Table of contents:
- What Drug Nicotine?
- What is Nicotine for?
- How to use Nicotine?
- How is Nicotine stored?
- Nicotine dosage
- What is the Nicotine dosage for adults?
- What is the dosage of Nicotine for children?
- In what dosage is Nicotine available?
- Nicotine side effects
- What side effects can be experienced due to Nicotine?
- Nicotine Drug Warnings and Cautions
- What should be known before using Nicotine?
- Is Nicotine safe for pregnant and lactating women?
- Nicotine Drug Interactions
- What medicines may interact with Nicotine?
- Can food or alcohol interact with Nicotine?
- What health conditions can interact with Nicotine?
- Nicotine overdose
- What should I do in an emergency or overdose?
- What should I do if I miss a dose?
What Drug Nicotine?
What is Nicotine for?
Nicotine is a drug with a function to help you quit smoking by replacing nicotine in cigarettes. The nicotine in tobacco is an important part of smoking addiction. When you quit smoking, your nicotine levels drop rapidly. This decrease can cause withdrawal symptoms such as cravings for tobacco, nervousness, irritability, headaches, weight gain, and difficulty concentrating. The use of inhalers can replace smoking.
Quitting smoking is difficult and the key to success is when you are ready and have made a commitment to quit smoking. Nicotine replacement products are part of a total smoking cessation program that includes behavior change, counseling, and support. Smoking causes lung disease, cancer and heart disease. Quitting smoking is one of the most important things you can do to improve your health and live longer.
How to use Nicotine?
It is important to stop smoking completely while using this Nicotine product. Insert the tube into the funnel and inhale the drug by rapid sucking on the funnel for four 5-minute sessions or about 20 minutes continuously. Even though using an inhaler is like smoking, you don't need to take deep breaths like you do when you smoke. This medication works in the mouth and throat, not the lungs.
Avoid acidic foods and drinks (for example, citrus fruits, coffee, juices, carbonated drinks) for 15 minutes before inhaling this medicine.
After using the inhaler for a total of 20 minutes, remove the cartridge used and throw it out of reach of children and pets. The funnel is reusable. Clean with soap and water.
When you quit smoking, start using the nicotine cartridge every time you want to smoke a cigarette. Typically, you will use at least 6 sleeves daily for the first 3 to 6 weeks or as directed by your doctor. Do not use more than 16 sleeves in a day. Your doctor may direct you to use this product on a regular schedule as well as when you have the urge to smoke. Regular use can help your body get used to the medication and reduce side effects such as sore throat. The best dose for you is one that lowers the urge to smoke without the side effects of taking too much nicotine. Follow your doctor's orders carefully. Your dosage will need to be tailored to your needs, including your history and medical condition.
After you have quit smoking and you have reached your best dose and schedule, continue taking it at that dose. Usually, after about 3 months, your doctor will help you gradually reduce your dose until you stop smoking and you no longer need nicotine replacement.
This medicine may cause a withdrawal reaction, especially if it has been used regularly for a long time or in high doses. In such cases, withdrawal symptoms (such as craving tobacco, nervousness, irritability, headache) may occur if you suddenly stop using this medicine. To prevent these reactions, the doctor may reduce the dose gradually. Consult your doctor or pharmacist for more details, and report any discontinuation reactions immediately.
Tell your doctor if you have not been able to quit smoking after using this product for 4 weeks. 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 can't stop the first time and succeed the next time.
Follow the rules given by your doctor or pharmacist before starting treatment. If you have any questions, consult your doctor or pharmacist.
How is Nicotine stored?
This medication is best stored at room temperature, away from direct light and damp places. Don't keep it in the bathroom. Don't freeze it. Other brands of this drug may have different storage rules. Observe the storage instructions on the product package or ask your pharmacist. Keep all medicines away from children and pets.
Do not flush medicines down the toilet or down the drain unless instructed to do so. Discard this product when it has expired or when it is no longer needed. Consult your pharmacist or local waste disposal company about how to safely dispose of your product.
Nicotine dosage
The information provided is not a substitute for medical advice. ALWAYS consult your doctor or pharmacist before starting treatment.
What is the Nicotine dosage for adults?
Usual Adult Dose for Quitting Smoking
> 45 kg:
Habitrol or NicoDerm CQ: 21 mg / day for 6 weeks, then 14 mg / day for 2 weeks, then 7 mg / day for 2 weeks.
Prostep: 22 mg / day for 4-8 weeks, then 11 mg / day for 2 to 4 weeks.
Nicotrol: 15 mg / day for 6 weeks. The dose is given over 16 hours. Patches shouldn't be left in> 16 hours.
Nicorette gum: a 4 mg slice every 1-2 hours for 6 weeks, then a 4 mg slice every 2 to 4 hours for 3 weeks, then a 4 mg slice every 4-8 hours for 3 weeks. Not more than 24 pieces / day. Chew gum slowly for at least 30 minutes. Should not be used for> 6 months.
Lozenges: 2-4 mg of pastels every 1 to 2 hours in the mouth until they run out (about 20 to 30 minutes). Use the recommended minimum of 9 lozenges / day for 6 weeks, then 2-4 mg of lozenges every 2 to 4 hours on weeks 7 to 9. At the start of week 10, reduce the dose for one candy every 4 to 8 hours. Don't use more than 20 candies / day. For the 12-week usage plan
Nicotrol NS: 1-2 mg / hour (2-4 sprays). Must use at least according to the minimum recommended dose of 8 doses / day. Maximum dose is 40 mg (80 sprays) / day.
