Dosage
For adults only (15 years and older).
The number of gums to be used depends on your nicotine dependence, which can be assessed by means of the Fagerström test.
Chewing gums containing 4 mg of nicotine are not suitable for smokers who are strongly or very strongly dependent on nicotine (Fagerström test score of 7 to 10).
Complete cessation of smoking: the treatment of nicotine dependence is usually done in 2 phases.
1st phase: suck a lozenge each time the urge to smoke appears. The number of gums containing 4 mg is generally 8 to 12 gums per day and should never exceed 15 gums per day. The duration of this phase is about 3 months, but may vary according to individual response.
2nd phase: when the urge to smoke is completely overcome, gradually reduce the number of gums sucked per day. Treatment will be stopped when consumption is reduced by 1 to 2 gums per day.
It is recommended not to use the gums beyond 12 months.
Temporary absence from smoking: chew a gum each time the urge to smoke appears. The number of 4 mg lozenges to be sucked is usually 8 to 12 lozenges per day and should never exceed 15 lozenges per day.
Reduction of tobacco consumption: if possible, alternate nicotine lozenges with cigarettes. Suck on a lozenge when the urge to smoke arises, to remain smoke-free for as long as possible. The number of lozenges to suck per day varies and depends on your needs. However, it should not exceed 15 gummies per day. If a reduction in cigarette consumption has not been achieved after 6 weeks of treatment, it is recommended to seek advice from a health professional. The reduction in tobacco consumption should gradually lead to complete cessation of smoking.
This cessation should be attempted as soon as possible within 6 months of starting treatment. If, after 9 months of treatment, the attempt to stop smoking completely has failed, it is recommended not to use the lozenges beyond 12 months
Mode of administration For more information, please contact:
To be active, the nicotine contained in the gum and released by chewing, must be absorbed by the mouth.
If the nicotine is swallowed with saliva, it is without effect. It is therefore important not to chew the gum too vigorously.
Thus, it is advisable to chew the gum once, then hold it against the cheek for about 10 minutes: the gum softens and allows the nicotine to be released gradually, to be absorbed by the oral mucosa, thus passing into the circulation.
Then chew the gum very slowly (about 20 times in 20 minutes).
The gum should be kept in the mouth for about 30 minutes. After 30 minutes, the gum will no longer deliver nicotine
Duration of treatment :
For the complete cessation of smoking:
| The duration of use is limited to 12 months. |
In case of persistent withdrawal or difficulty in stopping this medicine, consult a doctor.
If you have taken more NICORETTE 4 mg SUGAR-FREE, medicated chewing gum than you should have: in case of accidental overdose or if a child swallows one or more lozenges; contact a doctor or an emergency service. Indeed, small quantities of nicotine are dangerous for children. Serious intoxication may occur and manifest itself as low blood pressure, weak and irregular pulse, difficulty breathing, prostration, cardiovascular collapse and convulsions.
Never take NICORETTE 4 mg SUGAR-FREE, medicated chewing gum:
- if you do not smoke or if you are an occasional smoker,
- in case of allergy to one of the constituents,
- in case of phenylketonuria (hereditary disease detected at birth), due to the presence of aspartam.
IF IN DOUBT, IT IS ESSENTIAL TO ASK YOUR DOCTOR OR PHARMACIST FOR ADVICE
Warnings For more information:
As part of a "complete stop to smoking", the use of this medicine must be accompanied by a total cessation of tobacco consumption. Read the health education advice carefully.
Some diseases require an examination and medical follow-up before using the medicine. For example, in case of :
- severe hepatic and/or renal insufficiency,
- ulcer of the stomach or duodenum in progress.
It is essential to consult your doctor before using this medicine.
Chewing gum should be kept out of the reach of children.
The therapeutic dose for adults could lead to intoxication and even death in children.
Due to the presence of sorbitol, this medicine may cause slight digestive problems (diarrhoea). Caloric value 2.6 kcal/g sorbitol
Precautions for use For more information:
There are signs of underdosing. If, despite the treatment, you feel a sensation of withdrawal, such as:
- an urge to smoke,
- irritability, sleep disorders,
- restlessness or impatience,
- difficulty in concentrating.
Consult your doctor or your pharmacy. It may be necessary to change the dosage of the medication.
There are signs that may indicate an overdose; if signs of overdose appear, i.e. nausea, abdominal pain, diarrhea, hypersalivation, sweating, headache, dizziness, hearing loss, general weakness.
It is imperative that you adopt the treatment with the help of your doctor or pharmacist.
IF IN DOUBT, DO NOT HESITATE TO ASK YOUR DOCTOR OR PHARMACIST FOR ADVICE
Taking or using other medicines Please tell your doctor or pharmacist if you are taking or have recently taken any other medication, even if it is obtained without a prescription. Quitting smoking may change the way some medications work. Talk to your pharmacist or doctor
If you are pregnant or breastfeeding
Ask your doctor or pharmacist for advice before taking any medication.
Pregnancy
It is very important to stop smoking during your pregnancy for the sake of you and your child. Smoking cessation during pregnancy requires medical advice and monitoring and should be attempted first without nicotine replacement.
You should therefore consult the doctor who is following your pregnancy or your usual doctor or a doctor in a centre specialising in smoking cessation.
Breastfeeding:
If you smoke heavily and do not plan to stop smoking, you should not breastfeed your child, but should resort to artificial feeding.
The use of this medicine should be avoided during breastfeeding because nicotine passes into breast milk.
However, if you wish to stop smoking and breastfeed your child, take the advice of your doctor or a doctor in a centre specialising in smoking cessation.
List of excipients with a known effect: sorbitol.
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