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This medication can help you quit smoking by replacing the nicotine in cigarettes. The nicotine in tobacco is an important part of cigarette addiction. When you stop smoking, your nicotine levels drop quickly. This drop can cause withdrawal symptoms such as craving tobacco, nervousness, irritability, headache, weight gain, and difficulty concentrating.Stopping smoking is hard and your chance of success is best when you are ready and have made a commitment to quit. Nicotine replacement products are part of a total stop-smoking program that includes behavior change, counseling, and support. Smoking causes lung disease, cancer, and heart disease. Stopping smoking is one of the most important things you can do to improve your health and live longer.
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Nicorette DS Bucl images:
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| Overview |
Photos |
How To Use |
Side Effects |
Precautions |
Missed Dose |
Drug Interactions |
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Nicorette DS Bucl
Uses
This medication can help you quit smoking by replacing the nicotine in cigarettes. The nicotine in tobacco is an important part of cigarette addiction. When you stop smoking, your nicotine levels drop quickly. This drop can cause withdrawal symptoms such as craving tobacco, nervousness, irritability, headache, weight gain, and difficulty concentrating.Stopping smoking is hard and your chance of success is best when you are ready and have made a commitment to quit. Nicotine replacement products are part of a total stop-smoking program that includes behavior change, counseling, and support. Smoking causes lung disease, cancer, and heart disease. Stopping smoking is one of the most important things you can do to improve your health and live longer.
Notes
- Do not share this medication with others.
Storage
- Store the U.S.
- product at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture.
- Do not store in the bathroom.Store the Canadian product between 59-86 degrees F (15-30 degrees C) away from light and moisture.
- Do not store in the bathroom.Keep all medicines away from children and pets.
- Wrap the used piece of gum in a piece of paper and discard in the trash away from children and pets.
Overdose
- Symptoms of overdose may include: confusion, drooling, seizure, slow/shallow breathing, hearing problems.
How To Use
- If you are using the over-the-counter product, read all directions on the product package before using this medication.
- If your doctor has prescribed this medication, read the Patient Information Leaflet if provided by your pharmacist before you start using this product and each time you get a refill.
- If you have any questions, consult your doctor or pharmacist.Do not eat or drink anything for 15 minutes before or during use of the gum.
- Do not use if the individual wrapper is open or damaged.Do not smoke or use any tobacco/nicotine product while using this medication.
- Chew a piece of gum when you feel the urge to smoke.
- Chew the gum very slowly until it tingles, then move it to the space between your cheek and gum.
- Keep it there until it stops tingling.
- When the tingle is gone, begin chewing again until the tingle returns.
- Most of the nicotine will be gone after 30 minutes.
- Do not use more than 1 piece of gum at a time.
- You may also use this product on a regular schedule as well as at times when you have the urge to smoke.
- The best dose for you is the dose that decreases the urge to smoke without side effects from too much nicotine.
- Your dose will need to be adjusted to your needs, including your smoking history and medical condition.For the first 6 weeks, use at least 9 pieces each day.
- If you still have a strong urge to smoke, you can use a second piece of gum within 1 hour.
- Do not continuously use 1 piece right after another.
- Doing so will increase side effects such as hiccups, nausea, or heartburn.
- Most people use about 9 to 12 pieces of gum per day during the first month of treatment.
- Do not chew more than 24 pieces of gum a day.After you have stopped smoking and you have reached the best dose and schedule for you, continue at that dose.
- Start to lower your dose after 6 weeks or as directed by your doctor until you are no longer smoking and no longer need nicotine replacement.Since this medication contains nicotine, it may cause dependence, especially if it has been used regularly for an extended time or if it has been used in high doses.
- In such cases, withdrawal reactions (e.g., tobacco cravings, nervousness, irritability, headache) may occur if you suddenly stop this drug.
- To prevent withdrawal when stopping extended/regular treatment with this drug, gradually reduce the dosage as directed.
- Consult your doctor or pharmacist for more details, and report any withdrawal reactions immediately.Some smokers are unsuccessful the first time they try to quit.
- You may need to stop using this product and try again later.
- Many people who cannot quit the first time are successful the next time.
- Do not use this product for more than 12 weeks at a time unless directed by your doctor.
Side Effects
- Mouth/teeth/jaw problems, headache, heartburn, sweating, or diarrhea may occur.
- If any of these side effects persist or worsen, stop using this medication and tell your doctor or pharmacist promptly.Common nicotine withdrawal symptoms can occur when you stop smoking and include dizziness, anxiety, depression, or trouble sleeping, among others.Chewing the gum too fast can cause lightheadedness, dizziness, hiccups, nausea, vomiting, or trouble sleeping.
- If these effects occur, chew the gum more slowly.If your doctor has prescribed this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects.
- Many people using this medication do not have serious side effects.
- Serious side effects are more likely if you continue to smoke while using this product.
- Do not smoke while you are using this medication.Stop using this medication and tell your doctor immediately if any of these unlikely but serious side effects occur: severe dizziness, mental/mood changes (e.g., irritability, trouble sleeping, vivid dreams), numbness/tingling in hands/feet, swelling hands/ankles/feet.Stop using this medication and seek immediate medical attention if any of these rare but very serious side effects occur: chest pain, confusion, severe headache, fast/irregular/pounding heartbeat, slurred speech, weakness on one side of the body.A very serious allergic reaction to this drug is rare.
- However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching, swelling, trouble breathing.If you notice other effects not listed above, contact your doctor or pharmacist.
Precautions
- Before using this product, tell your doctor or pharmacist if you are allergic to nicotine; or if you have any other allergies.This medication should not be used if you have certain medical conditions.
- Before using this medicine, consult your doctor or pharmacist if you have: uncontrolled/worsening chest pain, recent heart attack, irregular heartbeat (serious arrhythmias).Before using this medication, tell your doctor or pharmacist your medical history, especially of: blood vessel disease (e.g., Raynaud's disease, stroke), dental/jaw problems (e.g., bridges, temporal mandibular joint disease-TMJ), diabetes, heart disease (e.g., chest pain, heart attack), high blood pressure, liver disease, severe kidney disease, stomach/intestinal sores (peptic ulcers), certain adrenal problem (pheochromocytoma), overactive thyroid (hyperthyroidism).Nicotine and smoking may harm an unborn baby.
- If you are pregnant, try to stop smoking without using a nicotine replacement product if possible.
- During pregnancy, this medication should be used only when clearly needed.
- Discuss the risks and benefits with your doctor.Nicotine from smoking and from this medication passes into breast milk and could have undesirable effects on a nursing infant.
- Smoking near an infant can also harm the infant.
- Consult your doctor before breast-feeding.
Missed Dose
- If you are using this on a regular schedule and you miss a dose, use it as soon as you remember.
- If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule.
- Do not double the dose to catch up.
Drug Interactions
- If this drug has been prescribed, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them.
- Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: medications for high blood pressure (e.g., beta blockers such as labetalol, prazosin), bronchodilators/decongestants (e.g., isoproterenol, phenylephrine), bupropion, other nicotine products (patch, tobacco).Stopping smoking can change the way the liver removes certain drugs from the body (e.g., acetaminophen, caffeine, insulin, oxazepam, pentazocine, propoxyphene, propranolol, theophylline, tricyclic antidepressants such as amitriptyline/imipramine, "water pills"/diuretics such as furosemide).
- Tell all your doctors and pharmacists that you are quitting smoking.
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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.
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