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BOOTS NICASSIST ICE MINT 4 MG GUM

Active substance(s): NICOTINE RESINATE / NICOTINE RESINATE / NICOTINE RESINATE

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Brand: Nicorette
Product: Gum_2_4mg_CEM_leaflet
BRAND
Component code: 651531
NICORETTE
Version number: LKL-j PRODUCT
Gum 2/4mg CEM Leaflet
Dimension: 312 x 284 mm
COMPONENT CODE
Text font: 9 pt
651531

DESIGN

SPRUCE

COLOR

BLACK

VERSION

LKL-j

REPLACED COMP CODE

651376

PMS 355

MARKET

GB

DIELINE / TECH DRAWING REFERENCE

CH020032

312x284

9 pt

ADDITIONAL
INFORMATION

PDD McNeil, HBG, SWE

June 22, 2017 13:00:35

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.

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

nicorette® icy white 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 this 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.
If you smoke 20 or fewer cigarettes a day, the
2 mg nicotine gum will help relieve your cravings.
If you smoke more than 20 cigarettes a day, the
4 mg nicotine gum may be more appropriate.
®

2 Before using this medicine
X

 If you are a child under 12 years of age.
 if you have an allergy to nicotine or any of the
other ingredients.
!

Talk to your doctor, nurse or
pharmacist…

 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, angina, high blood pressure 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 apply, 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.
The gum contains a number of ingredients which
help remove dental staining, chewing NICORETTE®
gum will help improve the whiteness of your teeth.
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’’.

Do not use nicorette® gum:

!

Some of the ingredients can cause
problems

NICORETTE® icy white gums contain butylated
hydroxy toluene (E321), an anti-oxidant, which may
irritate your mouth.
!

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 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.

3 How and when to use this
medicine
i

When to use nicorette® gum

The table below contains the dosage
information for NICORETTE® gum. This shows the
number of gums you should be using, when and
how you should take them.
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.
 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.
 The 4 mg gums should be used by people who
smoke more than 20 cigarettes each day.

i

Children aged under 12 years

Do not give this product to children under 12 years.

i

Adults and Children 12 years and over
Number of
cigarettes you
smoke per day

Dose of Gums

20 cigarettes
or fewer

One 2 mg gum as
required to relieve cravings.

More than
20 cigarettes

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
i

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.
turn over ➤

icy white • 2mg gum • nicotine
NICORETTE® icy white gum relieves and/or
prevents withdrawal symptoms including cravings
experienced when trying to stop smoking or cutting
down on cigarettes. It provides a safer alternative to
smoking for both the individual and those around
them. Ideally you should aim to stop smoking.
However, this product can be used either to
completely replace all your cigarettes, or if you do not
feel ready to stop smoking completely, to replace
certain cigarettes and therefore help you to cut down.
It may also help increase your motivation to quit.
Directions: For adults and children 12 years and
over. Please read the attached leaflet carefully before
starting to use the product and note the chewing
technique. Chew one piece of gum when you feel the
urge to smoke. For NICORETTE® chewing technique
refer to top sliding lid of carton. Do not use more than
15 pieces a day.
Warning: Do not take more medicine than
the label tells you to.
If you are pregnant, or you need any other advice
before using this product, talk to your doctor,
pharmacist or nurse. Do not use if you are allergic
to any of the ingredients listed.
You are more likely to quit smoking when
using this product with help from your
pharmacist, doctor, a trained counsellor or a
support programme.

651531

i

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.

i

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
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.
!

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.
!

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.
!

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.
Those who suffer from indigestion may suffer from
heartburn or indigestion and may benefit from
slower chewing and use of the 2 mg gum.
The gum may occasionally stick to dentures and in
rare cases damage them.
If you notice any of the following; fast heart rate/
beat, abnormal beating of the heart, chest
palpitations, shortness of breath or allergic
reactions (swelling of the face, mouth, lips, throat
and tongue, itching of the skin, swelling of the skin,
ulceration and inflammation of the lining of the
mouth, difficulty in breathing and dizziness) stop
taking NICORETTE® gum and contact a doctor
immediately.
®

Very common side-effects:
(may affect more than 1 in 10 people):
 headache
 cough
 throat irritation
 (feeling sick) nausea
 hiccups
 sore mouth or throat

Common side-effects:
(may affect up to 1 in 10 people):
 allergic reactions (hypersensitivity)
 dizziness
 taste disturbance or loss of taste
 tingling or numbness of the hands and feet
 stomach pain or discomfort
 diarrhoea
 dry mouth
 excessive gas or wind
 increased salivation
 sore and inflamed mouth
 sickness (vomiting)
 indigestion
 burning sensation in the mouth
 tiredness (fatigue)

