NICORETTE 2MG GUM

Active substance: NICOTINE - RESIN COMPLEX

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cravings. If you smoke more than 20 cigarettes
a day, 4 mg nicotine gum may be more
appropriate.

2 mg and 4 mg Gum
Nicotine chewing gum
What you should know about
nicorette® 2 mg Gum
(2 mg nicotine chewing gum)

nicorette® 4 mg Gum
(4 mg nicotine chewing gum)
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 the medicine is for

Nicorette Gum is a nicotine replacement
therapy (NRT). It is used to relieve and/or
prevent withdrawal symptoms and reduce the
cravings you get when you try to stop smoking,
or when cutting down the number of
cigarettes you smoke.
Nicorette Gum can also be used when you are
pregnant or breast-feeding to help you stop
smoking, as the risks to your baby are far less
than if you continue to smoke. For more
information, see ”If you are pregnant or
breast-feeding” section.
Ideally you should always aim to stop smoking.
You can use Nicorette Gum to achieve this by
using it to completely replace all your
cigarettes. However Nicorette Gum can also be
used in other ways,
 if you feel unable to stop smoking completely,
or wish to replace certain cigarettes and
therefore it can help you to cut down the
number of cigarettes you smoke,
 at those times when you can’t or do not
want to smoke. For example,
- Where you don’t want to smoke and avoid
harm to others e.g children or family.
- Smoke free areas e.g Pub, work, public
transport e.g aeroplanes.
It may also help increase your motivation to quit.
When making a quit attempt a behavioural
support programme will increase your chances
of success. Details of Nicorette ActiveStop are
at the end of this leaflet.
If you smoke 20 or fewer cigarettes a day, the
2 mg nicotine gum will help relieve your

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 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.
 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.
 if you have a stomach ulcer, duodenal ulcer,
inflammation of the stomach or
inflammation of the oesophagus (passage
between the mouth and stomach).
 if you have liver or kidney disease.
 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.
 if you have diabetes – monitor your blood
sugar levels more often when starting to use
Nicorette Gum as you may find your insulin
or medication requirements alter.
 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.

What does Nicorette Gum do?
When you stop smoking, or cut down the
number of cigarettes you smoke, 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 chew Nicorette Gum, nicotine is
released and passes into your body through
the lining of your mouth. The nicotine released
from the gum is sufficient to relieve the
unpleasant withdrawal symptoms. It will also
help to stop the craving to smoke, but
Nicorette Gum will not give you the “buzz’’
you get from smoking a cigarette.
Benefits you can get from using NRT instead of
smoking
For the best effect, make sure you chew
Nicorette Gum correctly. See ”How to chew
Nicorette Gum – the Nicorette Chewing
Technique”.
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.
 You may think that smoking helps relieve
feelings of anxiety and stress, but it does not
deal with the cause of the stress and leads to
a number of serious diseases. In addition, the
feeling of relaxation after smoking is
temporary, with withdrawal symptoms and
cravings soon returning.
Nicotine replacement therapy can help relieve
nicotine withdrawal symptoms such as
irritability, low mood, anxiety, restlessness and
cravings when used in place of cigarettes.
 NRT may benefit smokers who want to quit,
by helping to control weight gain that may
be experienced when trying to stop
smoking.
Use of NRT is safer than smoking tobacco but
as soon as you are ready, you should aim to
stop smoking completely.

2 Before using this medicine
X Do not use Nicorette Gum:
 If you are a child under 12 years of age.
 if you have an allergy to nicotine or any of
the other ingredients.

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Some of the ingredients can cause
problems
 The chewing gum base contains butylated
hydroxy toluene (E321), an anti-oxidant. May
cause local skin reactions (e.g. contact
dermatitis) or irritation to the eyes and
mucous membranes.
 Nicorette Gum contains sorbitol. If you have
been told by your doctor that you have an
intolerance to some sugars, talk to your
doctor before taking this medicine.

!

smoking, however you should talk to your
doctor, nurse or pharmacist for advice.
Products that are used intermittently, including
Nicorette Gum 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:
1) Firstly, you should try to give up smoking
without NRT.
2) Secondly, 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 Gum
to ensure 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.

Talk to your doctor, nurse or
pharmacist…

If you are pregnant or
breast-feeding

If you are pregnant:
1) Firstly, you should try to give up smoking
without NRT. Stopping completely is by far the
best option. The earlier and quicker you do
this the better it is for you and your baby.
2) Secondly, if you can’t manage this, you can
use NRT as a safer alternative to smoking as
the risks to your baby are far less than

3 How and when to use this
medicine
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When to use Nicorette Gum
The following sections contain the dosage
information for Nicorette Gum. This shows the
number of gums you should be using, 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 this information carefully and then
go to the “How to stop smoking” section,
which will help you decide which method to
use to give up smoking.
 Use the “How to chew Nicorette Gum – the
Nicorette Chewing Technique” instructions
which follow. The method of chewing is NOT
the same as that for ordinary chewing gum.
This way of chewing ensures that the
nicotine is correctly released from the gum.
 The number of Nicorette Gums you use each
day will depend on how many cigarettes you
smoked and how strong they are. See the
dosing table to find out the dose you should
take.
 The 2 mg gums should be used by people
who smoke 20 or fewer cigarettes each day
or by heavier smokers when they are cutting
down the number and strength of the
Nicorette gums they are using.

