Nicotinell Mint Fresh 2 mg chewing gum 96 pcs

Nicotinell belongs to a group of medicines designed to help you stop smoking. Nicotinell contain nicotine as an active ingredient. By chewing, the nicotine is slowly released from the chewing gum into the oral cavity and absorbed into the body via the oral mucosa. This medicine helps reduce the withdrawal symptoms that come with smoking cessation. Patient counseling and support usually increases the success rate.

Contraindications

Nicotinell chewing gum must not be used

• if you are allergic to nicotine or any of the other ingredients of this medicine (listed in section 6).
• if you are a non-smoker.

Talk to your doctor or pharmacist before taking Nicotinell if you have any of the following conditions:

• If you have a heart problem, you should consult a doctor before using any nicotine replacement therapy product. If you experience a worsening of your heart disease while using a nicotine replacement therapy product, the product must be reduced or discontinued.
• If you have recently had a heart attack or stroke, or have severe abnormal heart rhythms or chest pain, you should try to quit smoking without using nicotine replacement therapy products unless your doctor tells you to use them.
• If you have heart failure, angina or high blood pressure (uncontrolled hypertension).
• For circulatory problems.
• In diabetes mellitus. You should check your blood sugar levels more often than usual when you start using Nicotinell Chewing Gum. Your insulin or drug needs may change.
• If you have an overactive thyroid gland (hyperthyroidism).
• If the adrenal glands are overactive (phaeochromocytoma).
• If you have kidney or liver dysfunction.
• If you have a stomach or duodenal ulcer or inflammation of the esophagus (passage between the mouth and stomach), as nicotine replacement therapy may make your symptoms worse.
• For fructose intolerance.
• If you have ever had seizures.

People who have problems with the temporomandibular joint and wearers of dentures may have difficulty chewing the gum. In these cases, it is recommended to use another form of nicotine replacement therapy. Ask your doctor or pharmacist for advice.

Keep all medicines out of the sight and reach of children.

interactions

Tell your doctor or pharmacist if you are taking/using, have recently taken/used, or might take/use any other medicines. Stopping smoking can change the way other medicines you may be taking work. If you have any questions or concerns about this, consult a doctor. There is no information on interactions between Nicotinell and other medicines. However, other ingredients in cigarettes besides nicotine can affect the way medicines work.

Quitting smoking can make some medicines less effective, such as:

• theophylline (medicine used to treat bronchial asthma),
• tacrine (medicine used to treat Alzheimer's disease),
• olanzapine and clozapine (used to treat schizophrenia),
• Insulin (medicine used to treat diabetes) doses may need to be adjusted.

Nicotinell taken with food and drink

Coffee, acidic drinks (eg fruit juice) and soda can reduce the absorption of nicotine through the oral mucosa and must be avoided within 15 minutes before chewing gum.

pregnancy

If you are pregnant you should stop smoking without using nicotine replacement therapy. However, if you have tried and it hasn't worked, nicotine replacement therapy should only be used on the recommendation of a healthcare professional to help you quit smoking.

lactation

If you are breast-feeding, nicotine replacement therapy should only be used on the advice of a healthcare professional, as nicotine can pass into breast milk.

fertility

Smoking increases the risk of infertility in both women and men.

Driving and using machines:

There is no evidence of any risk from driving or using machines when Nicotinell is used at the recommended dose; however, keep in mind that quitting smoking can cause behavioral changes.

application

Always use this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

To increase your chances of quitting smoking, you should stop smoking completely when you start nicotine replacement therapy and for the entire duration of treatment.

Nicotinell MintFruit chewing gum is available in 2 strengths: 2 and 4 mg. The appropriate dose depends on your previous smoking habits.

You should use Nicotinell 4 mg if:

• you are a smoker with a strong or very strong dependence on nicotine,
• you have previously failed to quit smoking with Nicotinell 2 mg,
• Your withdrawal symptoms are still so severe that a relapse is imminent.

