Nicorette gum 2 mg

 
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Nicorette gum 2 mg
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Nicorette gum from online pharmacy: Canada
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Nicorette gum 2 mg is available from our online pharmacy for less money than you'd spend locally. If you like the convenience of ordering from your home, you can order your prescription online, or speak with one of our customer service representatives on the phone. Call us, The Drug Company, toll free at 1-888-254-3038. Prior to taking Nicorette gum 2 mg, please consult with your doctor or health professional to see if this medication is right for you. Many customers have saved even more money by speaking with their doctor about a generic substitute.

About Nicorette gum

What Nicorette gum is used for

Nicorette Gum is a stop smoking aid.

Because smoking is an addiction, you may find it hard to quit. Since no amount of smoking is good for you, quitting smoking is preferable. Some people may find it easier to set a quit date and stop smoking immediately. Others may benefit from gradually reducing the number of cigarettes they smoke each day until they feel able to set a quit date. If you are ready to stop smoking immediately, follow the instructions in the section called “Program 1: Stop-to-Quit”. If you are not ready to quit immediately and feel you need to stop smoking gradually, follow the instructions in the section called “Program 2: Reduce-to-Quit”.

What Nicorette gum does

Nicorette Gum sucrose free{*Sweetened with xylitol.and acesulfame potassium} chewing pieces provide a lower level of nicotine to your blood than cigarettes, and allow you to slowly decrease your body’s need for nicotine. They work as a temporary aid to help you quit smoking by reducing nicotine withdrawal symptoms, such as irritability, frustration, anxiety, difficulty in concentration and restlessness.

When Nicorette gum should not be used

You should not use Nicorette Gum if you:

  • Are an occasional or non-smoker

  • Are pregnant or nursing

  • Are under 18 years of age

  • Have a jaw disorder, such as temporomandibular joint disorder

  • Are allergic to nicotine or to any of the nonmedicinal ingredients (see What the important nonmedicinal ingredients are:)

  • Have an abnormal heart rhythm (arrhythmias)

  • Have a heart disease such as angina pectoris

  • Have had a heart attack

What the medicinal ingredient is

Each piece of Nicorette Gum (2 mg) contains nicotine, 2 mg. Each piece of Nicorette Gum (4 mg) contains nicotine, 4 mg.

What the important nonmedicinal ingredients for Nicorette gum are

Nicorette 2 mg Freshmint: acesulfame potassium, gum base, magnesium oxide, menthol, peppermint oil, sodium bicarbonate, sodium carbonate, xylitol.

Nicorette 4 mg Freshmint: acesulfame potassium, D&C Yellow No. 10, gum base, magnesium oxide, menthol, peppermint oil, sodium carbonate, xylitol.

Nicorette 2 mg Ice Mint: acacia, acesulfame potassium, gum base, magnesium oxide, menthol, peppermint oil, sodium bicarbonate, sodium carbonate, titanium dioxide, wax, xylitol.

Nicorette 4 mg Ice Mint: acacia, acesulfame potassium, D&C Yellow No. 10, gum base, magnesium oxide, menthol, peppermint oil, sodium carbonate, titanium dioxide, wax, xylitol.

Nicorette 2 mg Fresh Fruit: acacia, acesulfame potassium, flavour, gum base, hypromellose, magnesium oxide, menthol, peppermint oil, polysorbate, sodium bicarbonate, sodium carbonate, sucralose, titanium dioxide, wax, xylitol.

Nicorette 4 mg Fresh Fruit: acacia, acesulfame potassium, D&C Yellow No. 10, flavour, gum base, hypromellose, magnesium oxide, menthol, peppermint oil, polysorbate, sodium carbonate, sucralose, titanium dioxide, wax, xylitol.

What dosage forms Nicorette gum comes in

Nicorette Gum is available in 2 mg and 4 mg strengths, in Freshmint, Ice Mint and Fresh Fruit Flavours.


