BOOTS NICASSIST 2MG MICROTAB

Active substance: NICOTINE BETA-CYCLODEXTRIN COMPLEX

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microtab
nicotine
sublingual tablet
What you should know about
nicorette® microtab
(2 mg nicotine sublingual tablet)
Please read this leaflet carefully before you
start using this medicine. It provides useful
information on how to use it safely.
Keep the leaflet, you might need it again.
If you think you are having side-effects, have
any questions or are not sure about anything
please ask your doctor, nurse or pharmacist.

1 What this medicine is for

Nicorette Microtab is a nicotine replacement
therapy (NRT). It is used to relieve withdrawal
symptoms and reduce the cravings for nicotine
that you get when you try to stop smoking, or
when you are cutting down the number of
cigarettes you smoke while trying to stop
smoking.

To help cut down or quit smoking you
should also try to use a behavioural support
programme to increase your chances of
success.
IMPORTANT: Nicorette Microtab is a sublingual
tablet which means it must be dissolved under
the tongue and NOT swallowed or chewed.
What does Nicorette Microtab do?
When you stop smoking, your body misses
the nicotine that you have been absorbing.
You may experience unpleasant feelings and
a strong desire to smoke (craving). This
indicates that you were dependent on
nicotine.

When you use Nicorette Microtab, nicotine
is released and passes into your body
through the lining of your mouth. The
nicotine released is sufficient to relieve the
unpleasant nicotine withdrawal symptoms.
It will also help to stop your craving to
smoke but will not give you the “buzz” you
get from smoking a cigarette.
The benefits of stopping smoking far
outweigh any potential risk from using
nicotine from NRT. It is the toxins in
cigarette smoke such as tar, lead, cyanide
and ammonia that cause smoking related
disease and death, not the nicotine.

2 Before using this medicine
X Do not use Nicorette Microtab:

n if you have an allergy to nicotine or any
of the other ingredients.
! Talk to your doctor, nurse or
pharmacist...
n if you are pregnant or breast-feeding
– you may be able to use nicotine
replacement therapy (NRT) to help you
give up smoking but you should try to
give up without it. See “If you are
pregnant or breast-feeding” section.
n if you are in hospital because of heart
disease (including heart attack, disorders
of heart rate or rhythm, or stroke).
In other heart conditions not requiring
you to be in hospital, using NRT is better
than continuing to smoke.
n if you have a stomach ulcer, duodenal
ulcer, inflammation of the stomach or
inflammation of the oesophagus (passage
between the mouth and stomach).
n if you have liver or kidney disease.
n if you have an overactive thyroid gland or
have a phaeochromocytoma (a tumour of
the adrenal gland that can affect blood

pressure) – your doctor will have told you
this.
n if you have diabetes – monitor your blood
sugar levels more often when starting to
use Nicorette Microtab as you may find
your insulin or medication requirements
alter.
n if you are taking other medicines such as
theophylline, clozapine or ropinirole.
Stopping smoking or cutting down may
require the dose of these medicines to be
adjusted.
➤ If any of these applies, talk to your
doctor, nurse or pharmacist.
! If you are pregnant or breast-feeding
If you are pregnant: ideally, you should try
to give up smoking without NRT. If you can’t
manage this, you can use NRT as the risks to
your baby are far less than smoking,
however you should talk to your doctor,
nurse or pharmacist for advice.
Products that are used intermittently,
including Nicorette Microtab, may be
preferable to nicotine patches. However,
patches may be more suitable if you have
nausea or sickness. If you do use patches
take them off before going to bed at night.
If you are breast-feeding: ideally, you
should try to give up smoking without NRT.
If you can’t manage this you are best to use
NRT products that are taken intermittently
(not patches), however you should talk to
your doctor, nurse or pharmacist for advice.
Breast-feed just before you use Nicorette
Microtab to make sure that the baby gets
the smallest amount of nicotine possible.
If you do need to use NRT to help you quit,
the amount of nicotine that the baby may
receive is considerably smaller and less
harmful than the second-hand smoke they
would inhale if you smoked. Tobacco smoke

produces breathing and other problems in
babies and children.

3 How and when to use this
medicine
How to use Nicorette Microtab
Place the microtab under your tongue.
Allow it to slowly dissolve. This will release
nicotine, which you will absorb through the
lining of your mouth. Nicorette Microtab
should NOT be chewed or swallowed.
When to use the Nicorette Microtab
Below is the dosage information for the
Nicorette Microtabs. This shows the number
of microtabs you should be taking, when
you should take them, how you should take
them and the maximum amount of time you
should be using Nicotine Replacement
Therapy (NRT) for.
Please read the information carefully and
then go to the “How to stop smoking: your
choice” section, which will help you decide
which method to use to give up smoking.
n The number of Nicorette Microtabs you
use each day will depend on how many
cigarettes you smoked and how strong
they were. See dosing information over the
page to find out the dose you should use.
i Children under 12 years
Do not give this product to children under 12
years.