Nicotrol Inhaler: 6-16 cartridges per day for 3 months. Then, gradually reduce the daily dose and reduce the use of the inhaler over the course of 6 to 12 weeks. Should not be used for> 6 months.
Habitrol or NicoDerm CQ: 14 mg / day for 6 weeks, then 7 mg / day for 2 weeks.
Prostep: 11 mg / day for 4 to 8 weeks.
Nicorette gum: a 2 mg slice every 1-2 hours for 6 weeks, then one 2 mg slice every 2-4 hours for 3 weeks, then one 2 mg slice every 4 to 8 hours for 3 weeks. Not more than 24 pieces / day. Chew gum slowly for at least 30 minutes. Should not be used for> 6 months.
Nicotrol NS: 1-2 mg / hour (2-4 sprays).
Nicotrol Inhaler: 6-16 cartridges per day for 3 months. Then, gradually reduce the daily dose and reduce the use of the inhaler over the course of 6 to 12 weeks. Should not be used for> 6 months.
What is the dosage of Nicotine for children?
The dosage for children has not been determined. Consult your doctor for more information.
In what dosage is Nicotine available?
Polacrilex Nicotine Candy, Oral: 2 mg.
Nicotine side effects
What side effects can be experienced due to Nicotine?
Get emergency medical help if you have any of these signs of an allergic reaction: nausea, vomiting, sweating, hives, itching, difficulty breathing, swelling of the face, lips, tongue, or throat.
Stop using this drug and call your doctor if you experience serious side effects such as:
- Blisters inside your mouth;
- Fast heartbeat or pounding feeling in the chest;
- Extreme weakness or dizziness;
- Nausea and vomiting or
- Bronchospasm (shortness of breath, tightness in your chest, difficulty breathing).
Less serious side effects may include:
- Lightheadedness
- Dry mouth, stomach pain, belching, or hiccups;
- Muscle or joint pain;
- Mouth or throat pain
- Change in taste; or
- Headache
Not everyone experiences the following side effects. There may be some side effects not listed above. If you have concerns about certain side effects, consult your doctor or pharmacist.
Nicotine Drug Warnings and Cautions
What should be known before using Nicotine?
Before using Nicotine,
- Tell your doctor and pharmacist if you are allergic to nicotine or any other drugs.
- Tell your pediatrician and pharmacist about prescription and nonprescription drugs you are taking, including vitamins
- Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while using nicotine, call your doctor
Is Nicotine safe for pregnant and lactating women?
There are no adequate studies regarding the risks of using this drug in pregnant or nursing women. Always consult your doctor to weigh the potential benefits and risks before using this medication. This drug is included in the risk of pregnancy category D according to the US Food and Drug Administration (FDA).
The following references the pregnancy risk categories according to the FDA:
- A = Not at risk
- B = No risk in several studies
- C = May be risky
- D = There is positive evidence of risk
- X = Contraindicated
- N = Unknown
Studies in breastfeeding women have shown harmful effects on babies. Other alternative medicines must be prescribed or you must stop breastfeeding while using this medicine.
Nicotine Drug Interactions
What medicines may interact with Nicotine?
Drug interactions can change the performance of your medications or increase the risk of serious side effects. Not all possible drug interactions are listed in this document. Keep a list of all the products you use (including prescription / non-prescription drugs and herbal products) and consult your doctor or pharmacist. Do not start, stop, or change the dose of any medication without your doctor's approval.
Before using this medication, tell your doctor if you are using any of the following medicines:
- Imipramine (Tofranil);
- Oxazepam (Serax);
- Propranolol (Inderal), labetalol (Normodyne, Trandate), or prazosin (Minipress);
- Theophylline (Theo-Dur, Theochron, Theolair);
- Pentazocine (Talwin), or
- Insulin
Can food or alcohol interact with Nicotine?
Certain drugs should not be used with meals or when eating certain foods because drug interactions can occur. Consuming alcohol or tobacco with certain drugs can also cause interactions to occur. Discuss your use of drugs with food, alcohol, or tobacco with your health care provider.
What health conditions can interact with Nicotine?
The presence of other health problems in your body may affect the use of this drug. Tell your doctor if you have other health problems .:
-
- Angina (severe chest pain) or
- Asthma or
- Breathing problems or
- Buerger's disease (circulation problems) or
- Diabetes (insulin dependence) or
- Heart rhythm problems (for example, arrhythmias) or
- Hypertension (high blood pressure) or
- Hyperthyroidism (overactive thyroid) or
- Phaeochromocytoma (adrenal problem) or
- Raynaud's disease (circulation problems) or
- Ulcer or
- Tachycardia (fast heart rate) - Use with caution. It might make things worse.
- Heart attack, history or
- Heart or blood vessel disease - Use with caution. May cause side effects to be worse.
- Severe kidney disease or
- disease caution - Use with caution. The effect can be increased due to the slow cleansing of the drug from the body.
Nicotine overdose
What should I do in an emergency or overdose?
In case of an emergency or overdose, contact the local emergency services provider (112) or immediately to the nearest hospital emergency department.
What should I do if I miss a dose?
If you forget a dose of this medicine, take it as soon as possible. However, when it is nearing the time of the next dose, skip the missed dose and return to the usual dosing schedule. Don't double the dose.
