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NICORETTE PATCH 5MG
Personalised support programme
Enrol on the internet or call
now on 0800 244 838.
A guide for users
What you should know about
15 mg Patch
10 mg Patch
5 mg Patch
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.
In this leaflet
I Do not use Nicorette Patch page 6
I Talk to your doctor, nurse or pharmacist page 6
I If you are pregnant or breast-feeding page 7
3 How and when to use this medicine page 9
I How to use Nicorette Patch page 9
I When to use Nicorette Patch page 11
I How to stop smoking: page 13
I Adults aged 18 years and over
I Children aged 12 years and over
I If you have used too many Nicorette patches page 16
I If a child has used or swallowed the patches page 17
4 Possible side-effects page 17
5 Storing and disposal page 21
6 Further information page 22
1 What this medicine is for page 4
7 Helpful tips on giving up page 23
2 Before using this medicine page 6
8 Nicorette ActiveStop page 30
1 What this medicine is for
Nicorette Patch 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.
To help quit smoking you should also try to use a
behavioural support programme to increase your
chances of success. Details of Nicorette ActiveStop
are shown in Section 8 of this booklet.
Nicorette® 15 mg Patch: Each patch releases
15 milligrams of nicotine, the active ingredient,
over 16 hours.
Nicorette® 10 mg Patch: Each patch releases
10 milligrams of nicotine, the active ingredient,
over 16 hours.
Nicorette® 5 mg Patch: Each patch releases
5 milligrams of nicotine, the active ingredient,
over 16 hours.
What does Nicorette Patch 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 apply a Nicorette Patch to the skin,
nicotine is released and passes into your body
through the skin. 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 Patch:
I if you have an allergy to nicotine or any of the
alk to your doctor, nurse or pharmacist…
I 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 page 7 If you are pregnant
I 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.
I if you have liver or kidney disease.
I 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.
I if you have diabetes – monitor your blood sugar
levels more often when starting to use Nicorette
Patches as you may find your insulin or medication
I if you have a skin disorder such as psoriasis, eczema
or hives (urticaria) covering a large area of your skin.
I 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
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 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 Patch to
ensure that the baby gets the smallest amount of
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 Patch
Follow the instructions below.
Choosing where to apply the patch
1 Before applying your Nicorette Patch, choose
a completely clean, dry area of hairless skin on
the front or side of the chest, upper arm or hip.
2 Avoid placing the patch onto any area of skin
that is red, cut or irritated.
3 Do not apply oil or talcum powder to the skin
before putting on the patch as this may prevent
it from sticking properly.
4 It is important that you do not use the same area on
two consecutive days to help avoid irritating that site.
3 The patch should then be disposed of carefully in
the household rubbish, out of reach of children
How to apply the patch
1 Each Nicorette Patch comes in a child resistant sachet
which can be opened by cutting along the edge with
a pair of scissors.
2 Remove the patch from its sachet and then remove
the clear plastic backing.
3 Apply the patch firmly by pressing the sticky side of
the patch to the chosen area of skin. Run your finger
around the edge of the patch to ensure it sticks
Removing and disposing of the patch
1 The patch should be removed before you go to
bed as Nicorette Patch is not designed to be worn
when you go to sleep at night or for more than
16 hours each day.
2 After removal, the patch should be folded in half,
sticky side inwards and placed inside the opened
sachet or a piece of aluminium foil.
When to use the Nicorette Patch
Below is the dosage information for the Nicorette
Patch. This shows the number of patches you should
be using, when you should use them and 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 shows
you how to give up.
I Depending on where you are in your treatment
programme, the strength of the patch that you are
using may differ. See the “How to stop smoking”
section on page 13 for more information.
I However all patches are used and applied in the
Children under 12 years
Do not give this product to children under 12 years.
Adults and Children aged 12 years
12 years and
• Apply one new patch (of appropriate
strength) to the skin when you wake
up (usually in the morning).
• Remove 16 hours later which is
usually at bed time.
• Do not use more than one patch at a time.
• If you lose a patch whilst swimming, bathing or
showering you can replace it with another patch.
• Dispose of the patches carefully after you have removed,
ensuring they are out of the reach of children and pets.
• Children aged 12 years 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 longer
than 9 months in total without asking for help and
advice from a doctor, nurse or pharmacist.
How to stop smoking
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.
If you find it hard to stop smoking using Nicorette
Patches, you are worried that you will start smoking
again without it or you find it difficult to reduce the
number of Nicorette Patches you are using, talk to your
doctor, nurse or pharmacist. Remember Nicorette
Patches are not intended as a substitute for smoking,
they are an aid to give up.
