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Active substance(s): NICOTINE

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QuickMist 1mg/spray mouthspray

What should you know
about nicorette® QuickMist
(nicotine 1 mg per spray)
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 sideeffects, have any questions or are
not sure about anything please ask
your doctor, nurse or pharmacist.

QuickMist 1mg/spray mouthspray


1 What this medicine is for
NICORETTE® QuickMist 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.
Ideally you should always aim to stop
smoking. You can use NICORETTE®
mouthspray to achieve this by using
it to completely replace all your
However NICORETTE® mouthspray
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
and do not want to smoke. For
- 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.
are at the end of this leaflet.

What does NICORETTE® QuickMist 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® QuickMist,
nicotine passes rapidly into your body
through the lining of your mouth.
This relieves the unpleasant 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.
For the best effect, ensure that you
use NICORETTE® QuickMist correctly –
see “How to Use NICORETTE®
Benefits you can get from using NRT
instead of smoking
For the best effect, ensure that you
use nicorette mouthspray correctly –
see “How to Use NICORETTE®
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 diseases 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
Nicotine replacement therapy can
help relieve nicotine withdrawal
symptoms such as irritability, low
mood, anxiety, restlessness and
cravings when used in place of
 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

2 Before using this
X Do

not use nicorette®

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

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”

 if you are in hospital because of
heart disease (including heart attack,
chest pain, 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
 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® QuickMist
as you may find your insulin or
medication requirements alter.
 if you are taking any other medicines
such as theophylline, clozapine or
ropinirole. Stopping smoking may
require the dose of these medicines
to be adjusted.
➤ If any of these apply, talk to your
doctor, nurse or pharmacist.

Important information about
some of the ingredients
NICORETTE® QuickMist contains small
amounts of ethanol (alcohol), less
than 100 mg per spray.


smoke produces breathing and other
problems in babies and children.

If you are pregnant or
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® mouthspray
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® mouthspray 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

3 How and when to use
this medicine
Follow the instructions and study the
pictures below to ensure you use
NICORETTE® QuickMist correctly.
Care should be taken not to spray the
eyes whilst administering the spray.








1. Use your thumb to slide
down the e
button (a) until it can be pushed
lightly inwards (b). Do not push too
2. While pushing in, slide upwards (c)
to unlock the top of the dispenser.
Then release the button.

How to use nicorette®



Opening nicorette®


used the spray for 2 days, you must
first prime the spray pump.
 Point the spray safely away from you
and any other adults, children or
pets that are near you.
 Press the top of the QuickMist with
your index finger 3 times until a fine
spray appears.
Note: priming reduces the number of
sprays you may get from NICORETTE®

3. Point the spray nozzle towards your
open mouth and hold it as close to
your mouth as possible.
4. Press the top of the dispenser to
release one spray into your mouth.
Do not inhale while spraying to avoid
gettinga spray down your throat. For
best results, do not swallow
for a b
few seconds after spraying.





How to close nicorette®



Priming nicorette® QuickMist
If you are using NICORETTE® QuickMist
for the first time or if you have not

5. Slide the button down (d) until it can
be pushed inwards (e)
6. While pushing in, slide the top of the
dispenser downwards (f). Release the
button. The QuickMist spray is now
turn over 




Close the QuickMist spray every time
after use to prevent use of the spray
by children and accidental spraying.
Care should be taken not to spray
the eyes whilst administering the
mouthspray. If you get spray in your
eye(s), rinse thoroughly with water.
Do not eat or drink when
administering the mouthspray.

mouthspray but are finding this
difficult you should contact your
doctor, nurse or pharmacist for advice.

information for nicorette®

When to use nicorette®


If you are able to stop smoking you
should use the mouthspray, when
needed, in place of cigarettes. As soon
you can (this could be after a number
of weeks or months) you should reduce
the number of sprays 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 the
mouthspray. There are toxins in
cigarettes that can cause harm to
your body. NICORETTE® QuickMist
provides a safer alternative to smoking,
for both you and those around you.
Reducing the amount 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 the mouthspray 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 the

Below is the dosage


Children under 12 years
Do not give this product to children
under 12 years.
Adults and children aged

12 years and over
Age Dosage
Adults and
children aged 12
years and over

 It is important to use enough
nicotine spray to control
 Use one spray first when you
would normally smoke a
cigarette or have cravings to
 If your cravings do not
disappear within a few
minutes use a second spray.
 If 2 sprays are required to
control cravings, future
doses may be delivered as
2 consecutive sprays.
 Most smokers will require
1 - 2 sprays every 30 minutes
to 1 hour.
 Do not use more than 2 sprays
per dose or 4 sprays every
hour. Do not use more than 64
sprays per day – this is
equivalent to 4 sprays per
hour for 16 hours.

diarrhoea, sweating, headache,
dizziness, hearing disturbance or
 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.

swallowed nicorette®
➤ Contact a doctor or your nearest
hospital Accident and Emergency
department immediately if a child
under 12 years uses 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®
QuickMist 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® QuickMist
before you are ready to reduce your
nicotine intake.