Warnings and Precautions

BEFORE you use Nicorette Gum talk to your doctor or pharmacist if you have or have had:

  • Heart problems

  • Thyroid problems

  • Circulation problems

  • Stomach problems, stomach ulcer or esophagitis

  • Throat, mouth or dental problems

  • Angina

  • Coronary artery disease

  • Peripheral vascular disease

  • Irregular heartbeat

  • High blood pressure

  • Kidney problems

Check with your doctor or pharmacist if you are taking insulin or any prescription medicine; the dose of your prescription medicine may need to be adjusted.

STOP USING Nicorette Gum and consult your doctor if:

  • You think you are pregnant. Avoid becoming pregnant while using Nicorette Gum. Nicotine in any form can cause harm to your unborn baby.


Interactions With Nicorette gum

Do not smoke or use tobacco, snuff, or other nicotine-containing medications at the same time that you use Nicorette Gum (for example, do not smoke while chewing a piece of Nicorette Gum).

Tell your doctor if you are using any of the following medications while using Nicorette Gum, as you may need the dosage adjusted:

  • Heart medications (such as propranolol)

  • Insulin

  • Antidepressants (such as imipramine, oxazepam)

Avoid drinking acidic beverages such as coffee, tea, soft drinks, alcohol or citrus juices when chewing Nicorette Gum. They can prevent it from working properly.


Proper Use of Nicorette gum

Choosing the proper strength of Nicorette Gum for you

Nicorette gum is available in two strengths. Nicorette Gum (2 mg) contains 2 mg of nicotine per piece of gum, and should be used by less heavily addicted smokers, such as those smoking their first cigarette more than 30 minutes after waking up.

Nicorette Gum (4 mg) contains 4 mg of nicotine per piece of gum and should be used by more heavily addicted smokers, such as those smoking their first cigarette within 30 minutes of waking up.

For additional information on which strength you should use, complete the following questionnaire (note that not all the questions have an answer in Column C). If your score is 6 or less, you should use Nicorette Gum (2 mg). If your score is 7 or greater, Nicorette Gum (4 mg) is recommended for you.

Table 1: Nicorette Gum Nicorette Gum Strength Selection Quiza
  A=0 points B=1 point C=2 points Score
How soon after you wake do you smoke your first cigarette? After 30 minutes Within 30 minutes    
How many cigarettes a day do you smoke? 1–15 16–25 more than 26  
Does the brand you smoke have a low, medium or high nicotine content? Low, less than 0.4 mg Medium, between 0.5 and 0.8 mg High, greater than 0.9 mg  
Which of all the cigarettes you smoke a day is the most satisfying one? Any other than the first one in the morning The first one in the morning    
Do you smoke more during the morning than during the rest of the day? No Yes    
Do you smoke when you are so ill that you are in bed most of the day? No Yes    
Do you find it difficult to refrain from smoking in places where it is forbidden, such as the library, theatre, doctor's office? No Yes    
How often do you inhale smoke from your cigarette? Never Sometimes Always  
      Score  
a. The Fagerström Nicotine Tolerance Scale.

How to use Nicorette Gum

It is very important that you use Nicorette Gum properly. Nicorette Gum is medicine, not ordinary chewing gum, and it can make you feel light-headed, nauseous, or give you the hiccups if you chew it improperly. Go slowly. Bite it once or twice, then “park it” between your cheek and gum. Wait a minute, and repeat. BITE. BITE. PARK. BITE. BITE. PARK. Slow down if you start feeling uncomfortable. After about 30 minutes, you will have released all the medication. Discard the gum out of the reach of children, and start a new piece as soon as you get an urge for a cigarette.

Do not chew more than one piece of Nicorette Gum at a time.

For additional information and tips on how to quit, see More Information on Quitting Smoking:.

Program 1: Stop-to-Quit (i.e. quitting immediately)

Use a piece of Nicorette Gum whenever you have the desire to smoke. Use the following Nicorette Gum Program 1 as a guide.

Do not exceed 20 pieces per day.