The idea is to stop smoking immediately and use the
patch to relieve the cravings to smoke. After achieving
this you then slowly reduce the amount of nicotine
that you are getting by switching to lower strength
patches. You then stop using the patches. You should
aim to do this within 12 weeks (3 months).
Adults aged 18 years and over
The following diagram shows the basic step by step
process. Make sure that you read the instructions for
each step in the information which follows.
Patch reduction guide
12 week programme
Step 1: Begin treatment with the highest strength
Nicorette 15 mg Patch the day after you stop
smoking completely. Use a new Nicorette
15 mg Patch each day for eight weeks.
Step 2: If you are successful and avoid smoking
during this eight week period, you should
then begin to reduce the amount of
nicotine you are getting by switching to a
lower strength patch.
You should switch from using the Nicorette
15 mg Patch each day to using the Nicorette
10 mg Patch each day for two weeks.
Step 3: If you are successful and avoid smoking over
this two week period, then switch from the
Nicorette 10 mg Patch to the Nicorette 5 mg
Patch each day for a further two weeks.
® You might feel a sudden craving to smoke long after
you have given up smoking and stopped using
Nicorette Patch. Remember you can use nicotine
replacement therapy again if this should happen. 15
® Do not use for more than 9 months in total without
asking for help and advice from a doctor, nurse or
Children 12 years and over
Children can follow the same method as Adults,
however they should not use NRT for longer than
12 weeks without asking for help and advice from
a doctor, nurse or pharmacist.
If you have used too many Nicorette Patches
If you have used more than the recommended dosage
of Nicorette Patch, left the patch on for too long or
have smoked whilst using Nicorette Patch, you may
experience nausea, 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
® 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 inhalation or ingestion by a child may
result in severe poisoning.
4 Possible side-effects
Like all medicines, Nicorette Patch 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
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 Patch
before you are ready to reduce your nicotine intake.
These effects include:
I irritability or aggression
I feeling low
I poor concentration
I increased appetite or weight gain
I urges to smoke (craving)
I night time awakening or sleep disturbance
I 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:
I feeling faint
I feeling sick (nausea)
Side-effects of Nicorette Patch
When you use the Nicorette Patch for the first time
it may cause a mild skin reaction. This is usually
redness or itching of the skin where the patch has
been. This will usually disappear after a few days.
Rarely the reaction may persist or if there is a more
severe skin reaction, you should stop using the
patches and consult doctor, nurse or pharmacist.
Very common side-effects
(more than 1 in every 10 people are affected)
I itching – this usually disappears within a few days
(less than 1 in every 10 people are affected)
I stomach discomfort
I feeling sick (nausea)
I sickness (vomiting)
I redness of the skin – this usually disappears
within a few days
(less than 1 in every 100 people are affected)
I hives (urticaria)
I chest palpitations
Very rare side-effects:
(less than 1 in 10,000 people are affected)
I abnormal beating of the heart
® If you notice these or any other unwanted effects
not listed in this leaflet tell your doctor, nurse or
When you stop smoking you may also develop
mouth ulcers. The reason why this happens is
5 Storing and disposal
I Keep Nicorette Patch 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.
I Do not store Nicorette Patch above 30°C.
I Do not use a Nicorette Patch after the ‘Use
before’ date shown on the carton or sachet.
I Dispose of Nicorette Patch as directed by folding
it in half and placing inside the empty sachet (or
wrapping in a piece of aluminium foil) before
throwing away. Always dispose used Nicorette
Patches sensibly, away from the reach of children
Who makes Nicorette Patch?
6 Further information
The Product Licence holder is McNeil Products Ltd,
Maidenhead, Berkshire, SL6 3UG, UK.
The manufacturer is McNeil AB, Helsingborg,
What’s in this medicine?
This leaflet was revised in January 2008. ©
The active ingredient is: Nicotine.
Other ingredients are: Medium molecular weight
polyisobutylene, low molecular weight
polyisobutylene, polybutylene, polyester non-woven
backing film, siliconised polyester release liner.
What the medicine looks like
Nicorette Patch is packed into individual sachets
and supplied in packs of 2 patches (Nicorette 15 mg
Patch only) or 7 patches.
7 Helpful tips on giving up
You may have tried to stop smoking before and you
know from bitter experience that it’s not easy to give
up cigarettes. However, you have now taken the first
constructive step towards becoming a non-smoker. In
overcoming your tobacco dependence you will have
to tackle two problems:
1 Your smoking habit.
2 Your addiction to nicotine.
The overriding success factor in quitting is how
determined you are. The first few weeks of quitting
will probably be the most difficult because your
smoking ritual is still fresh in your mind. However,
you will find that as time goes by, your willpower
becomes stronger. Telling friends, family and work
colleagues that you have quit smoking and that you
envisage a tough time ahead will encourage them to
1 Pick the right day
There is never a perfect time to give up smoking, but
you should plan ahead by choosing a date in the not
too distant future on which you are going to give up
cigarettes completely. This is your Quit Day. Try to
pick a day when you will not be too stressed.
