Everyday Health. Nicotine Withdrawal: How to Cope. https://www.everydayhealth.com/quit-smoking/guide/nicotine/withdrawal/ . Accessed on 26/6/23. Concomitant use of acidic beverages such as coffee or soda may decrease the buccal absorption of nicotine. Acidic beverages should be avoided for 15 minutes prior to chewing the gum. Why Nicotinell:Nicotinell nicotine gum helps to quit smoking by relieving five withdrawal symptoms of quitting - anxiety, frustration, restlessness, irritability and cravings Nicotinell gums can cause adverse reactions similar to those associated with nicotine administered by other means (including smoking) These can be attributed to the pharmacological effects of nicotine, which are dose dependant. Non dose-dependent adverse reactions are as follows: If an adverse event is noted when high dose forms are initiated, this should be replaced by the lower dosage form.

Low (2 mg gum) or high (4 mg gum) dose forms are acceptable depending on patient characteristics and preference. At recommended doses Nicotinell gum has not been found to cause any serious adverse effects. Excessive consumption of Nicotinell gum by those who have not been in the habit of inhaling tobacco smoke could possibly lead to nausea, faintness or headaches. Most people use 8-12 pieces of the 2 mg gum or 4-6 pieces of the 4 mg gum in a day. Do not use more than 20 pieces of the 2 mg gum or 10 pieces of the 4 mg gum in a day.

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For a number of years you will have become accustomed to smoking at certain times, with particular people or in certain situations. Think about the times you will miss smoking the most and plan how you will cope on these occasions. Gum range: Nicotinell nicotine gum are a stop smoking aid available 2 mg and 4 mg strengths in three sugar free flavours - mint, fruit and liquorice Polycyclic aromatic hydrocarbons in tobacco smoke induce the metabolism of drugs catalysed by CYP 1A2 (and possibly CYP 1A1). When a smoker stops, this may result in slower metabolism and a consequential rise in blood levels of drugs such as theophylline, tacrine, olanzaprine and clozaprine.

Swallowed nicotine may exacerbate symptoms in patients suffering from active oesophagitis, oral or pharyngeal inflammation, gastritis, or peptic ulcers and oral nicotine replacement therapy preparations should be used with caution in these conditions. Ulcerative stomatitis has been reported. Your are more likely to quit smoking when using this product with help from your pharmacist, doctor, a trained counsellor or a support programme. These events may also be due to withdrawal symptoms following smoking cessation. The patient may still experience nicotine dependence after smoking cessation. One piece of Nicotinell gum to be chewed when the user feels the urge to smoke. Do not use more than 1 gum per hour. Normally, 8-12 pieces per day can be used, up to a maximum of 24 pieces per day. Do not use more than 1 gum per hour. Asymptomatic patients who have ingested more than 0.2mg/kg of nicotine should be observed for at least 4 hours. However, if other cardiac/cardiotoxic agents have been taken monitor for the longest period recommended for these.Nicotine is excreted in breast milk. Nicotine replacement therapy should therefore be avoided during breast-feeding. Should smoking withdrawal not be achieved, oral forms of nicotine replacement therapy gum may be considered as intermittent dose forms would minimize the amount of nicotine in breast milk and permit feeding when levels were at their lowest.

When you have cut down the number of cigarettes you smoke to a level you feel you can quit completely, follow Program A above.

The chewing action also works to distract you from your desire to smoke, giving your mouth something else to do (other than smoking). People having problems with the joint of the jawbone and denture wearers may experience difficulty in chewing the gum. In this case, it is recommended that they use a different pharmaceutical form of nicotine replacement therapy.