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NICOTINE (NIK oh teen) helps people stop smoking. This medicine replaces the nicotine found in cigarettes and helps to decrease withdrawal effects. It is most effective when used in combination with a stop-smoking program.
Chew but do not swallow the gum. Follow the directions that come with the chewing gum. Use exactly as directed. When you feel an urgent desire for a cigarette, chew one piece of gum slowly. Continue chewing until you taste the gum or feel a slight tingling in your mouth. Then, stop chewing and place the gum between your cheek and gum. Wait until the taste or tingling is almost gone then start chewing again. Continue chewing in this manner for about 30 minutes. Slow chewing helps reduce cravings and also helps reduce the chance for heartburn or other gastrointestinal side effects.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
blisters in mouth
changes in hearing
changes in vision
fast, irregular heartbeat
feeling faint or lightheaded, falls
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
nervousness or restlessness
trouble sleeping or vivid dreams
medicines for asthma
medicines for blood pressure
medicines for mental depression
This does not apply. Only use the chewing gum when you have a strong desire to smoke. Do not use more than one piece of gum at a time.
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from heat and light. Throw away unused medicine after the expiration date.
They need to know if you have any of these conditions:
heart disease, angina, irregular heartbeat or previous heart attack
lung disease, including asthma
seizures or history of seizures
stomach problems or ulcers
an unusual or allergic reaction to nicotine, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
Always carry the nicotine gum with you. Do not use more than 30 pieces of gum a day. Too much gum can increase the risk of an overdose. As the urge to smoke gets less, gradually reduce the number of pieces each day over a period of 2 to 3 months. When you are only using 1 or 2 pieces a day, stop using the nicotine gum.
You should begin using the nicotine gum the day you stop smoking. It is okay if you do not succeed with the attempt to quit and have a cigarette. You can still continue your quit attempt and keep using the product as directed. Just throw away your cigarettes and get back to your quit plan.
If your mouth gets sore from chewing the gum, suck hard sugarless candy between pieces of gum to help relieve the soreness. Brush your teeth regularly to reduce mouth irritation. If you wear dentures, contact your doctor or health care professional if the gum sticks to your dental work.
If you are a diabetic and you quit smoking, the effects of insulin may be increased and you may need to reduce your insulin dose. Check with your doctor or health care professional about how you should adjust your insulin dose.
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