Nicorette Microtab – Nicotine uses, dose and side effects

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2 mg sublingual resoribletter
Nicotine

What Nicorette Microtab is and what it is used for

Nicorette Micro tab belongs to a group of medicines that are used to help you quit smoking.

The nicotine in Nicorette Micro tab relieves nicotine cravings and withdrawal symptoms when you stop smoking, thereby preventing relapse into smoking in smokers who are motivated to quit.

When you suddenly stop supplying the body with nicotine via tobacco, you suffer from various forms of discomfort, so-called withdrawal symptoms. With the help of Nicorette Micro tab, you can prevent or at least reduce these discomforts by continuing to supply your body with a small amount of nicotine for a transitional period.

Advice and support normally increase the chance of success.

What you need to know before you take Nicorette Microtab

Do not take Nicorette Microtab

  • if you are allergic (hypersensitive) to nicotine or any of the other ingredients of this medicine (listed in section 6)
  • if you are under 12 years of age
  • if you have never smoked

Warnings and cautions

You may be able to take Nicorette Micro tab, but you must first discuss with your doctor if you have any of the following conditions:

  • recently (within three months) had a heart attack or stroke
  • chest pain ( unstable angina ) or angina at rest
  • heart disease that affects the heart rate or heart rate
  • high blood pressure that is not treated with drugs
  • have ever had allergic reactions in the form of swelling of the lips, face and throat ( angioedema ) or itchy skin rash ( hives ). The use of nicotine replacement therapy can sometimes trigger this type of reaction
  • severe or moderate liver disease
  • severe kidney disease
  • diabetes
  •  overactive thyroid gland
  • adrenal  tumor ( pheochromocytoma )
  • gastric ulcer or ulcer of the duodenum a
  • inflammation of the esophagus

Adolescents between the ages of 12 and 17 should only use Nicorette Micro tab after being prescribed by a healthcare professional.

Nicorette Micro tab should not be used by non-smokers.

You should stop smoking completely during treatment with Nicorette Micro tab.

A normal dose for adults can seriously poison or even kill a small child. It is therefore important that you always keep Nicorette Micro tab travel tablets out of the reach and sight of children.

Other medicines and Nicorette Microtab

Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, or might take other medicines. This is especially important if you are taking medicines that contain

theophylline to treat asthma

tacrine for Alzheimer’s disease

clozapine for schizophrenia

ropinirole to treat Parkinson’s disease

Pregnancy, breastfeeding and fertility

It is very important to stop smoking during pregnancy because smoking can impair fetal growth. Smoking can also cause the baby to be born prematurely or lead to miscarriage. It is best if you can stop smoking without using nicotine-containing medicines. If you are unable to do this, use Nicorette Micro tab only after consulting your healthcare provider, your GP, or your doctor who specializes in smoking cessation.

Nicorette Micro tab should be avoided during breastfeeding as nicotine passes into breast milk and may affect your baby. If your doctor has recommended you to use Nicorette Micro tab, the tablet should be taken immediately after breastfeeding and not within two hours before breastfeeding.

Smoking increases the risk of infertility in women and men. The effects of nicotine on fertility are unknown.

Driving and using machines

No effects on the ability to drive or use machines have been observed.

Nicorette Microtab contains betadex (β-cyclodextrin)

Nicorette Micro tab contains 84.5 mg betadex (β-cyclodextrin) in each tablet.

How to use Nicorette Microtab

Always use this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are unsure.

Dosage one should be chosen based on your nicotine addiction.

At the beginning of treatment, 1 tablet can be taken every two hours. In most cases, 8-12 resoriblets per day are sufficient.

If you have a high nicotine dependence or if you smoke more than 20 cigarettes a day, start with 2 tablets every two hours. A maximum of 30 tablets per day should be used.

Nicorette Micro tab should be used sublingually, which means that the tablet should be placed under the tongue.

Place the tablet under the tongue and let it melt slowly using the saliva. This takes about half an hour. Do not chew or swallow the tablet. However, the risk of poisoning is small if you happen to swallow the tablet.

The treatment time is individual.

The treatment should last about 2-3 months. Thereafter, the nicotine dose is gradually reduced.

Treatment should be stopped when the dose is reduced to 1-2 resoriblets per day.

Regular use of Nicorette Micro tab for longer than 6 months is not normally recommended.

