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NICOTINELL ICE MINT 4 MG MEDICATED CHEWING-GUM

Active substance(s): NICOTINE

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PACKAGE LEAFLET: INFORMATION FOR THE USER
Nicotinell Ice Mint 4 mg medicated chewing-gum
Nicotine
Read all of this leaflet carefully before you start taking this medicine because it contains
important information for you.
This medicine is available without prescription. However, you still need to use Nicotinell
Ice Mint 4 mg medicated chewing-gum carefully to get the best results from it.
Always take this medicine exactly as described in this leaflet or as your pharmacist has told
you.


Keep this leaflet. You may need to read it again.



Ask your pharmacist if you need more information or advice.



You must contact a doctor if you still need to use Nicotinell after 9 months.



If you get any side effects, talk to your doctor or pharmacist. This includes any possible
side effects not listed in this leaflet. See section 4.

In this leaflet:
1. What Nicotinell is and what it is used for
2. What you need to know before you take Nicotinell
3. How to take Nicotinell
4. Possible side effects
5. How to store Nicotinell
6. Contents of the pack and other information

1. What Nicotinell is and what it is used for
Nicotinell belongs to a group of medicines which are used to help you to stop smoking.
Nicotinell contains nicotine, which is one of the substances contained in tobacco.
When chewed, nicotine is released slowly and absorbed through the lining of the mouth.
This medicinal product is used to relieve the nicotine withdrawal symptoms in
nicotine dependency, as an aid to smoking cessation.
Patient counselling and support normally improve the success rate.

2. What you need to know before you take Nicotinell

Do not take Nicotinell
• If you are allergic (hypersensitive) to nicotine or any of the other ingredients of this
medicine (listed in section 6)


If you are a non-smoker.

Warnings and precautions
Talk to your doctor or pharmacist before taking Nicotinell if you have:











heart disease, e.g. heart attack, heart failure, angina, Prinzmetal’s angina or
abnormalities in heart beat rhythm,
had a “stroke” (cerebrovascular accident),
high blood pressure (uncontrolled hypertension),
problems with your circulation,
diabetes (monitor your blood sugar levels more often when starting to use Nicotinell
as you may find your insulin or medication requirements alter)
overactive thyroid glands (hyperthyroidism),
overactive adrenal glands (pheochromocytoma),
kidney or liver disease,
oesophagitis, inflammation in the mouth or throat, gastritis or peptic ulcer,
fructose intolerance.

Even small quantities of nicotine are dangerous in children and may result in
severe symptoms or death. It is therefore essential that you keep Nicotinell out of reach and
sight of children at all times
People having problems with the joint of the jawbone and some denture wearers
may experience difficulty in chewing the gum. If you do, it is recommended that you
use a different pharmaceutical form of nicotine replacement therapy. Ask your doctor or
pharmacist for advice.
Other medicines and Nicotinell
Please tell your doctor or pharmacist if you are taking, have recently taken or might
take any other medicines, including medicines obtained without a prescription. If you stop
smoking and if you are using other medicines, your doctor may want to adjust the dose.
No information is available on interactions between Nicotinell and other medicines.
However, apart from nicotine, other substances in cigarettes may have an effect on certain
medicine.
Stopping smoking can affect the action of certain medicines e.g.:







theophylline (a medicine used for the treatment of bronchial asthma)
tacrine (medicine used to treat Alzheimer's disease)
olanzapine and clozapine (for the treatment of schizophrenia)
Insulin dose (medicine used for the treatment of diabetes) may need to be adjusted

Nicotinell with food and drink

Coffee, acidic drinks (e.g. fruit juice) and soft drinks may decrease the absorption of
nicotine and should be avoided for 15 minutes before chewing Nicotinell.
Pregnancy and breast-feeding
It is very important to stop smoking during pregnancy because it can result in poor growth
of your baby. It can also lead to premature births and even stillbirths. Ideally you should
try to give up smoking without the use of medicines. If you cannot manage this, Nicotinell
may be recommended to help as the risk to the developing baby is less than that
expected from continued smoking. Nicotine in any form may cause harm to your unborn
baby. Nicotinell should only be used after consulting the healthcare professional who is
managing your pregnancy, or a doctor that is specialised in helping people quit smoking.
Nicotinell like smoking itself should be avoided during breast-feeding as nicotine may
be found in breast milk. If your doctor has recommended that you should take this
medicinal product, the medicated chewing-gum should be taken just after breast-feeding and
not during the two hours before breast-feeding.
Driving and using machines
There is no evidence of risk associated with driving or operating machinery if Nicotinell
is taken according to the recommended dose but remember that smoking cessation can
cause behavioural changes.
Nicotinell contains sorbitol, butylhydroxytoluene and sodium
Because Nicotinell Mint contains sorbitol: if you have been told by your doctor that you
have an intolerance to some sugars, contact your doctor before taking this medicine.
The gum base contains butylhydroxytoluene (E321) which may cause local irritation to
mucous membranes.
Each piece of Nicotinell Mint 4 mg contains sweeteners, including sorbitol (E420) 0.1 g,
a source of 0.02 g fructose. Calorific value 1.2 kcal/piece.
Nicotinell Mint 4 mg contains 11.45 mg of sodium per piece. To be taken into
consideration by patients on a controlled sodium diet.