2 Break your routine
For a number of years you will have become
accustomed to smoking at certain times, with
particular people or in certain situations. Think about
the times you will miss smoking the most and plan
how you will cope on these occasions. Changing your
routine will help you break the habit of smoking.
3 Quit with a friend
Quitting with a fellow smoker is a good idea. It will
strengthen your resolve and build on your
determination. Encourage a friend or family member
to quit with you. It will give your morale a boost
since there will be another person knowing exactly
what you’re feeling and with whom you can share
your resolve to quit smoking.
4 Remove any temptation
To help yourself succeed be sure to remove all
cigarettes, matches, lighters etc. from your home,
car and work. Ask your friends and colleagues not to
offer you cigarettes or smoke close by you but be
careful not to offend them. Explain that you have
given up. This type of support from friends is of
greatest benefit for the first couple of weeks of
quitting, as this is your most vulnerable time. The last
thing you want is a cigarette close at hand in a
moment of weakness.
5 Take one day at a time
When you reach your Quit Day, don’t allow yourself
to think that you’re quitting for good. That will
make it seem like a superhuman task. Just promise
yourself “I won’t have a cigarette today” and take it
one day at a time. You’ll be surprised how much that
little thought helps.
6 Distract yourself
Whenever you feel the urge to smoke coming on,
distract yourself by keeping active. Don’t feel sorry
for yourself. Get up and do something. Do that job
around the house or garden that you’ve been
putting off or take up a hobby. Remember that the
craving only lasts a few minutes.
7 Learn to relax
Once you have stopped smoking, taking exercise
regularly will not only help you get fitter but will
encourage you to relax. Exercise has the ability to
relieve stress and tension. Taken regularly it will
benefit you physically and psychologically.
If you haven’t exercised for some time, take it slowly
to begin with and increase the amount of time spent
exercising over the course of a few weeks. Not only
will exercising help you relax but it also helps to
keep your weight under control, which some people
find a problem when quitting.
8 Think cash not ash
One of the really noticeable benefits of ‘stopping’
is the extra cash that’s suddenly available. To
emphasise the point put the money into a pot
marked ‘cash not ash’ and watch it accumulate.
But be sure to use the money to treat yourself.
You deserve a reward for not smoking.
9 Dealing with relapses
You might find that in times of stress, reaching for
a cigarette is the only thing that will help you
through. There may also be certain situations –
particularly social situations such as a party or in
the pub – where temptation just gets the better of
you, so you smoke one or two cigarettes. You
might feel that your only option is to go back to
smoking. Don’t think of it as having failed, just
think through the reasons why you wanted to quit
in the first place and don’t let those couple of
cigarettes get the better of you. Refer back to your
plan and start again. You can beat it!
For further information
Read about Nicorette ActiveStop on the next few
pages. This 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 and a mobile telephone.
10 If you don’t succeed
Giving up is more difficult for some people than others.
If you fail to stop first time, don’t be disheartened.
Try again at a later date – you can do it! Remember
the most successful long term ex-smokers have usually
had to try several times to stop smoking – if you
28 don’t succeed – quit quit again.
How can ActiveStop help me?
® Nicorette ActiveStop is an advanced, interactive
Personalised support programme
Enrol on the internet or call
now on 0800 244 838.
online programme with mobile phone support. It
has been devised by experts and is based on proven
scientific principles, to help you give up smoking for
It has been specially designed to be used alongside
Nicorette and is on hand 24 hours a day through
the internet and your mobile phone.
Nicorette works with your body to help you deal
with the physical craving for nicotine, whilst
ActiveStop gives you practical daily support coaching
you all the way until you've stopped smoking.
Call now on 0800 244 838.
What will I get?
On your personalised ActiveStop web pages you’ll have
Through a series of daily tasks, we’ll guide you through
managing your thoughts, feelings and behaviour and
how you can plan each day so that you are ready to face
And the Craving Help-Line
If ever you feel the urge to smoke you can call anytime day
or night and by selecting the kind of problem you are
experiencing, you’ll be able to listen to relevant, on-thespot advice.
Call now on 0800 244 838.
The Progress Monitor brings together all of the headway
you are making in one easy-to-view place. From how much
money you’re saving, to health facts and fitness levels, it
will keep you motivated throughout the programme.
Daily articles cover a range of topics from the changes
your body is undergoing to tips to cope with the
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.