Use with caution in subjects taking anti-convulsant therapy or with a history of epilepsy as cases of convulsions have been reported in association with nicotine. Why Nicotinell: Nicotinell nicotine gum helps to quit smoking by relieving five withdrawal symptoms of quitting - anxiety, frustration, restlessness, irritability and cravings Agitated children are better managed without sedation. Exclude other causes (e.g. hypoxia: infection: hypoglycaemia: raised ICP). Seek expert paediatric advice You've taken a positive step towards a smoke-free beginning, soft chewing Nicotinell gum comes in a range of unexpectedly bold flavours that are pleasant to chew throughout the day, Nicotinell can help you control the cravings that often occur as you try to achieve a smoke free life. Heavier smokers who are more likely to experience severe withdrawal symptoms and for those who have previously failed to stop smoking with nicotine replacement therapy should use Nicotinell 4mg gum. Helpful tips to stop smoking The characteristics of chewing-gum as a pharmaceutical form are such that individually different nicotine levels can result in the blood. Therefore, dosage frequency should be adjusted according to individual requirements within the stated maximum limit.

Precautions: Use with caution in patients with: 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, history of epilepsy or those taking anti-convulsant therapy, diabetes mellitus, hyperthyroidism, pheochromocytoma, moderate to severe renal and/or hepatic impairment, active oesophagitis, oral and pharyngeal inflammation, gastritis, gastric/peptic ulcer. Gum: Not recommended for those with jawbone joint problems or denture wearers. May loosen fillings or dental implants. Do not use in patients with hereditary conditions of fructose intolerance. Contains butylhydroxytoluene which may cause irritation to the mucous. Patch: Have a history of dermatitis. Discontinue use if a severe or persistent skin reaction, including allergic reaction, occurs. Nicotinell TTS contains aluminium and should be removed prior to undergoing defibrillation, MRI or cardioversion procedures. Lozenge: Use with caution in patients with: hypertension, stable angina pectoris, cerebrovascular disease, occlusive peripheral arterial disease and heart failure. Contain aspartame, may be harmful to those with phenylketonuria. Do not use in patients with hereditary conditions of fructose intolerance. Reducing the number of cigarettes smoked can increase the chances that you will move on to quit completely. You might feel a sudden craving to smoke long after you have given up smoking and stopped using Nicotinell gums.Remember you can use any nicotine replacement therapy again if this should happen. 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.Excipients: This product contains sorbitol; patients with rare hereditary problems of fructose intolerance should not take this medicine.

Only chew the gum when you need to. Do NOT use more than 1 piece of gum at a time or more than 15 pieces of 4 mg gum a day. 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: Nicotinell 4mg gum contains sorbital (E420) 0.1g per gum, a source of 0.02g fructose. Calorific value 1.2 kcal/piece of gum. Nicotine gum should not be used for more than 12 months unless the potential benefit outweighs the potential risk to the smokers.

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This product may cause adverse reactions similar to those associated with nicotine given by other means, including smoking, and these are mainly dose-dependent. At recommended doses this product has not been found to cause any serious adverse effects. Most of the undesirable effects reported by the patients occur during the first 3-4 weeks after start of treatment. 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. Everyday Health. Nicotine Withdrawal: How to Cope. https://www.everydayhealth.com/quit-smoking/guide/nicotine/withdrawal/ . Accessed on 26/6/23.

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. Adverse reproductive and developmental effects have been reported following exposure to tobacco and nicotine during pregnancy. Women who are pregnant should first be advised to stop smoking without the assistance of nicotine replacement therapy. Stopping smoking is the single most effective intervention for improving the health of both the pregnant smoker and her baby, and the earlier abstinence is achieved the better. However, if the mother cannot (or is considered unlikely to) quit without pharmacological support, NRT may be used as the risk to the foetus is lower than that expected with smoking tobacco. Stopping completely is by far the best option but Nicotinell gums may be used in pregnancy as a safer alternative to smoking and should only be used if the expected benefits to the mother outweigh the potential risks to the foetus. Because of the potential for nicotine-free periods, intermittent dose forms are preferable, but patches may be necessary if there is significant nausea and/or vomiting. If patches are used they should, if possible, be removed at night when the foetus would not normally be exposed to nicotine.

Because Nicotinell gum contains sorbitol, xylitol and maltitol: Patients with rare hereditary conditions of fructose intolerance should not take this medicine. By giving you control over your nicotine cravings, you can effectively deal with your withdrawal symptoms as they happen.

Danger in children: Doses of nicotine tolerated by adult and adolescent smokers can produce severe toxicity in children that may be fatal. Products containing nicotine should not be left where they may be misused, handled or ingested by children. Nicotine gum should be disposed of with care. Excessive swallowing of nicotine which is released in the saliva may, at first, cause hiccups. Those who are prone to indigestion may suffer initially from minor degrees of dyspepsia or heartburn; slower chewing will usually overcome this problem. The Nicotinell product range: Includes TTS Patch, medicated chewing gum and lozenge. Stop smoking aid. Requires willpower. Contains nicotine. Always read the label.

About Nicotinell Gum

Gum range: Nicotinell nicotine gum are a stop smoking aid available 2 mg and 4 mg strengths in three sugar free flavours - mint, fruit and liquorice If you haven’t exercised for some time, take it slowly to begin with and increase the amount of time spent exercising over the course of a few weeks. Not only will exercising help you relax but it also helps to keep your weight under control, which some people find a problem when quitting. GI disease: Nicotine may exacerbate symptoms in patients suffering from oesophagitis, gastritis or peptic ulcers and NRT preparations should be used with caution in these conditions. Ulcerative stomatitis has been reported.