3. How to use Nicotinell
Always use Nicotinell exactly as described in this package leaflet or as your doctor or
pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
To improve your chances of giving up smoking you should stop smoking completely
when you start to use Nicotinell and for the whole treatment duration.
Nicotinell is available in two strengths: 2 and 4 mg. The appropriate dose will depend on
your previous smoking habits. You should use Nicotinell 4 mg if:


you are a smoker with a strong or very strong nicotine dependency,




you have previously failed to stop smoking with Nicotinell 2 mg,
your withdrawal symptoms remain so strong as to threaten relapse. Otherwise
Nicotinell 2 mg should be used.

Select your optimal dosage from the following table:
Low to moderate dependency

Moderate to strong dependency

Strong to very strong
dependency

Low dosage forms acceptable
High dosage forms acceptable
Less than 20 cigarettes / day

From 20 to 30 cigarettes / day

Over 30 cigarettes / day

Nicotinell 2 mg is preferable)

Low (Nicotinell 2 mg) or high (Nicotinell 4
mg) dose forms depending on patient
characteristics and preference.

Nicotinell 4 mg - is preferable)

If an adverse event occurs with the use of the high dose (Nicotinell 4 mg), use of the
low dose (Nicotinell 2 mg) should be considered.
Instructions for use:
1. Chew one piece of Nicotinell slowly until the taste becomes strong.
2. Allow Nicotinell to rest between your gum and cheek.
3. Chew again when taste has faded.
4. Repeat this routine for about 30 minutes, to get a gradual release of nicotine.
Do not swallow.
Dosage for adults over 18 years:
Chew one piece of Nicotinell when you feel the urge to smoke. In general one piece should
be chewed every one or two hours. Normally 8-12 pieces per day are sufficient. If you
still experience an urge to smoke, you can chew additional pieces of Nicotinell. Do not
exceed 15 pieces per day of Nicotinell 4mg.
The treatment duration is individual. Normally, treatment should continue for at least 3
months. After 3 months, you should gradually reduce the number of pieces of
Nicotinell chewed each day. Treatment should be stopped when you have reduced your use
of Nicotinell to 1-2 pieces per day. It is generally not recommended to use Nicotinell for
longer than 6 months. However, some ex-smokers may need treatment with N i c o t i n e l l
for longer to avoid returning to smoking.
If you are still using Nicotinell after 9 months, you should speak to your doctor or
pharmacist.
Counselling may improve your chances of giving up smoking.

Use in children and adolescents
Nicotinell should not be used by people under 18 years of age without recommendation
from a doctor.
If you take more Nicotinell than you should
Chewing too many Nicotinell pieces can result in the same symptoms as smoking too
much. The general symptoms of nicotine overdose include weakness, sweating, increased
production of saliva, dizziness, throat burn, nausea, vomiting, diarrhoea, pain in
the abdomen, disturbance of hearing and vision, headache, fast or other
disturbance in heart beat (tachycardia and cardiac arrhythmia), shortness of breath,
prostration, circulatory problems, coma and terminal convulsions.
You should consult your doctor or pharmacist if you experience any problems.
If poisoning is suspected in a child, a doctor must be consulted immediately. Even
small quantities of nicotine are dangerous in children and may result in severe symptoms or
death.
If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Some effects you may notice in the first few days are dizziness, headache and
sleep disturbances. These may be withdrawal symptoms in connection with smoking
cessation and may be caused by insufficient administration of nicotine.
Common side effects (may affect up to 1 in 10 people)



dizziness and headache.
Hiccups, stomach trouble such as nausea, flatulence, vomiting, heartburn, increased saliva
production, irritation of the mouth and throat and jaw muscle ache may also occur,
especially as a result of intense chewing.