i Adults and Children 12 years and over

Number of Cigarettes Dose of Microtabs
you smoke per day
20 cigarettes or fewer One microtab to be

taken every hour.
More than 20 cigarettes Two microtabs to be

taken every hour.
• Most people take between 8 to 24 microtabs
per day.
• Do not take more than 40 microtabs per day.
Do not exceed stated dose.
• Children aged 12 and up to 18 years should
not use for longer than 12 weeks in total
without asking for help and advice from a
doctor, nurse or pharmacist.
• Adults aged 18 years and over should not use
for more than 9 months in total without
asking for help and advice from a doctor,
nurse or pharmacist.
i How to stop smoking: your choice

Because smoking is an addiction you may
find it difficult to give up. From time to time
you may still have strong urges to smoke but
if you follow these recommendations, you
have a good chance of quitting.
Some people may find it easier to set a date
to quit and stop smoking immediately.
Others who are unable or not ready to stop
smoking abruptly, may benefit from
gradually reducing the number of cigarettes
they smoke each day until they feel ready to
stop completely.
If you are an adult you can follow either one
of these options. However children should
follow the guide to stopping immediately as
the recommended duration of nicotine
replacement therapy in children is 12 weeks

maximum. The only time children should
stop gradually is if they are having a problem
stopping immediately and they should talk to
their doctor, nurse or pharmacist beforehand.
If you find it hard to stop using Nicorette
Microtabs, you are worried that you will
start smoking again without them or you
find it difficult to reduce the number of
Nicorette Microtabs you are using, talk to
your doctor, nurse or pharmacist. Remember
Nicorette Microtabs are not intended as a
substitute for smoking, they are an aid to
give up.
Use one of the two options which follow.
i Stopping Immediately
The idea is to stop smoking immediately and
use the microtabs to relieve the cravings to
smoke. After achieving this you then stop
using the microtabs.
There is a difference in how you stop
depending on whether you are aged
between 12 -18 years or 18 years and over.
Make sure you follow the instructions for
the age range applicable to you.
i Adults 18 years and over
See the following diagram which shows the
basic step by step process.
The time given in step 2 is the longest
amount of time it should take, and you
should try to achieve your move to the next
step in the shortest time possible.
Make sure you read the instructions for each
step in the information which follows.

Step 2: Use 1 or 2 microtabs every hour to
relieve your cravings. See “Dosage”
section to decide which number
of microtabs is suitable for you to
use.
➤ Use the microtabs for up to 12 weeks
(3 months) to relieve your cravings to
smoke.
Step 3: Start reducing the number of tablets
you use each day.
Once you reach only one or two
tablets each day you should try to
stop completely.
➤ If you need to use the microtabs for
longer than a total of 9 months, ask
your doctor, nurse or pharmacist for
advice.
➤ You might feel a sudden craving to
smoke long after you have given up
smoking and stopped using the
Nicorette Microtabs. Remember you
can use nicotine replacement
therapy again if this should happen.
i Children aged 12 years and over
See the following diagram which shows the
basic step by step process. The time given in
steps 2 and 3 are the longest time possible it
should take, and you should try to achieve
your move to the next step in the shortest
amount of time. The total amount of time
taken to stop smoking should not exceed 12
weeks.
Make sure you read the instructions for each
step in the information which follows.

Gradually
Preparation 12 weeks
(3 months) reduce usage

Preparation

Step 1

Step 2

Step 3

Step 1: Set a date to quit and stop smoking
cigarettes.

Step 1

8 weeks
(2 months)

4 weeks

Step 2

Step 3

Step 1: Set a date to quit and stop smoking
cigarettes.

Step 2: Use 1 or 2 microtabs every hour to
relieve your cravings. See “Dosage”
section to decide which number of
microtabs is suitable for you to use.
➤ Use the microtabs for up to 8 weeks
(2 months) to relieve your cravings
to smoke.
Step 3: Start reducing the number of tablets
you use each day over the next 4
week period. Once you reach only
one or two tablets each day you
should try to stop completely. You
should make sure that you do this
within the 4 weeks.
➤ If you need to use the microtabs for longer
than the 12 weeks (3 months), ask your
doctor, nurse or pharmacist for advice.
i Stopping Gradually
The idea is to start gradually replacing some
of your cigarettes with the microtabs. After
achieving this you then give up cigarettes
completely while using the microtabs. Finally
you give up using the microtabs.
There is a difference in how you stop
depending on whether you are aged
between 12 -18 years or 18 years and over.
Make sure you follow the instructions for
the age range applicable to you.
Adults 18 years and over
See the following diagram which shows the
basic step by step process. The time given for
steps 2 and 3 are the longest it should take,
and you should try to achieve your move to
the next step in the shortest time possible.
Make sure you read the instructions for
each step in the information which follows.
4 weeks
Preparation 24 weeks 12 weeks
(6 months) (3 months) reduce usage
Step 1