Otherwise Nicotinell 2 mg should be used.

If side effects occur when using the high dosage form (Nicotinell 4 mg), it should be replaced with the lower dosage form (Nicotinell 2 mg).

type of administration

Start using this medicine on the day you quit smoking. To successfully quit smoking with this treatment, you should quit smoking completely. Chew 1 piece of gum when the urge to smoke occurs. Do not chew more than 1 gum at a time. Chew no more than 1 piece of gum per hour.

• Chew the gum slowly until a strong flavor emerges. Do not eat or drink while you have gum in your mouth.
• Hold the gum between your gum and cheek.
• When the taste wears off, start chewing again.
• Repeat these operations for 30 minutes to get a gradual release of the nicotine.

The recommended dose for adults over 18 years and elderly is:

Chew a piece of gum when you crave a cigarette. Chew a piece of gum every one to two hours. Usually 8 to 12 gums a day is enough, but if you still feel like a cigarette you can chew more Nicotinell gum. However, do not chew more than 24 Nicotinell 2 mg tablets per day.

The duration of treatment varies from person to person. Usually the treatment should last at least 3 months. After 3 months, the number of Nicotinell chewed should be gradually reduced. Treatment should be stopped when the dose has been reduced to 1-2 chewing gums per day. Use of Nicotinell beyond 6 months is generally not recommended. However, some ex-smokers may need longer treatment periods to prevent smoking recurrence.

Talk to your doctor if you have been taking Nicotinell for more than 9 months. Appropriate counseling can help you quit smoking.

Use in children and adolescents

Nicotinell should not be used by anyone under the age of 18 without medical advice.

side effects

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

Side effects that you may have noticed in the first days of treatment are dizziness, headache, sleep disturbances. These symptoms can also be a sign of withdrawal symptoms and indicate insufficient nicotine intake during smoking cessation.

Very common side effects (may affect up to 1 in 10 people):

• feeling sick (nausea).

Common side effects (may affect 1 to 10 in 100 people):

• The gum can cause your mouth or tongue to be slightly sore or irritated.
• Sore throat or swollen throat.
• Malaise.
• abdominal discomfort.
• Diarrhea.
• indigestion / heartburn.
• gas.
• Hiccup.
• Increased saliva production.
• Constipation.
• Difficulties swallowing.
• dizziness and headache.
• Vomit.
• Insomnia.
• Cough.
• dry mouth.
• Jaw muscle pain can also occur due to intense chewing.

Slower chewing usually eliminates these symptoms.

Uncommon side effects (may affect up to 1 in 100 people): 

• palpitations (when you feel your heartbeat).
• Skin redness (erythema) and itchy pustules (urticaria).

Rare side effects (may affect up to 1 in 1,000 people):

• Fast or irregular heartbeat.
• Shortness of breath.
• Severe allergic reaction symptoms such as sudden wheezing or chest tightness, skin rash and fainting.
• Cardiac arrhythmias and allergic reactions. These reactions can be serious in very few cases and include swelling of the skin, face and mouth, low blood pressure and difficulty breathing.

Mouth ulcers can develop in connection with smoking cessation; however, these are not related to your treatment.

The chewing gum can stick to dentures or other dentures and in rare cases damage them.

composition

The active substance is nicotine.
Each medicated chewing gum contains 2 mg nicotine (as 10 mg nicotine polacrilin).

The other ingredients are:  gum base (contains butylated hydroxytoluene (E321)), calcium carbonate, sorbitol (E420), anhydrous sodium carbonate, sodium bicarbonate, polacrilin, glycerol (E422), purified water, levomenthol, natural mint flavouring, mint "Millicaps" microgranules, sucralose , acesulfame potassium, xylitol (E967), mannitol (E421), gelatin, titanium dioxide (E171), carnauba wax and talc. See section 2 “Nicotinell contains sorbitol, butylated hydroxytoluene and sodium”.