Slower chewing will usually overcome these problems.
Uncommon side effects (may affect up to 1 in 10 people)



palpitations.
red skin rash (erythema) and itching of raised bumps of the skin (urticaria).

Rare side effects (may affect up to 1 in 10 people)



disturbances in heart beat rhythm and allergic reactions. These reactions may in very
few cases be serious and include swelling of the skin, swelling of the face and mouth,
low blood pressure and difficulty in breathing.

Mouth ulcers may be related to quitting smoking and not to your treatment. Nicotinell can
stick to and very rarely damage dentures or other dental work.
Reporting of side effects
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 www.mhra.gov.uk/yellowcard. By reporting side effects you can help
provide more information on the safety of this medicine.

5. How to store Nicotinell
Keep this medicine out of the sight and reach of children.
Do not use Nicotinell after the expiry date which is stated on the label after “EXP”.
The expiry date refers to the last day of that month.
Do not store above 25°C.
Used Nicotinell should be disposed of with care.
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 environment.

6. Contents of the pack and other information
What Nicotinell contains
The active substance is nicotine.
Each piece of Nicotinell medicated chewing-gum contains 4 mg of nicotine (as 20 mg
nicotine-polacrilin).
The other ingredients are
• gum base (containing butylhydroxytoluene (E321)), calcium carbonate, sorbitol
(E420), sodium carbonate anhydrous, sodium hydrogen carbonate, polacrilin, glycerol
(E422), purified water, levomenthol, natural mint flavouring, mint millicaps, sucralose,
acesulfame potassium, xylitol (E967), mannitol (E421), gelatin, titanium dioxide
(E171), carnauba wax and talc. See section 2 “Nicotinell contains sorbitol,
butylhydroxytoluene and sodium”.

What Nicotinell looks like and contents of the pack
Each piece of coated medicated chewing-gum is off-white in colour and rectangular in shape.
Nicotinell medicated chewing-gum is available in two strengths (2 and 4 mg) and
four flavours (Fruit, Mint, Liquorice and Classic). This package leaflet deals with
Nicotinell Ice Mint 4 mg medicated chewing-gums.
The blisters are packed in boxes containing 2, 12, 24, 36, 48, 60, 72, 96, 120 or 204 pieces
of medicated chewing-gum. Not all pack sizes may be marketed.
Marketing Authorisation Holder
Novartis Consumer Health, Camberley, Surrey, GU15 3YL, UK.
Manufacturer
FAMAR S.A., 48th km National Road Athens-Lamia, 19011, Avlonas, Attiki, Greece
This medicinal product is authorised in the Member States of the EEA under the
following names:
AT

Nicotinell MintFrisch 4 mg - Kaugummi

BE

Nicotinell Cool Mint, 4 mg, kauwgom

CY

Nicotinell Cool Mint 4mg medicated chewing-gum

CZ

Nicotinell Mint gum 4mg

DE

Nicotinell Kaugummi 4 mg Cool Mint

DK

Nicotinell Mint

EE

Nicotinell Cool Mint

EL

Nicotinell Cool Mint 4 mg medicated chewing-gum

ES

Nicotinell Cool mint 4 mg chicle medicamentoso

FI

Nicotinell Mint 4 mg lääkepurukumi

FR

NICOTINELL MENTHE FRAICHEUR 4 mg SANS SUCRE,
gomme à mâcher médicamenteuse

IE

Nicotinell Cool Mint 4mg Medicated Chewing Gum.

IS

Nicotinell Mint 4 mg lyfjatyggigúmmí

IT

Nicotinell Menta 4 mg gomma da masticare medicata

LT

Nicotinell Mint 4 mg medicated chewing-gum

LU

Nicotinell Cool Mint, 4 mg, gomme à mâcher médicamenteuse

LV

Nicotinell Cool Mint 4 mg medicated chewing gum

NL

Nicotinell Cool Mint, 4 mg, kauwgom

NO

Nicotinell medisinsk tyggegummi med peppermyntesmak

PL

Nicotinell Cool Mint

PT

Nicotinell Freshmint 4 mg Goma para mascar medicamentosa

RO

NICOTINELL MINT, guma medicamentoasa masticabila 4 mg

SE

Nicotinell Mint 4 mg.

SK

Nicotinell Cool Mint gum 4 mg

UK

Nicotinell Ice Mint 4mg Medicated Chewing Gum.

This leaflet was last revised February 2015.

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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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