2 mg and 4 mg medical chewing gum<\/p>\n\n\n\n
Nicotinell belongs to a group of medicines that are used to make it easier for you to quit smoking.<\/p>\n\n\n\n
Nicotinell Peppermint chewing gum contains the active substance nicotine, one of the substances found in tobacco. When chewing, nicotine is released slowly and is absorbed by the mucous membrane in the mouth. This drug is used to reduce the nicotine cravings and withdrawal symptoms in nicotine addicts. It can thereby:<\/p>\n\n\n\n
prevent relapse into smoking in smokers who are motivated to quit, or<\/p>\n\n\n\n
facilitate a smoke reduction in smokers who can not or are unwilling to quit smoking.<\/p>\n\n\n\n
Advice and support usually improve the chances of succeeding in quitting smoking.<\/p>\n\n\n\n
Nicotinell Peppermint is for smokers over 18 years of age.<\/p>\n\n\n\n
\u2022 if you are allergic to nicotine or any of the other ingredients of this medicine (listed in section 6)<\/p>\n\n\n\n
\u2022 if you are a non-smoker.<\/p>\n\n\n\n
Talk to your doctor or pharmacist before using Nicotinell Peppermint if you have any<\/p>\n\n\n\n
\u2022 heart problems, such as a recent heart attack, irregular heartbeat,\u00a0heart failure,\u00a0or chest pain (angina, including Prinzmetal’s angina).\u00a0If you experience increased heart problems while using this product, use should be reduced or discontinued.<\/p>\n\n\n\n
\u2022 had a stroke<\/p>\n\n\n\n
\u2022 high blood pressure<\/p>\n\n\n\n
\u2022 problems with blood circulation<\/p>\n\n\n\n
\u2022\u00a0diabetes, you should check your blood sugar levels more often than usual when you start using nicotine gums.\u00a0Your need for\u00a0insulin\u00a0or medical treatment may change.<\/p>\n\n\n\n
\u2022 overactive thyroid gland ( hyperthyroidism )<\/p>\n\n\n\n
\u2022 adrenal tumor ( pheochromocytoma )<\/p>\n\n\n\n
\u2022 impaired kidney and\/or liver function<\/p>\n\n\n\n
\u2022\u00a0inflammation\u00a0of the esophagus (\u00a0esophagitis\u00a0), gastritis (\u00a0gastritis\u00a0), or\u00a0gastric ulcer<\/p>\n\n\n\n
\u2022 had epilepsy<\/p>\n\n\n\n
If you have any of these conditions, it may not be appropriate for you to use Nicotinell Peppermint.<\/p>\n\n\n\n
People who have problems with the joint in the jaw or using dentures can have difficulty chewing gum.\u00a0In these cases, it is therefore recommended that you use other forms of nicotine replacement therapy than\u00a0chewing gum.\u00a0When chewing, Nicotinell Peppermint can loosen fillings or dental implants.<\/p>\n\n\n\n
When using Nicotinell Peppermint, you should<\/p>\n\n\n\n
Do not smoke as it may cause the nicotine concentration to be so high that you feel unwell.<\/p>\n\n\n\n
Children and young people<\/strong><\/p>\n\n\n\n Nicotinell should not be used by people between the ages of 12-17 without a prescription from a healthcare professional.<\/p>\n\n\n\n Nicotine doses tolerated by adult smokers during treatment can cause severe poisoning symptoms in young children and lead to death.\u00a0Therefore, Nicotinell Peppermint must be always stored out of sight and reach of children.\u00a0Nicotinell Peppermint should not be used by children under 12 years of age.<\/p>\n\n\n\n Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including medicines obtained without a prescription, and are about to stop smoking.<\/p>\n\n\n\n It is not known that Nicotinell Peppermint chewing gum would affect or be affected by taking other medicines. However, the effect of other drugs can be affected by quitting smoking. This is especially important if you are using medicines that contain<\/p>\n\n\n\n \u2022 theophylline (used to treat asthma )<\/p>\n\n\n\n \u2022 tacrine (used to treat Alzheimer’s disease )<\/p>\n\n\n\n Olanzapine and clozapine (used to treat schizophrenia).<\/p>\n\n\n\n Coffee, sour drinks, and soft drinks can reduce nicotine uptake.\u00a0You should therefore avoid these drinks 15 minutes before using Nicotinell Peppermint.