray 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 spray:
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:
Seek medical attention right away if any of these SEVERE side effects occur:
Acne; back pain; burning or irritation of the mouth, nose, or eyes; changes in taste and smell; constipation; cough; earache; flushing of the face; gas; headache; hoarseness; indigestion; irritability; joint pain; mouth sores; nasal ulcers or blisters; nausea; nose bleed; numbness of the mouth; painful menstruation; runny nose; sinus irritation; sneezing; sore throat; stuffy nose; tingling; tooth disorder; watery eyes.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); fast or irregular heartbeat; lightheadedness; memory loss; severe dizziness or headache; shortness of breath; tightness in the chest; tremor.
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 saliva; fainting; headache; hearing and vision problems; nausea; rapid, weak, or irregular heartbeat; seizures; stomach pain; sweating; tremor; vomiting; weakness.Proper storage of nicotine spray:
Store nicotine spray at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep nicotine spray out of the reach of children and away from pets.
- If you have any questions about nicotine spray, please talk with your doctor, pharmacist, or other health care provider.
- Nicotine spray 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 spray 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 spray. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to nicotine spray. 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 spray.
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.