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Indications
This medication is indicated for the treatment of tobacco dependence to relieve the symptoms of nicotine withdrawal in subjects wishing to quit smoking. This medication may be used in: cases where a smoker is temporarily abstaining from smoking, a smoking reduction strategy as a step towards permanent cessation.
Description:
Active ingredients: Nicotine, Nicotine catioresin carboxylate, Nicotine resinate
Common excipients : Aspartam, Sodium bicarbonate, Gum Arabic, Hypromellose, Isomalt, Maltodextrin, Potassium acesulfame, Propylene glycol, Sodium carbonate anhydrous
Other excipients (specific to certain forms) : Mono and diglyceride fatty acids, Artificial masking flavor, Natural flavor, Cineole, Carnauba wax, Ethylcellulose, Glucose, Levomenthol, Mint flavor, Mint-eucalyptus flavor, Peppermint flavour, Peppermint flavour, Peppermint natural flavour, Monoglycerides and diglycerides, Pulegone, Deglycyrrhizinized licorice, Soybean oil partially hydrogenated
Contraindications of the medication NICOPASS
This medicine should not be used in the following cases:
Warning
In order to achieve permanent detoxification, stopping smoking is a necessary condition for the success of the treatment.
Precautions are necessary in case of stomach or duodenumulcer,renal or hepaticinsufficiency. In these situations, prior medical consultation is essential before using this drug; smoking cessation without replacement therapy may be necessary.
Do not use other nicotine-containing medicines, including transdermal devices, without medical advice.
Nicotine is a toxic substance. Do not leave lozenges within the reach of children.
Interactions of NICOPASS with other substances
The products contained in tobacco smoke may accelerate the rate of elimination of certain drugs, especially theophylline. When you stop smoking, the effect of these medicines may be increased and signs of overdose may appear. Contact your doctor if you have any doubts.
Fertility, pregnancy and breastfeeding
Pregnancy:
Smoking in pregnant women can cause fetal growth retardation. It is therefore always advisable to stop smoking. In women who are strongly addicted to nicotine, the use of this drug can be helpful, but the effects of nicotine alone on the fetus are not well known. This medication has the advantage of not exposing the fetus to the other toxins present in tobacco smoke. In summary: if the ideal is not to smoke and not to expose the fetus to nicotine inputs, the use of this medicine is a lesser evil compared to tobacco.
Breastfeeding:
Nicotine passes into breast milk, breastfeeding is not recommended during treatment.
If breastfeeding is nevertheless chosen, take the drug preferably after suckling.
Instructions for use and dosage of NICOPASS
Suck the lozenge very slowly to allow the nicotine to be slowly and evenly absorbed through the blood vessels of the tongue. The lozenge will dissolve over approximately 30 minutes and should be moved regularly from side to side in the mouth during this time. It is important not to eat or drink while the lozenge is in the mouth.
The choice of dosage depends on the initial dependence on nicotine. The 2.5 mg lozenges are suitable for smokers who are highly or very highly dependent.
In practice, it is useful to know the signs of under or overdose to adapt the dosage after a few days of treatment:
Usual dosage :
The 1.5 mg lozenges can be used alone or in combination with the transdermal devices. In this case, follow your doctor's recommendations.
Advice
Boxes of 12 and 36 tablets may be available in some pharmacies and can be used without medical consultation. Nevertheless, do not hesitate to ask your pharmacist to validate your choice. His/her advice is invaluable. He can help you determine the best time to stop smoking and explain the causes of failure
Nicotine taken orally as a replacement for cigarettes is as harmful to the cardiovascular system as the nicotine contained in tobacco. Only the risk of lung cancer disappears. When smoking cessation is motivated by urgent medical reasons: recent infarction, arteritis, gastritis or ulcer, it is preferable to stop taking nicotine in all its forms.
Like all anti-smoking methods used to help smokers, this medication can only be effective when the desire to stop smoking is personal and accompanied by a strong motivation. It is this motivation that will allow you to fight against the desire to smoke, without being forced to constantly call upon your willpower, which becomes blunted over time. A smoker who wants to stop smoking for good must consider tobacco as a poison, an unacceptable addiction. They must come to terms with the fact that they will never smoke again, right from the start of the withdrawal process. Each day without tobacco should be experienced as a liberation, not as an ordeal. The smoker who is in this frame of mind is a good candidate for permanent cessation.
Stopping smoking, which is a real drug, leads to many problems: weight gain is frequent, concentration problems can last several weeks. A slight depressive state is possible. Weight gain must be fought by a diet, and if possible by a sports program that has the advantage of reconciling the smoker with his body.
Do not hesitate to consult your doctor if you have any difficulties; his advice and experience will be invaluable in combating relapses.
Possible side effects of NICOPASS
Irritation of the mouth or throat.
Nausea, vomiting, digestive problems, hiccups, headache, dizziness, skin rash, palpitations.
Rarely: insomnia, mouth ulcer, heart rhythm disturbances, allergic reaction.
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