Nicotinell Nicotine Gum

Nicotinell Tropical Fruit belongs to a group of medicines which are used to help you stop smoking.
Nicotinell Tropical Fruit chewing-gum contains the active substance nicotine. When chewed, nicotine is released slowly and absorbed through the lining of the mouth. This medicinal product is used to relieve nicotine craving and withdrawal symptoms in nicotine dependency. It thereby
- counteracts the relapse in smoking in smokers who are motivated to stop or
- facilitate smoking reduction in smokers who cannot or are reluctant to stop.
Patient counselling and support normally improve the success rate.

Nicotinell Tropical Fruit is indicated for smokers aged 18 years and above.

Directions for use:

The appropriate strength will depend on your nicotine dependence. You should use the 4 mg Nicotinell Tropical Fruit chewing-gum if

• you are a smoker with a strong nicotine dependency,
• you have previously failed to stop smoking with the 2 mg chewing-gum.

Otherwise 2 mg Nicotinell Tropical Fruit chewing-gum should be used.
Select your optimal strength from the following :

Less than 20 cigarettes a day: Nicotinell 2mg is preferable

20 to 30 cigarettes a day: Low Nicotinell 2mg or high Nicotinell 4mg depending on your preference

Over 30 cigarettes a day: Nicotinell 4mg is preferable

• Chew one piece of gum until taste becomes strong.
• Rest the gum between your gum and cheek.
• Chew again when taste has faded.
• Repeat chewing routine for about 30 minutes.

• It is important to chew the chewing-gum in a correct way to avoid discomfort (e.g. hiccups and heart burn).

At the beginning of the treatment, in general, one piece of chewing-gum should be chewed every one or two hours. Normally 8-12 pieces of chewing-gum per day are sufficient, irrespective of strength. Do not exceed 24 pieces a day of 2 mg chewing-gum or 15 pieces per day of 4 mg chewing-gum. Do not use more than 1 gum per hour.

You should not use the gum for more than 6 months. If after 6 months you think you still need treatment then talk to your doctor or pharmacist.

If an adverse event occurs with the use of the high dose (4 mg), use of the low dose (2 mg) should be considered.

Warnings:

Do not take Nicotinell Tropical Fruit

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

Talk to your doctor before using Nicotinell Tropical Fruit if you have:

• any heart problems you should consult a healthcare professional before using any nicotine
• replacement therapy product. While using a nicotine replacement therapy product, if youexperience an increase in heart problems, the use of the product should be reduced or discontinued
• recently had a heart attack or stroke or suffer from severe heart rhythm problems or chest pain,you should try to quit smoking without using any nicotine replacement therapy products unless your doctor tells you to use them
• high blood pressure (uncontrolled hypertension)
• problems with your circulation
• diabetes, you should monitor your blood sugar levels more often than usual when you start using nicotine gum. Your insulin or medicine requirements may change.
• overactive thyroid glands
• overactive adrenal glands (pheochromocytoma),
• suffer from impaired kidney and/or liver function
• fructose intolerance
• oesophagitis, inflammation in the mouth or throat, gastritis or peptic ulcer
• a history of epilepsy (fits
• People having problems with the joint of the jawbone and denture wearers may experience difficulty in chewing the gum.
• Chewing the Nicotinell Tropical Fruit may loosen fillings or dental implants.
• Do not smoke while taking Nicotinell Tropical Fruit, since you may obtain a high concentration of nicotine, causing you to feel unwell.

Talk to your doctor or pharmacist if you are pregnant or breastfeeding

Contains:

Active ingredients: Each gum contains 4mg of Nicotine

Other ingredients: Gum Base, Calcium Carbonate, Sorbitol (E420), Sodium Carbonate, Sodium Hydrogen Carbonate, Glycerol, Levomenthol, Fruit Flavouring, Butylhydroxytoulene, Saccharin, Saccharin Sodium, Acesulfame Potassium, Xylitol, Mannitol (E421), Gelatin, Titanium Dioxide (E171), Carnauba Wax, Talc and Water.

Sodium content 11.52mg per piece of gum

Keep all medicines out the sight and reach of children.

Always consult the Patient Information Leaflet before using this medicine.