\u00a0Do not eat or drink while holding chewing gum\u00a0in your mouth.<\/p>\n\n\n\n Pregnancy<\/p>\n\n\n\n It is very important to stop smoking during pregnancy as it can result in the poor growth of your baby.\u00a0It can also lead to premature birth and stillbirth.\u00a0It is best if you can stop smoking completely without the use of drugs that contain nicotine.\u00a0If you are unable to do this, use Nicotinell Peppermint only after contact with your healthcare professional.<\/p>\n\n\n\n Breast-feeding<\/p>\n\n\n\n Nicotinell Peppermint should be avoided during breastfeeding as nicotine passes into breast milk and may affect your baby.\u00a0If you have been advised by your healthcare professional to use Nicotinell Peppermint during breastfeeding, the chewing gum should be chewed shortly after breastfeeding and no later than two hours before breastfeeding.<\/p>\n\n\n\n Fertility<\/p>\n\n\n\n Smoking increases the risk of infertility in women and men. The effects of nicotine on fertility are not known.<\/p>\n\n\n\n Nicotinell Peppermint has no known effect on the ability to drive or use machines if used according to dosing instructions. Remember that smoking cessation can affect behavior.<\/p>\n\n\n\n Nicotinell Peppermint contains sorbitol, which is a source of fructose.\u00a0If you have been told by your doctor that you have an intolerance to some sugars, or if you have been diagnosed with\u00a0hereditary\u00a0fructose intolerance, a rare, inherited disease that prevents you from breaking down fructose, talk to your doctor before taking this medicine.<\/p>\n\n\n\n Chewing gum\u00a0contains 0.1 g of sorbitol, which is converted to 0.02 g of fructose in the body.\u00a0The caloric value of chewing gum\u00a0is 1.2 kcal.<\/p>\n\n\n\n The chewing gum contains butylhydroxytoluene (E 321) which can irritate the oral mucosa.\u00a0A Nicotinell Peppermint\u00a0chewing gum\u00a0contains 11 mg\u00a0of sodium.\u00a0This should be considered by people on a low-salt diet.<\/p>\n\n\n\n This medicine contains less than 1 mmol\u00a0sodium\u00a0(23 mg) per\u00a0gum, ie essentially ‘sodium-free’.<\/p>\n\n\n\n Always use this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you.\u00a0Ask your doctor or pharmacist if you are unsure.\u00a0The chewing gum strength should be chosen based on your nicotine addiction.\u00a0Use Nicotinell Peppermint 4 mg\u00a0chewing gum\u00a0again<\/p>\n\n\n\n \u2022 you are a smoker with a strong nicotine addiction<\/p>\n\n\n\n \u2022 you have previously failed to quit smoking after using chewing gum with a strength of 2 mg.<\/p>\n\n\n\n In other cases, Nicotinell Peppermint 2 mg chewing gum should be used.<\/p>\n\n\n\n See table for optimal strength:<\/p>\n\n\n\n If you experience side effects after starting a high dose (4 mg), use a lower dose (2 mg).<\/p>\n\n\n\n To avoid discomfort (eg hiccups or heartburn), the chewing gum must be chewed properly.<\/p>\n\n\n\n Instructions for use:<\/p>\n\n\n\n Do not swallow the chewing gum.<\/p>\n\n\n\n Chew 1 chewing gum until a strong taste is felt.<\/p>\n\n\n\n Then let the chewing gum rest between the cheek and the gums.<\/p>\n\n\n\n 3. Start chewing again when the taste fades.<\/p>\n\n\n\n 4. Repeat this procedure for about 30 minutes.<\/p>\n\n\n\n Avoid drinking coffee, acidic beverages, or soft drinks 15 minutes before using the chewing gum as it may reduce the\u00a0absorption\u00a0of nicotine.\u00a0Do not eat or drink when you have chewing gum in your mouth.<\/p>\n\n\n\n Dosage for adults over 18 years<\/strong><\/p>\n\n\n\n Take a chewing gum when you feel a strong need to smoke.<\/p>\n\n\n\n At the beginning of the treatment, 1\u00a0chewing gum\u00a0can usually be taken every two hours.\u00a0In most cases, 8-12 chewing gums per day is enough, regardless of the strength of the chewing gum.