If you need advice before starting to use Nicotinell gum, talk to your doctor, nurse, pharmacist or trained counsellor. Acute or chronic toxicity of nicotine in man is highly dependent on mode and route of administration. Adaptation to nicotine (e.g. in smokers) is known to significantly increase tolerability compared with non-smokers. The minimum lethal dose of nicotine in a non-tolerant man has been estimated to be 40 to 60mg. Symptoms of acute nicotine poisoning include nausea, vomiting, increased salivation, abdominal pain, diarrhoea, sweating headache, dizziness, disturbed hearing and marked weakness. In extreme cases, these symptoms may be followed by hypotension, rapid or weak or irregular pulse, breathing difficulties, prostration, circulatory collapse and terminal convulsions. Contraindications: Known hypersensitivity to nicotine or any of the excipients. Use by non-smokers. Patch and gum: use by occasional smokers. Patch: diseases of the skin. Everyday Health. Nicotine Withdrawal: How to Cope. https://www.everydayhealth.com/quit-smoking/guide/nicotine/withdrawal/ . Accessed on 26/6/23.

Which strength: If you smoke less than 20 cigarettes per day, consider Nicotinell 2 mg medicated gum; smokers of more than 20 cigarettes per day should consider Nicotinell 4 mg medicated gum The chewing-gum contains nicotine, which is one of the substances in tobacco. When chewed, nicotine is released slowly and absorbed through the lining of the mouth. Nicotinell chewing-gum does not contain the other harmful substances found in tobacco smoke such as tar and carbon monoxide.

Helpful tips to stop smoking

You may have tried to stop smoking before and you know from bitter experience that it’s not easy to give up cigarettes. Patients with diabetes mellitus should be advised to monitor their blood sugar levels more closely than usual when nicotine replacement therapy is initiated as catecholamines released by nicotine can affect carbohydrate metabolism. By giving you control over your nicotine cravings, you can effectively deal with your withdrawal symptoms as they happen. To help quit smoking you should also try to use a behavioural support programme to increase your chances of success. Talk to your doctor, nurse, pharmacist or a trained counsellor about this.

The Nicotinell product range: Includes TTS Patch, medicated chewing gum and lozenge. Stop smoking aid. Requires willpower. Contains nicotine. Always read the label. In stable cardiovascular disease Nicotinell gum presents a lesser hazard than continuing to smoke. However dependant smokers currently hospitalised as a result of a recent myocardial infarction, unstable or worsening angina including Prinzmetal's angina, severe cardiac arrhythmias, uncontrolled hypertension, or recent cerebrovascular accident who are considered to be haemodynamically unstable should be encouraged to stop smoking with non- pharmacological interventions (such as counselling). If this fails, Nicotinell gum may be considered but as data on safety in this patient group are limited, initiation should only be under medical supervision. If there is a clinically significant increase in cardiovascular or other effects attributable to nicotine, the nicotine gum dose should be reduced or discontinued. 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 15 pieces per day.

Directions

Excipients: This product contains sorbitol; patients with rare hereditary problems of fructose intolerance should not take this medicine. Important information about some of the ingredients of Nicotinell Medicated chewing gum These chewing-gums contain some ingredients of which you may need to be aware of: Seizures: Potential risks and benefits of nicotine should be carefully evaluated before use in subjects with a history of epilepsy as cases of convulsions have been reported in association with nicotine. Piper ME, Smith SS, Schlam TR, Fiore MC, Jorenby DE, Fraser D, et al. A randomized placebo-controlled clinical trial of 5 smoking cessation pharmacotherapies. Arch Gen Psychiatry. 2009 Nov;66(11):1253-62. 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.

Nicotinell Gum 2mg is particularly useful for light smokers who are more likely to experience less severe withdrawal symptoms, and for those who have previously failed to stop smoking with nicotine replacement therapy. Nicotinell 4mg Mint has now been completely replaced with Habitrol 4mg Mint. The same gum, just under a different brand name. To help yourself succeed be sure to remove all cigarettes, matches, lighters etc. from your home, car and work. Ask your friends and colleagues not to offer you cigarettes or smoke close by you but be careful not to offend them. Explain that you have given up. This type of support from friends is of greatest benefit for the first couple of weeks of quitting, as this is your most vulnerable time. The last thing you want is a cigarette close at hand in a moment of weakness.

Miscellaneous

The chewing action also works to distract you from your desire to smoke, giving your mouth something else to do (other than smoking). Nicotinell Stop Smoking Gum helps you to give up smoking by relieving the desire to smoke, as well as some of the unpleasant withdrawal effects which smokers experience when they stop smoking. Nicotinell 4mg gum contains sorbital (E420) 0.1g per gum, a source of 0.02g fructose. Calorific value 1.2 kcal/piece of gum.

However, you will find that as time goes by, your willpower becomes stronger. Telling friends, family and work colleagues that you have quit smoking and that you envisage a tough time ahead will encourage them to support you. self-help tips to stop smoking. NHS England. https://www.nhs.uk/live-well/quit-smoking/10-self-help-tips-to-stop-smoking/ . Accessed 26/6/23. To dispose of used gum, wrap in paper before putting into a waste bin. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

Warnings

Once you have stopped smoking, taking exercise regularly will not only help you get fitter but will encourage you to relax. Exercise has the ability to relieve stress and tension. Taken regularly it will benefit you physically and psychologically.