Table of Contents > Drug > Nicotine Print

Nicotine

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Notes
Related terms
Uses
Dosing
Safety
Author information

Notes

    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®
    • Mexican Brand Names: Nicotinell TTS;Niquitin
    • Pharmacologic Category: Smoking Cessation Aid

    Uses
    • It is used to treat nicotine withdrawal.
    • Nicotine is a substitute for smoking and may help lower withdrawal signs.

    Dosing

    How to take

    • Get counseling to help you quit.
    • Puffer (inhaler):
    • Use puffer (inhaler) as you have been told.
    • Gum:
    • 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.
    • Patch:
    • Put patch on clean, dry, healthy skin on the chest, back, belly, or upper arm. Move the site with each new patch.
    • Lozenge:
    • 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.

    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.

    Storage

    • Store at room temperature.

    Safety



    Avoid

    • 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.

    Precautions

    • The patch may have metal. Take off the patch before an MRI.
    • Gum chewing may cause problems with dental work.
    • When you stop smoking, other drugs may be affected. Talk with your doctor.
    • Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.
    • If you have PKU, talk with your doctor. Some products have phenylalanine.
    • If you are pregnant and using the patch, think about taking it off at night.
    • Tell your doctor if you are pregnant or plan on getting pregnant.
    • Tell your doctor if you are breast-feeding.

    Side Effects

    • 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.
    • Not able to sleep.
    • Skin irritation.
    • Nose irritation.

    Monitoring

    • Change in the health problem being treated. Is it better, worse, or about the same?
    • Follow up with the doctor.

    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 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.
    • Any rash.
    • 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 http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th 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 © 1978-2010 Lexi-Comp Inc. All rights reserved.

    Copyright © 2011 Natural Standard (www.naturalstandard.com)


    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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