\u00a0The maximum daily dose when using 2 mg of medical\u00a0chewing gum\u00a0is 24 chewing gums and 4 mg of medical\u00a0chewing gum\u00a015 chewing gums.\u00a0Do not use more than one\u00a0chewing gum\u00a0per hour.<\/p>\n\n\n\n Smoking cessation:<\/em><\/p>\n\n\n\n The treatment is individual but usually lasts for at least 3 months.\u00a0Thereafter, the number of chewing gums per day is gradually reduced.\u00a0Treatment should be discontinued when the\u00a0dose\u00a0is reduced to 1-2 chewing gums per day.<\/p>\n\n\n\n Nicotinell Peppermint chewing gum should not be used for more than 12 months without contacting a healthcare professional.<\/p>\n\n\n\n Counseling increases the chances of succeeding in quitting smoking.<\/p>\n\n\n\n Smoke reduction:<\/em><\/p>\n\n\n\n Nicotinell Peppermint is used between smoking periods to prolong the smoking-free periods and to reduce smoking as much as possible.\u00a0If you have not been able to reduce the number of cigarettes per day after 6 weeks, you should seek professional help.\u00a0Try to stop smoking as soon as you feel ready, but no later than 6 months after starting treatment.\u00a0If you have not been able to make a serious attempt to quit smoking within 9 months of starting treatment, you should seek professional help.<\/p>\n\n\n\n Counseling increases the chances of succeeding in quitting smoking.<\/p>\n\n\n\n When you use too many chewing gums, you can get the same symptoms as if you smoke too much.\u00a0Symptoms of overdose include weakness, paleness, sweating, increased salivation, heartburn, nausea, vomiting, diarrhea, abdominal pain, vision and hearing disorders, headache, palpitations or other heart rhythm disturbances, shortness of breath, dizziness, tremors, and confusion.<\/p>\n\n\n\n In case of large overdoses, these symptoms may be followed by fatigue, low\u00a0blood pressure, circulatory collapse,\u00a0coma, difficulty breathing, and seizures.<\/p>\n\n\n\n If you have ingested too much medicine, or if e.g.\u00a0a child ingested the medicine by mistake, contact a doctor or hospital for risk assessment and advice.<\/p>\n\n\n\n Contact a doctor immediately if a child is suspected of being poisoned. Even small amounts of nicotine are dangerous and possibly life-threatening for children and can lead to serious symptoms or death.<\/p>\n\n\n\n Do not take a double\u00a0dose\u00a0to make up for a forgotten\u00a0dose.<\/p>\n\n\n\n If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.\u00a0Symptoms that may appear during the first few days are dizziness, headache, and sleep disturbances.\u00a0These can be withdrawal symptoms associated with smoking cessation and may be due to too low a supply of nicotine.\u00a0Other possible withdrawal symptoms may be insomnia, cough, weakness, fatigue, general malaise, or\u00a0flu-like symptoms.<\/p>\n\n\n\n Stop using Nicotinell Peppermint and contact a doctor immediately if you get any of the following symptoms of a severe allergic reaction ( angioedema or anaphylactic reaction)<\/p>\n\n\n\n Other side effects:<\/strong><\/p>\n\n\n\n Very common (may affect more than 1 user in 10)<\/strong><\/p>\n\n\n\n Common side effects ( <\/strong>may affect up to 1 in 10 people)<\/strong><\/p>\n\n\n\n Uncommon side effects ( <\/strong>may affect up to 1 in 100 people)<\/strong><\/p>\n\n\n\n Rare side effects ( <\/strong>may affect up to 1 in 1,000 people)<\/strong><\/p>\n\n\n\n \u2022 heart rhythm disorders<\/p>\n\n\n\n \u2022\u00a0hypersensitivity reactions.<\/p>\n\n\n\n No known frequency<\/strong><\/p>\n\n\n\n Cold sores can occur when trying to quit smoking, but the connection with nicotine treatment is unclear.<\/p>\n\n\n\n In very rare cases, the chewing gum can get stuck in dentures or dental bridges and damage them.<\/p>\n\n\n\n Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n Do not use this medicine after the expiry date which is stated on the carton after \u201cEXP\u201d. The expiration date is the last day of the specified month.