Uncommon side-effects:
(may affect up to 1 in 100 people):
 abnormal dream
 sudden reddening of the face and/or neck
 high blood pressure
 sudden constriction of the small airways of the
lung that can cause wheezing and shortness of
breath
 loss or damage to voice
 blocked nose, sneezing
 throat tightness
 burping (belching)
 swollen, red, sore tongue
 mouth ulcers or blisters
 numbness or tingling of the mouth
 unusual weakness
 chest discomfort and pain
 hives (urticaria)
 excessive sweating
 itching

 rash
 jaw-muscle ache
 general feeling of discomfort or being unwell or
out of sorts (malaise)

Rare side-effects:

(may affect up to 1 in 1,000 people):
 difficulty in swallowing
 decreased feeling or sensitivity, especially in the
mouth
 feeling of wanting to be sick (vomit)

Other side-effects can include:
 blurred vision, watery eyes
 dry throat, lip pain
 stomach discomfort
 redness of the skin
 muscle tightness
➤When you stop smoking you may also develop
mouth ulcers. The reason why this happens is
unknown.
➤If you get any side-effects, talk to your doctor,
pharmacist or nurse. This includes any
possible side-effects not listed in this leaflet.
You can also report side-effects directly via
the Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard
By reporting side-effects you can help
provide more information on the safety of this
medicine.

What the medicine looks like

NICORETTE® icy white 2 mg gum is a whitish
square coated piece of gum.
NICORETTE® icy white 4 mg gum is a crème
square coated piece of gum.
Pack types and pack sizes:
The gums are blister packed in sheets of 6, 10 or
15 and supplied in packs of 10, 12, 15, 30, 105
and 210 pieces.
The gums are loose-fill packed in a cardboard box,
wrapped in a transparent plastic film, containing 25
pieces and supplied in packs of 25, 100 (4x25) and
200 (8x25).
Not all pack types and 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 prepared in June 2017. ©

5 Storing and disposal

 Keep NICORETTE® gum out of the sight and
reach 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 25ºC.
 Do not use the gum after the ‘Use before’ date on
the box.
 For the gums in loose-filled cardboard boxes,
dispose of within 3 months of opening.
 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® icy white
2 mg gum is 2 mg Nicotine.
The active ingredient in NICORETTE® icy white
4 mg gum is 4 mg Nicotine.
Other ingredients are: Chewing gum base, xylitol,
peppermint oil, anhydrous sodium carbonate,
acesulfame potassium, levomenthol, magnesium
oxide, talc, winterfresh, hypromellose, sucralose,
polysorbate 80, starch, titanium dioxide (E171) and
carnauba wax. The chewing gum base contains
butylated hydroxy toluene (E321), an antioxidant.
The 2 mg gum also contains sodium hydrogen
carbonate.
The 4 mg gum also contains quinoline yellow
(E104) (yellow colour).
None of the gums contain sugar (sucrose) or
animal products.

651531

Brand: Nicorette
Product: Gum_2_4mg_CEM_leaflet
BRAND
Component code: 651532
NICORETTE
Version number: LKL-g PRODUCT
Gum 2-4 mg CEM Leaflet
Dimension: 560 x 180 mm
COMPONENT CODE
Text font: 9 pt
651532

DESIGN

SPRUCE

COLOR

BLACK

VERSION

LKL-g

REPLACED COMP CODE

651374

PMS 355

MARKET

GB

DIELINE / TECH DRAWING REFERENCE

CH020025

560x180mm

9 pt

ADDITIONAL
INFORMATION

PDD McNeil, HBG, SWE

June 22, 2017 09:06:20

- Where you don’t want to smoke and avoid harm to others
e.g children or family.

icy white 2 mg and 4 mg gum
Nicotine chewing gum
What you should know about
nicorette® icy white 2 mg gum

(2 mg nicotine chewing gum)

nicorette® icy white 4 mg gum

- 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.
If you smoke 20 or fewer cigarettes a day, the 2 mg nicotine
gum will help relieve your cravings.
If you smoke more than 20 cigarettes a day, the 4 mg
nicotine gum may be more appropriate.

(4 mg nicotine chewing gum)

What does nicorette® gum do?

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.

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.
The gum contains a number of ingredients which help
remove dental staining, chewing NICORETTE® gum will
help improve the whiteness of your teeth.
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.

1 What this 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,
®

n 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,
n at those times when you can’t or do not want to smoke.
For example,

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.

n 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

n 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:
n If you are a child under 12 years of age.
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,
angina, high blood pressure 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® gum 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.

3 How and when to use this medicine
i

Some of the ingredients can cause
problems

If you are pregnant or breast-feeding

If you are pregnant:

n The number of NICORETTE® gums you use each day will
depend on how many cigarettes you smoked and how
strong they are.

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 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.

i

i

Children aged under 12 years

Do not give this product to children under 12 years.

i

Adults and Children 12 years and over

Number of
cigarettes you
smoke per day

Dose of Gums

20 cigarettes
or fewer

One 2 mg gum as
required to relieve cravings.

More than
20 cigarettes

One 4 mg gum as
required to relieve cravings.

n Use only one piece of gum at a time.
n Do not use more than 15 gums per day.
n The frequency with which you use the gums will depend
on how many cigarettes you smoked and how strong
they were.

