Table of Contents > Drug > Nicotine Print



Related terms
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    Related terms
    • Brand Names: U.S.: Commit® [OTC];NicoDerm® CQ® [OTC];Nicorelief® [OTC];Nicorette® [OTC];Nicotrol® Inhaler;Nicotrol® NS;ThriveT [OTC]
    • Brand Names: Canada: Habitrol®;Nicoderm®;Nicorette®;Nicorette® Plus;Nicotrol®

    • It is used to treat nicotine withdrawal.
    • It is used to curb the craving to smoke.
    • Nicotine is a substitute for smoking and may help lower withdrawal signs.


    How to take

    • Do not smoke when you are using these products. Your body can be harmed by getting too much nicotine too fast.
    • Get counseling to help you quit.
    • Puffer (inhaler):
    • Use puffer (inhaler) as you have been told.
    • Gum:
    • There are 2 doses of the gum. Use the 4 mg gum if you smoke 25 or more cigarettes a day. Use the 2 mg gum if you smoke 24 or less cigarettes a day.
    • Do not swallow gum.
    • Chew slowly until there is a tingling or peppery taste in the mouth.
    • Then place between the cheek and gum.
    • After the taste or tingle is gone, chew again slowly.
    • Put between the cheek and gum at some other site once the taste or tingle comes back.
    • Keep repeating this for about 30 minutes or until the taste or tingle is gone.
    • Do not eat or drink within 15 minutes of using the gum.
    • Do not use more than 24 pieces of gum a day.
    • Patch:
    • The patch comes in 3 doses. If you smoke 11 or more cigarettes a day start with the 21 mg patch (step 1). If you smoke 10 or less cigarettes a day start with the 14 mg patch (step 2).
    • Put patch on clean, dry, healthy skin on the chest, back, belly, or upper arm. Move the site with each new patch.
    • Keep each patch on for 16 to 24 hours.
    • Lozenge:
    • The lozenge comes in 2 doses. If you smoke your first cigarette of the day within 30 minutes of waking use the 4 mg dose. If you smoke your first cigarette of the day more than 30 minutes after waking use the 2 mg dose.
    • Suck oral lozenge. Do not chew, break, or crush it. Do not swallow it whole.
    • Do not eat or drink within 15 minutes of using the lozenge.
    • Nose:
    • For the nose only.
    • Blow your nose before use.
    • Shake before use.
    • Tilt your head back.
    • Close 1 nostril.
    • Put nose spray tube into other nostril.
    • Spray up the nose only. Do not spray onto the wall joining your two nostrils.
    • Breathe out from your mouth.

    Missed Dose

    • Use a missed dose as soon as you think about it.
    • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
    • Do not use 2 doses or extra doses.
    • Do not change the dose or stop this drug. Talk with the doctor.


    • Store at room temperature.



    • If you have an allergy to nicotine or any other part of this drug.
    • Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
    • If you have any of these health problems: Chest pain or pressure or a fast heartbeat.
    • If you have temporomandibular joint disease and are using the nicotine gum.
    • If you are smoking during recovery from a heart attack.
    • If you are pregnant or may be pregnant.


    • All products:
    • If you have high blood pressure, talk with your doctor.
    • If you have PKU, talk with your doctor. Some products have phenylalanine.
    • Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • When you stop smoking, other drugs may be affected. Talk with your doctor.
    • Tell your doctor if you are breast-feeding.
    • Gum:
    • Gum chewing may cause problems with dental work.
    • Patch:
    • The patch may have metal. Take off the patch before an MRI.
    • If you are pregnant and using the patch, think about taking it off at night.
    • Puffer (inhaler):
    • If you have asthma, talk with your doctor.
    • If you have lung disease, talk with your doctor.

    Side Effects

    • Hiccups.
    • Not able to sleep.
    • Nervous and excitable.
    • Headache.
    • Upset stomach or throwing up. Many small meals, good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
    • Jaw ache from gum.
    • Mouth irritation.
    • Skin irritation.
    • Nose irritation.
    • Cough.

    Contact a healthcare provider

    • If you think there was an overdose, call your local poison control center or ER right away.
    • Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue or gray skin color; seizures; or swelling of face, lips, tongue, or throat.
    • Very nervous and excitable.
    • Very bad skin irritation.
    • Very bad mouth pain or irritation.
    • If you have not been able to quit smoking after taking this drug for 12 weeks.
    • Any rash.
    • Side effect or health problem is not better or you are feeling worse.

    General Statements

    • If you have a very bad allergy, wear an allergy ID at all times.
    • Do not share your drugs with others and do not take anyone else's drugs.
    • Keep all drugs out of the reach of children and pets.
    • Most drugs may be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
    • In Canada, take any unused drugs to the pharmacy. Also, visit to learn about the right way to get rid of unused drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Call your doctor for help with any side effects. If in the U.S., you may also call the FDA at 1-800-FDA-1088 or if in Canada, you may also call Health Canada's Vigilance Program at 1-866-234-2345.
    • Talk with the doctor before starting any new drug, including OTC, natural products, or vitamins.

    Author information
    • Copyright © 1978-2013 Lexi-Comp Inc. All rights reserved.

    Copyright © 2011 Natural Standard (

    The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.

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