Table 2: Nicorette Gum Nicorette Gum Program 1
Month 1 Month 2 Month 3 Month 4–6
First2 weeks Pieces/ Day Second2 weeks Pieces/ Day Pieces/Day Pieces/Day Pieces/Day
10–20 8–15 4–10 every 2–4 hours 2–5 every 4–8 hours Chew 1 piece if the urge to smoke returns.

As your Nicorette Gum therapy begins to work and you urge to smoke decreases, you can gradually decrease the number of pieces you use. Finally, when you are down to 1 or 2 pieces of Nicorette Gum a day, you will be ready to give up Nicorette Gum altogether. Do not rush it. For most people, treatment will take about three months, although some people may require up to six months. Consult your doctor if you have difficulty in reducing the quantity of pieces used within three months.

Do not use for more than 6 months in Program 1 (Stop-to-Quit) without consulting a doctor.

Carry Nicorette Gum with you at all times for up to three months after you stop smoking in case you feel the urge to smoke again. One cigarette is enough to start smoking again.

Program 2: Reduce-to-Quit (i.e. quitting gradually)

If you are a smoker who is unable or not ready to quit smoking immediately, use Nicorette Gum to reduce the number of cigarettes you smoke each day before you are ready to quit.

For people who have not been able to quit before, the Nicorette Reduce-to-Quit program may increase the chances of quitting by over 4 times.

Use Nicorette Gum whenever you have a craving to smoke. That way, you will be able to increase the amount of time between cigarettes, thereby reducing the number of cigarettes you smoke each day. While using Nicorette Gum, try to smoke the least number of cigarettes possible. Do not chew more than 20 pieces of Nicorette Gum per day.

It would be a good idea to record the number of cigarettes smoked and the number of pieces of gum used daily to monitor progress. As a goal, try to reduce the number of cigarettes you smoke each day so that you are smoking half the number of cigarettes per day by 4 months. If you have not been able to reduce the number of cigarettes smoked by half after four months of using Nicorette Gum, you should contact a healthcare provider on what to do next.

When you have reduced the number of cigarettes you smoke each day to a point that you feel you are ready to stop smoking completely (but not later than 6 months after the start of treatment), you can follow the instructions as outlined in Program 1: Stop-to-Quit. If you have made no attempt to quit smoking by 9 months of starting Nicorette, consult a healthcare professional.

Regular use of Nicorette Gum for longer than 12 months in Program 2: Reduce-to-Quit is not recommended.

Temporary Abstinence from Smoking

Although quitting smoking immediately is preferable, Nicorette Gum can also be used in cases in which you temporarily refrain from smoking. Use Nicorette Gum during smoke-free periods, for example, in smoke free areas or in other situations when you wish to avoid smoking.

Overdose

In the case of overdose or if a child chews of swallows one or more pieces of Nicorette Gum, contact your doctor or local poison control centre at once. Young children are especially sensitive to the effects of even small doses of nicotine. Nicotine can be lethal to children and pets.

Congratulations!

You have taken an important first step towards becoming a non-smoker. Your strength and willpower, combined with the proper use of Nicorette Gum, will help you wean yourself off nicotine gradually, while reducing nicotine withdrawal symptoms. Quitting Smoking is Hard!

If you have tried to quit before and haven’t succeeded, don’t be discouraged. The important thing is to try again until you succeed. This User’s Guide will give you support as you become a non-smoker. It answers common questions about Nicorette Gum and gives tips to help you stop smoking, and should be referred to often.

Where to Get Help

You are more likely to stop smoking by using Nicorette Gum with a support program that helps you break your smoking habit. Your doctor or pharmacist may be able to recommend support groups in your area. For additional information, counselling and support, talk to a health professional trained in smoking cessation on the Nicorette gum Call It Quits Line at 1-866-311-5655.

If you start smoking again after using Nicorette Gum, remember breaking this addiction doesn’t happen overnight. You may want to talk to a health professional, who can help you improve your chances of quitting the next time you try Nicorette Gum.

Technical Information