nicotine (Inhalation route)Pronunciation
Commonly used brand name(s)
In the U.S.
- Nicorette Inhaler
Available Dosage Forms:
- Aerosol Powder
- Aerosol Liquid
Therapeutic Class: Smoking Cessation Agent
Pharmacologic Class: Cholinergic
Uses For nicotine
Nicotine inhaler is used to help you stop smoking. Nicotine is absorbed in the mouth and throat and enters the blood stream. This replaces the nicotine you would get from smoking and makes the withdrawal effects from not smoking less severe. The amount of nicotine is decreased over time until use is stopped.
nicotine is available only with your doctor's prescription.
Before Using nicotine
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For nicotine, the following should be considered:
Tell your doctor if you have ever had any unusual or allergic reaction to nicotine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Appropriate studies have not been performed on the relationship of age to the effects of inhaled nicotine in the pediatric population. Safety and efficacy have not been established. Small amounts of nicotine can cause serious unwanted effects in children, and the inhaler contains enough nicotine to cause problems, including used cartridges.
Although appropriate studies on the relationship of age to the effects of inhaled nicotine have not been performed in the geriatric population, no geriatric-specific problems have been documented to date. However, elderly patients are more likely to have age-related kidney, liver, or heart problems, which may require caution and an adjustment in the dose for patients receiving inhaled nicotine.
|All Trimesters||D||Studies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy in a life threatening situation or a serious disease, may outweigh the potential risk.|
Studies in women breastfeeding have demonstrated harmful infant effects. An alternative to this medication should be prescribed or you should stop breastfeeding while using nicotine.
Interactions with Medicines
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking nicotine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using nicotine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Interactions with Food/Tobacco/Alcohol
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Other Medical Problems
The presence of other medical problems may affect the use of nicotine. Make sure you tell your doctor if you have any other medical problems, especially:
- Angina (severe chest pain) or
- Asthma or
- Breathing problems or
- Buerger disease (circulation problem) or
- Diabetes (insulin-dependent) or
- Heart rhythm problems (eg, arrhythmia) or
- Hypertension (high blood pressure) or
- Hyperthyroidism (overactive thyroid) or
- Pheochromocytoma (adrenal problem) or
- Raynaud disease (circulation problem) or
- Stomach ulcer or
- Tachycardia (fast heart rate)—Use with caution. May make these conditions worse.
- Heart attack, history of or
- Heart or blood vessel disease—Use with caution. May cause side effects to become worse.
- Kidney disease, severe or
- Liver disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.
Proper Use of nicotine
Use nicotine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered.
nicotine should come with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.
You should stop smoking completely before you start using nicotine. Do not use any tobacco products during therapy. If you continue to smoke with the inhaler, you may have serious unwanted effects from nicotine.
It is also important to use a stop-smoking program that may include education, counseling, and psychological support. This may make it easier for you to stop smoking.
- The inhaler comes with a plastic mouthpiece and cartridges (small tubes) of nicotine. The cartridges are inserted into the mouthpiece.
- Use the inhaler at a room temperature above 60 degrees F.
- After inserting the cartridge, inhale or puff through the mouthpiece. The cartridge will last about 20 minutes with active puffing.
- When the cartridge is empty, take it out of the mouthpiece. Throw it away where children and pets cannot reach it.
- The mouthpiece can be reused. Wash it regularly with soap and water. Store it in the original plastic storage case.
The dose of nicotine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of nicotine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
- For oral inhalation dosage form (cartridge):
- To help you stop smoking:
- Adults—At first, use 6 cartridges per day. Your doctor may adjust the dose based on the number of cigarettes you smoke per day or based on how well you tolerate the medicine. However, the total dose is usually not more than 16 cartridges per day. Your dose will be gradually reduced before stopping treatment completely.
- Children—Use is not recommended.
- To help you stop smoking:
If you miss a dose of nicotine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any medicine you do not use.
When the cartridge is empty, take it out of the mouthpiece. Throw it away where children and pets cannot reach it.
The mouthpiece can be reused. Wash it regularly with soap and water. Store it in the original plastic storage case.
Precautions While Using nicotine
Do not smoke or use any tobacco products with the inhaler. If you continue to smoke or chew tobacco, you may have serious unwanted effects from nicotine. Call your doctor right away if you have dizziness, headaches, an upset stomach, drooling, vomiting, diarrhea, cold sweats, blurred vision, trouble hearing, confusion, fainting, or weakness.
Do not use any other nicotine products with the inhaler. This includes nicotine patches, lozenges, or gum. You may have serious unwanted effects if you use more than one nicotine product.
Pregnant women should only use nicotine as directed by a doctor. Cigarette smoke can seriously harm your child. Try to stop smoking without using medicine. The risks to your child from nicotine are not fully known.
Nicotine products must be kept out of the reach of children and pets. Small amounts of nicotine can cause serious unwanted effects in children, and a used cartridge may contain enough nicotine to cause problems. If the cartridge is touched by a child, contact your doctor or poison control center at once.
During the first week, your mouth or throat may feel irritated. Do not stop using the medicine. If you continue to use the inhaler, you should adjust to these effects. If the irritation does not get better after several weeks, check with your doctor.
Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.
nicotine Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:Less common
- Fast or irregular heartbeat
- fever with or without chills
- nausea with or without vomiting
- runny nose
- skin rash, itching, or hives
- tearing of the eyes
- tightness in the chest
- trouble breathing
Get emergency help immediately if any of the following symptoms of overdose occur:Symptoms of overdose
- Cold sweat
- convulsions (seizures)
- hearing and vision changes
- nausea and vomiting
- pale skin
- stomach pain
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:More common
- Acid or sour stomach
- mouth and throat irritation
- stomach discomfort, upset, or pain
- stuffy nose
- back pain
- change in taste
- feeling of burning, numbness, tightness, tingling, warmth, or heat
- muscle pain
- pain in the jaw and neck
- passing of gas
- teeth problems
- trouble sleeping
- unusual tiredness or weakness
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)
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