 Do not use more than 2 sprays per dose or more
than 64 sprays per day – this is equivalent to 4 sprays
every hour for 16 hours.


If you have used too much

nicorette® QuickMist

If you have used more than the
recommended amount of NICORETTE®
QuickMist or have smoked whilst
using NICORETTE® QuickMist, you
may experience nausea (feeling sick),
salivation, pain in your abdomen,

If a child has used or


These effects include:
 irritability or aggression
 impatient or frustrated
 feeling low

 anxiety
 restlessness
 poor concentration
 increased appetite or weight gain
 urges to smoke (craving)
 night time awakening or sleep
 lowering of heart rate
 constipation
 bleeding gums
 dizziness or light-headedness
 sore throat, stuffy or runny nose
➤ When you stop smoking you may
also develop mouth ulcers, cough
and/or symptoms of a common cold.
The reason why this happens is

Side-effects for nicorette®

If you notice any of the following
allergic reactions (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) stop taking
NICORETTE® QuickMist and contact a
doctor immediately.

Very common side-effects:

(may affect more than 1 in 10 people):
 hiccups (these are particularly
 throat irritation
 headache
 feeling sick (nausea)
 cough

Common side-effects:

(may affect up to 1 in 10 people):
 allergic reactions (hypersensitivity)
 burning sensation in the mouth

 dizziness
 taste disturbance or loss of taste
 tingling or numbness of the hands
and feet
 toothache
 stomach pain or discomfort
 excessive gas or wind
 vomiting
 dry mouth
 indigestion
 diarrhoea
 tiredness (fatigue)
 sore and inflamed mouth
 increased salivation

Uncommon side-effects:

(may affect up to 1 in 100 people):
 abnormal dream
 palpitations
 fast heart rate/beat
 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
 shortness of breath
 loss or damage to voice
 throat tightness
 burping (belching)
 swollen red sore tongue
 mouth ulcers or blisters
 numbness or tingling of the mouth
 excessive sweating
 itching
 rash
 hives (urticaria)
 unusual weakness
 chest discomfort and pain

 jaw muscle ache
 general feeling of discomfort or
being unwell or out of sorts
 dry skin
 muscle and bone pain
 mouth and throat pain
 sneezing
 runny nose
 blocked nose
 inflammation of the gums

Rare side-effects

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

The following side-effects
may also occur:

Other side-effects can include:
 abnormal beating of the heart
 serious allergic reactions which
cause difficulty in breathing or
dizziness, swelling of the face or
 blurred vison, watery eyes
 dry throat, lip pain
 stomach discomfort
 redness of the skin
 muscle tightness
➤ 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:
By reporting side-effects you can help
provide more information on the

safety of this medicine.
The following details are applicable
for Malta:
ADR Reporting
The Medicines Authority
Post-Licensing Directorate
203 Level 3, Rue D’Argens
GŻR-1368 Gżira

5 Storing and disposal
 Keep NICORETTE® QuickMist 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 above 25°C.
 Do not use NICORETTE® QuickMist
after the ’Use before’ date shown on
the back on the pack.
 Dispose of used NICORETTE® QuickMist
sensibly and away from children and
animals. Medicines should not be
disposed of via wastewater or
household waste. Ask your
pharmacist how to dispose of
medicines no longer required. These
measures will help to protect the

6 Further information
What’s in this medicine?

The active ingredient is nicotine.
Other ingredients are: propylene
glycol, anhydrous ethanol,
trometamol, poloxamer 407,
glycerol, sodium hydrogen carbonate,
levomenthol, mint flavour, cooling
flavour, sucralose, acesulfame


potassium, hydrochloric acid,
purified water.

What the medicine looks

NICORETTE® QuickMist consists of a
plastic bottle of solution held in a
dispenser with a mechanical spray
Each bottle contains 13.2 ml of
solution which provides at least 150
sprays, each spray containing 1mg
NICORETTE® QuickMist is supplied in
packs of either 1 or 2 dispensers.
Not all pack sizes may be marketed.

Who makes nicorette®

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
December 2015. ©

Information about nicorette®
support programme which works
with NICORETTE® to support you,
with the aim of helping you give up
All you need is internet access or
download the NICORETTE® Stop
Smoking App.

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.