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many cigarettes as possible with Nicorette Gum.
There are toxins in cigarettes that can cause
harm to your body. Nicorette Gum provides a
safer alternative to smoking, for both you and
those around you. Reducing the number of
cigarettes may also help you to become more
motivated to stop smoking. As soon as you are
ready you should aim to stop smoking completely.
You can also use Nicorette Gum on those
occasions when you can’t or don’t want to
smoke e.g. Social situations such as a party, in
the pub or when at work.
When making a quit attempt behavioural
therapy, advice and support will normally
improve the success rate. If you have quit
smoking and want to stop using Nicorette Gum
but are finding this difficult you should contact
your doctor, nurse or pharmacist for advice.

 The 4 mg gums should be used by people
who smoke more than 20 cigarettes per day.
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Children under 12 years

Do not give this product to children under 12
years.

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Adults and Children 12 years and
over

Number of
cigarettes you
smoke per day
20 cigarettes
or fewer
More than
20 cigarettes

Dose of Gums
One 2 mg gum as
required to relieve cravings.
One 4 mg gum as
required to relieve cravings.

 Use only one piece of gum at a time.
 Do not use more than 15 gums per day.
 The frequency with which you use the gums will
depend on how many cigarettes you smoked and
how strong they were.
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The Nicorette Chewing Technique
1. Chew slowly until taste becomes strong.
2. Rest between gum and cheek.
3. Chew again when the taste has faded.
 Keep chewing like this for about half an hour.
After this time the gum will have lost its
strength and you should dispose of it carefully.

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How to stop smoking
If you are able to stop smoking you should use
Nicorette Gum, when needed, in place of
cigarettes. As soon as you can (this could be
after a number of weeks or months) you
should reduce the number of gums you use
until you have stopped using them completely.
If you are unable to stop smoking, or do not feel
ready to quit at this time, you should replace as

If you have used too many gums
If you have used more than the recommended
dosage you may experience nausea (feeling
sick), salivation, pain in your abdomen,
diarrhoea, sweating, headache, dizziness,
hearing disturbance or weakness.
➤ 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.

How to chew Nicorette Gum – the
Nicorette Chewing Technique
The method of chewing Nicorette Gum is not
the same as for ordinary chewing gum.
Nicorette Gum is chewed to release nicotine
then rested so that nicotine can be taken in
through the lining of the mouth. If Nicorette
Gum is chewed continuously, the nicotine is
released too quickly and is swallowed. This may
irritate your throat, upset your stomach or give
you hiccups.
If you have false teeth you may have difficulty
chewing the gum as Nicorette Gum could stick
to them and on rare occasions, damage
dentures. If you experience a problem, other
types of nicotine replacement therapy such as a
skin patch, inhalator or microtab may be more
suitable for you.

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If a child has used or swallowed the
gums
➤ Contact a doctor or your nearest hospital
Accident and Emergency department
immediately if a child under 12 years uses,
chews or swallows this medicine. 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 Gum 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 under use Nicorette Gum before
you are ready to reduce your nicotine intake.
!

These effects include:
 irritability or aggression
 feeling low
 anxiety
 restlessness

 poor concentration
 increased appetite or weight gain
 urges to smoke (craving)
 night time awakening or sleep disturbance
 lowering of heart rate

Effects of too much nicotine

You may also get these effects if you are not used
to inhaling tobacco smoke.
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These effects include:
 feeling faint
 feeling sick (nausea)
 headache
 hiccuping (due to excessive swallowing of
nicotine)

Side-effects of Nicorette Gum

Nicorette Gum can sometimes cause a slight
irritation of the throat at the start of the
treatment. It may also cause increased salivation.
The gum may occasionally stick to dentures and in
rare cases damage them.

Very common side-effects:

(more than 1 in every 10 people are affected)
 headache
 sore mouth or throat
 jaw-muscle ache
 stomach discomfort
 feeling sick (nausea)
 hiccups

Common side-effects:

(less than 1 in every 10 people are affected)
 dizziness
 sickness (vomiting)

Uncommon side-effects:

(less than 1 in every 100 people are affected)
 hives (urticaria)
 redness or itching of the skin
 chest palpitations

Rare side-effects:

(less than 1 in 1,000 people are affected)
 allergic reactions (swelling of the mouth,
lips, throat and tongue, itching of the skin,
swelling of skin, ulceration and inflammation
of the lining of the mouth)

Very rare side-effects:

(less than 1 in 10,000 people are affected)
 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
 Keep Nicorette Gum out of reach and sight of
children and animals. Nicotine in high doses
can be very dangerous and sometimes fatal if
taken by small children.
 Do not store Nicorette Gum above 25°C.
 Do not use the gum after the ‘Use before’ date
on the box or blister strip.
 Dispose of Nicorette Gum sensibly.
 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 in Nicorette 2 mg Gum is
2 mg Nicotine
The active ingredient in Nicorette 4 mg Gum is
4 mg Nicotine
Other ingredients are: Chewing gum base,
sorbitol, sodium carbonate, flavourings, polacrilin,
glycerol and talc.
The chewing gum base contains butylated hydroxy
toluene (E321), an anti-oxidant.
The 2 mg gum also contains sodium bicarbonate.
The 4 mg gum also contains quinoline yellow
(E104) (yellow colour).
The gum does not contain sugar (sucrose) or
animal products.

What the medicine looks like

The gums are blister packed in sheets of 6 or 15
and supplied in packs of packs of 6, 15, 30, 105 or
210 pieces. Not all pack sizes may be marketed.

Who makes Nicorette Gum?

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 December 2011. ©

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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