Step 2

Step 3

Step 4
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Step 1: Work out how many cigarettes you
smoke per day. Set a date to start
reducing the number of cigarettes
you smoke.
Step 2: Start reducing. Over the next few
months, reduce the number of
cigarettes you smoke by using 1 or 2
Nicorette Microtabs every hour to
relieve your cravings. See “Dosage”
section to decide which number of
microtabs is suitable for you to use.
➤ If after 6 weeks you have not
reduced the number of cigarettes
you smoke, ask your doctor, nurse or
pharmacist for advice.
➤ You should aim to stop smoking
completely by six months from the
beginning of treatment.
Step 3: Stop smoking. Cut out all cigarettes
and continue using the microtabs for
up to 3 months to relieve your
cravings to smoke.
Step 4: Start reducing the use of the
microtabs. You should try to use
fewer microtabs each day. When you
are using only one or two microtabs
per day, you should stop completely.
➤ If you need to use the product for
longer than 9 months, ask your doctor,
nurse or pharmacist for advice.
➤ You might feel a sudden craving to
smoke long after you have given up
smoking and stopped using
Nicorette Microtabs. Remember you
can use nicotine replacement
therapy again if this should happen.
i Children aged 12 years and over
Children should follow the guide to
stopping immediately. The recommended
duration of nicotine replacement therapy in
children is 12 weeks maximum. The only

time children should stop gradually is if they
are having a problem stopping immediately.
Talk to your doctor, nurse or pharmacist
before attempting to stop gradually.
! If you have used too many Microtabs
If you have used more than the recommended
number of Nicorette Microtabs you may
experience nausea, salivation, pain in your
abdomen, diarrhoea, sweating, headache,
dizziness, hearing disturbance or weakness.
n If you do get any of these effects contact
a doctor or your nearest hospital Accident
and Emergency department immediately.
Take this leaflet and the pack with you.
! If a child has used or swallowed
Microtabs
n Contact a doctor or your nearest hospital
Accident and Emergency department
immediately if a child under 12 years uses,
chews, sucks or swallows a Nicorette
Microtab. Take this leaflet and the pack
with you.
Nicotine ingestion by a child may result in
severe poisoning.

4 Possible side-effects



Like all medicines, Nicorette Microtab can
have side-effects. As many of the effects are
due to nicotine, they can also occur when
nicotine is obtained by smoking.
Effects related to stopping smoking
(nicotine withdrawal)
You may experience unwanted effects because
by stopping smoking you have reduced the
amount of nicotine you are taking. You may
also experience these effects if you use too
few Nicorette Microtabs before you are
ready to reduce your nicotine intake.

!

These effects include:
n irritability or aggression
n feeling low
n anxiety
n restlessness
n poor concentration
n increased appetite or weight gain
n urges to smoke (craving)
n night time awakening or sleep disturbance
n lowering of heart rate
Effects of too much nicotine
You may also get these effects if you are not
used to inhaling tobacco smoke.
! These effects include:
n feeling faint
n feeling sick (nausea)
n headache
Side-effects of Nicorette Microtab
Common side-effects:
(less than 1 in every 10 people are affected)
n headache
n dizziness
n chest palpitations
n cough
n stomach discomfort
n hiccups
n feeling sick (nausea)
n sore mouth or throat
n nasal irritation
n dry mouth
n burning sensation in the mouth
Rare side-effects:
(less than 1 in 1,000 people are affected)
n Allergic reaction (swelling of the mouth,
lips, throat and tongue, itching of the
skin, swelling of the skin, ulceration and
inflammation of the lining of the mouth).

Very rare side-effects:
(less than 1 in 10,000 people are affected)
n Abnormal beating of the heart
➤ If you notice these or any other unwanted
effects not listed in this leaflet tell your
doctor, nurse or pharmacist.
➤ When you stop smoking you may also
develop mouth ulcers. The reason why this
happens is unknown.

5 Storing and disposal

n Keep Nicorette Microtab out of the reach
and sight of children and animals. Nicotine
in high doses can be very dangerous and
sometimes fatal if taken by small children.
n Do not store Nicorette Microtab above 25°C.
n Do not use Nicorette Microtab after the
‘Use before’ date shown on the carton or
blister.
n Dispose of any unused Nicorette Microtab
sensibly.
n Medicines should not be disposed of via
waste-water or household waste. Ask your
pharmacist how to dispose of medicines
no longer required. These measures will
help to protect the environment.

6 Further information

What’s in this medicine?
The active ingredient is: Nicotine.
Other ingredients are: ß-cyclodextrin,
crospovidone, colloidal silica and magnesium
stearate.
What the medicine looks like
Nicorette Microtab is blister packed in sheets
of 10 microtabs, and is available in cartons
containing 10, 20, 30, 90, 100, 150 or 210
microtabs.
Not all pack sizes may be marketed.



Who makes Nicorette Microtab?
The Product Licence holder is McNeil
Products Ltd, Maidenhead, Berkshire, SL6
3UG, UK.
The manufacturer is McNeil AB,
Helsingborg, Sweden.
This leaflet was revised in February 2012. ©
Information about Nicorette
ActiveStop
Nicorette ActiveStop is a personalised
support programme which works with
Nicorette to support you, with the aim of
helping you give up smoking.
All you need is internet access.
Call 0800 244 838 for information

Expand view ⇕

Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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