In some cases, longer treatment times may be necessary to avoid a relapse into smoking. Leftover tablets should be saved, as the urge to smoke may suddenly arise.

If you take more Nicorette Microtab than you should

Nicotine overdose can occur if you smoke while taking Nicorette Micro tab.

If you have ingested too much medicine or if e.g. a child has ingested the medicine by mistake, contact a doctor or hospital for risk assessment and advice.

If a child takes Nicorette Micro tab or if you have used more Nicorette Micro tab than you should, contact your doctor or see your nearest hospital immediately. Nicotine doses tolerated by adult smokers during treatment can cause severe poisoning symptoms in children and can be fatal.

Symptoms of overdose include nausea, vomiting, increased salivation, abdominal pain, diarrhea, sweating, headache, dizziness, hearing loss and pronounced feeling of weakness. At high doses, these symptoms may be followed by low blood pressure, weak irregular heartbeat, difficulty breathing, extreme fatigue, circulatory collapse, and seizures.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Nicorette Micro tab can cause the same side effects as other forms of nicotine. The side effects generally depend on the dose you take.

Symptoms associated with quitting smoking (withdrawal symptoms)

Some of the side effects you experience when you quit smoking can be withdrawal symptoms, which occur due to reduced nicotine intake.

These symptoms include:

  • Irritation, aggression, impatience or frustration
  • Anxiety, restlessness or difficulty concentrating
  • Waking up at night or sleep disturbances
  • Increased appetite or weight gain
  • Depression
  • Smoke extraction
  • Decreased heart rate
  • Bleeding gums or sores in the mouth
  • Dizziness or fainting
  • Cough, sore throat, stuffy or runny nose
  • Constipation

If you notice any of the following serious and unusual side effects, stop taking Nicorette Micro tab and contact your doctor immediately (symptoms of angioedema ):

  • swelling of the face, tongue, or throat
  • difficult to swallow
  • hives, rash and difficulty breathing

Very common: may affect more than 1 user in 10

  • Cough
  • Headache
  • Hiccup
  • Nausea (feeling sick)
  • Throat irritation

Common: may affect 1 in 10 users

  • Local effects such as burning sensation, inflammation in the mouth, altered taste experience
  • Dry mouth or increased salivation
  • Feeling of dyspepsia (sensitive stomach)
  • Pain or discomfort in the abdomen
  • Vomiting, flatulence or diarrhea
  • Fatigue
  • Hypersensitivity ( allergy )

Uncommon: may affect up to 1 in 100 people:

  • Nasal congestion, sneezing, runny nose
  • Breathing with wheezing (bronchial spasm), difficulty breathing ( dyspnoea ), feeling of tightness in the throat
  • Redness of the skin (swelling), tingling or increased sweating
  • Stinging in the mouth, inflammation of the tongue, cold sores, damage to the oral mucosa or voice changes, pain in the mouth and throat, belching, bleeding gums
  • Palpitations (a deviant experience of your heartbeat), increased heart rate, hypertension
  • Skin rash and / or itching ( pruritus , urticaria )
  • Abnormal dreams
  • Discomfort and pain in the chest
  • Feeling weak, feeling sick

Rare: may affect up to 1 in 1,000 people

  • Difficulty swallowing, decreased sensitivity in the mouth
  • Nausea
  • Abnormal heart rhythm

No known frequency: can not be calculated from the available data:

  • Blurred vision, increased tear production (tear flow)
  • Dryness in the throat, stomach upset, pain in the lips
  • Redness of the skin
  • Allergic reactions with swelling of the face and mouth ( angioedema or anaphylaxis )

How to store Nicorette Microtab

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the blister and the carton. The expiration date is the last day of the specified month.

Do not store above 30 ° C.

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.

Contents of the pack and other information

Content declaration

  • The active substance is nicotine. One travel tablet contains 2 mg of nicotine in the form of nicotine betadex.
  • The other ingredients are: betadex (β-cyclodextrin), crospovidone, magnesium stearate, anhydrous colloidal silica.

What the medicine looks like and contents of the pack

The resort lets are white to pale yellow, flat, round, diameter 6 mm, marked “NIC” on one side and “2” on the opposite side.

Pack sizes:

20, 30, 90, 100, or 150 resoriblets in blister packs, with or without storage case.

Not all pack sizes may be marketed.

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