<\/p>\n\n\n\n Do not store above 25 \u00b0 C.<\/p>\n\n\n\n Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.<\/p>\n\n\n\n Nicotinell Peppermint medical chewing gum is available in two strengths.<\/p>\n\n\n\n The active substance<\/strong> is nicotine.<\/p>\n\n\n\n A Nicotinell Peppermint\u00a0chewing gum\u00a0contains 2 mg or 4 mg of nicotine (equivalent to 10 mg or 20 mg of nicotine polarizing (1: 4)).<\/p>\n\n\n\n The other ingredients<\/strong> are<\/p>\n\n\n\n Nicotinell Peppermint medical\u00a0chewing gum\u00a0is sugar-free.<\/p>\n\n\n\n The coated chewing gum has an off-white color and is rectangular.<\/p>\n\n\n\n The chewing gums are packed in blister packs with 12 chewing gums in each.\u00a0The blister cards are packed in cartons containing 12, 24, 84, 96, and 204 chewing gums, respectively.<\/p>\n\n\n\n Not all pack sizes may be marketed.<\/p>\n\n\n\n Marketing Authorisation Holder<\/p>\n\n\n\n GlaxoSmithKline Consumer Healthcare ApS, PO Box 61,<\/p>\n\n\n\n 2610 R\u00f8dovre, Denmark<\/p>\n\n\n\n Manufacturer<\/p>\n\n\n\n FAMAR SA, 48 th<\/sup> km National Road Athens-Lamia, 19011, Avlonas, Attiki, Greece<\/p>\n\n\n\n Novartis Sverige AB, Kemistv\u00e4gen 1, 183 11 T\u00c4BY<\/p>\n\n\n\n Fertin Pharma A \/ S, Dandyvej 19, DK-7100, Denmark<\/p>\n","protected":false},"excerpt":{"rendered":" Nicotinell belongs to a group of medicines that are used to make it easier for you to quit smoking.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,15581],"tags":[18775,18909,18770,18774,18905,18908,18771,18906,18772,18907],"class_list":["post-18984","post","type-post","status-publish","format-standard","hentry","category-medicines","category-n","tag-benefits-of-nicotine","tag-benefits-of-nicotinell-peppermint","tag-nicotine","tag-nicotine-side-effects","tag-nicotinell-peppermint","tag-nicotinell-peppermint-side-effects","tag-what-is-nicotine","tag-what-is-nicotinell-peppermint","tag-what-nicotine-is-used-for","tag-what-nicotinell-peppermint-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18984","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=18984"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18984\/revisions"}],"predecessor-version":[{"id":19031,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18984\/revisions\/19031"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=18984"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=18984"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=18984"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Use of other medicines<\/h2>\n\n\n\n
Intake of Nicotinell Peppermint chewing gum with food and drink<\/h2>\n\n\n\n
Pregnancy and breastfeeding<\/h2>\n\n\n\n
Driving and using machines<\/h2>\n\n\n\n
Important information about some of the ingredients of Nicotinell Peppermint chewing gum<\/h2>\n\n\n\n
HOW TO USE NICOTINELLAL PEPPERMINT CHEWING GUM<\/h2>\n\n\n\n
Weak to moderate nicotine dependence<\/th> Moderate to strong nicotine dependence<\/th> Strong to very strong nicotine addiction<\/th><\/tr><\/thead> Less than 20 cigarettes\/day<\/td> Between 20-30 cigarettes \/ day<\/td> More than 30 cigarettes\/day<\/td><\/tr> A low\u00a0dose\u00a0(2 mg\u00a0chewing gum\u00a0) is preferred<\/td> Low dose (2 mg chewing gum ) or high dose (4 mg chewing gum ) depending on the user’s taste<\/td> A high\u00a0dose\u00a0(4 mg\u00a0chewing gum\u00a0) is preferred<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n If you use too much Nicotinell Peppermint chewing gum <\/h2>\n\n\n\n
If you forget to take Nicotinell Peppermint Chewing Gum<\/h2>\n\n\n\n
POSSIBLE SIDE EFFECTS<\/h2>\n\n\n\n
HOW TO STORE NICOTINELL PEPPERMINT CHEWING GUM<\/h2>\n\n\n\n
FURTHER INFORMATION<\/h2>\n\n\n\n
Content declaration<\/h2>\n\n\n\n
What the medicine looks like and contents of the pack<\/h2>\n\n\n\n
Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n