651532

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.

n 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.
n The 4 mg gums should be used by people who smoke
more than 20 cigarettes each day.

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.

n 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.

NICORETTE® icy white gums contain butylated hydroxy
toluene (E321), an anti-oxidant, which may irritate your
mouth.
!

When to use nicorette® gum

The table below contains the dosage information for
NICORETTE® gum. This shows the number of gums you
should be using, when and how you should take them.
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.

➤If any of these apply, talk to your doctor, nurse or
pharmacist.
!

i

n 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.
i

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 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.
turn over ➤

651532

!

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.

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

If you have used too many gums

Effects of too much nicotine

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.
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 the gums
n 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:

n irritability or aggression
n feeling low
n anxiety
n restlessness

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
n 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.
Those who suffer from indigestion may suffer from heartburn
or indigestion and may benefit from slower chewing and use
of the 2 mg gum.
The gum may occasionally stick to dentures and in rare
cases damage them.
If you notice any of the following; fast heart rate/beat,
abnormal beating of the heart, chest palpitations, shortness
of breath or allergic reactions (swelling of the face, mouth,
lips, throat and tongue, itching of the skin, swelling of the
skin, ulceration and inflammation of the lining of the
mouth, difficulty in breathing and dizziness) stop taking
NICORETTE® gum and contact a doctor immediately.
®

Very common side-effects:
(may affect more than 1 in 10 people):
n headache
n cough
n throat irritation
n (feeling sick) nausea
n hiccups
n sore mouth or throat

Common side-effects:

Rare side-effects:

(may affect up to 1 in 10 people):
n allergic reactions (hypersensitivity)
n dizziness
n taste disturbance or loss of taste
n tingling or numbness of the hands and feet
n stomach pain or discomfort
n diarrhoea
n dry mouth
n excessive gas or wind
n increased salivation
n sore and inflamed mouth
n sickness (vomiting)
n indigestion
n burning sensation in the mouth
n tiredness (fatigue)

(may affect up to 1 in 1,000 people):
n difficulty in swallowing
n decreased feeling or sensitivity, especially in the mouth
n feeling of wanting to be sick (vomit)

Uncommon side-effects:
(may affect up to 1 in 100 people):
n abnormal dream
n sudden reddening of the face and/or neck
n high blood pressure
n sudden constriction of the small airways of the lung that
can cause wheezing and shortness of breath
n loss or damage to voice
n blocked nose, sneezing
n throat tightness
n burping (belching)
n swollen, red, sore tongue
n mouth ulcers or blisters
n numbness or tingling of the mouth
n unusual weakness
n chest discomfort and pain
n hives (urticaria)
n excessive sweating
n itching
n rash
n jaw-muscle ache
n general feeling of discomfort or being unwell or out of
sorts (malaise)

Other side-effects can include:
n blurred vision, watery eyes
n dry throat, lip pain
n stomach discomfort
n redness of the skin
n muscle tightness
➤When you stop smoking you may also develop mouth
ulcers. The reason why this happens is unknown.
➤If you get any side-effects, talk to your doctor,
pharmacist or nurse. This includes any possible
side-effects not listed in this leaflet. You can also
report side-effects directly via the Yellow Card
Scheme at: www.mhra.gov.uk/yellowcard
By reporting side-effects you can help provide more
information on the safety of this medicine.

5 Storing and disposal
n Keep NICORETTE® gum out of the sight and reach 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® gum above 25°C.
n Do not use the gum after the ‘Use before’ date on the box
or blister strip.
n Dispose of NICORETTE® gum 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 in NICORETTE® icy white 2 mg gum is
2 mg Nicotine.
The active ingredient in NICORETTE® icy white 4 mg gum is
4 mg Nicotine.

Other ingredients are: Chewing gum base, xylitol,
peppermint oil, anhydrous sodium carbonate, acesulfame
potassium, levomenthol, magnesium oxide, talc, winterfresh,
hypromellose, sucralose, polysorbate 80, starch, titanium
dioxide (E171) and carnauba wax. The chewing gum base
contains butylated hydroxy toluene (E321), an antioxidant.
The 2 mg gum also contains sodium hydrogen carbonate.
The 4 mg gum also contains quinoline yellow (E104) (yellow
colour).
None of the gums contain sugar (sucrose) or animal
products.

What the medicine looks like
NICORETTE® icy white 2 mg gum is a whitish square
coated piece of gum.
NICORETTE® icy white 4 mg gum is a crème square coated
piece of gum.
Pack types and pack sizes:
The gums are blister-packed in sheets of 6, 10 or 15 and
supplied in packs of 10, 12, 15, 30, 105 and 210 pieces.
The gums are loose-filled packed in a cardboard box,
wrapped in a transparent plastic film, containing 25 pieces
and supplied in packs of 25, 100 (4x25) and 200 (8x25).
Not all pack types and 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 prepared in June 2017. ®

Expand Transcript

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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