Nicorette Gum will provide effective relief from cravings and withdrawal symptoms experienced when trying to stop smoking. It is used to help smokers ready to stop smoking immediately and also to help smokers who need to cut down their cigarette use before stopping. Nicorette Gum can also be used during times when you cannot smoke.
Nicorette 4mg Gum should be chewed slowly.
The strength of gum to be used will depend on the smoking habit of the individual. In general, if the patient smokes fewer than 20 cigarettes a day, Nicorette 2mg Gum is indicated. If more than 20 cigarettes per day are smoked Nicorette 4mg Gum will be needed to meet the withdrawal of the high serum nicotine levels from heavy smoking. The patient should be urged to stop smoking completely when starting therapy with Nicorette Gum.
The chewing gum should be used whenever there is an urge to smoke according to the “chew and rest” technique described on the pack. After about 30 minutes of such use, the gum will be exhausted. Not more that 15 pieces of the chewing gum may be used each day. Absorption of nicotine is through the buccal mucosa, any nicotine which is swallowed being destroyed by the liver.
Administration of nicotine should be stopped temporarily if any symptoms of nicotine excess occur. Nicotine intake should be decreased by lowering dosing frequency if nicotine excess symptoms persist (see Section 4.9).
Nicorette Gum may be used for up to 3 months during which time the habits associated with smoking will be lost. For those using the 4mg Gum, the 2mg will be helpful during withdrawal.
If not successful after 12 weeks the patient should be encouraged to make a fresh attempt to stop smoking. This may necessitate full or partial re-treatment with an NRT programme.
During periods of temporary abstinence, the patient should use Nicorette Gum when required to relieve nicotine cravings and withdrawal symptoms.
The strength of gum to be used will depend on the smoking habits of the individual. In general, if the patient smokes fewer than 20 cigarettes a day, Nicorette 2mg Gum is indicated. If more that 20 per day are smoked Nicorette 4mg Gum is indicated.
Not more than 15 pieces of the gum should be used per day
For smokers who are unwilling or unable to quit abruptly.
Use the gum whenever there is a strong urge to smoke in order to reduce the number of cigarettes smoked as far as possible and to refrain from smoking as long as possible.
The number of pieces of gum is variable and depends on the patients needs. Not more than 15 pieces of the gum should be used per day.
If a reduction in number of cigarettes per day has not been achieved after 6 weeks, professional advice should be sought.
Reduced tobacco consumption should lead to complete cessation of smoking. A quit attempt should be made as soon as the number of cigarettes has been reduced to a level whereby the smoker feels ready to quit completely, then start as outlined for “smoking cessation” as given above.
If the attempt to stop smoking completely has not been started within 6 months after the beginning of treatment, it is recommended to consult a healthcare professional.
A minor reduction in total clearance of nicotine has been demonstrated in healthy elderly patients, however, not justifying adjustment of dosage.
Always read the instructions before use