Each lozenge contains nicotine 1mg in the form of nicotine bitartrate.
Nicotinell Lozenge belongs to a group of medicines which are used to help stop smoking.
Excipients/Inactive Ingredients: Maltitol, sodium carbonate, sodium bicarbonate, polyacrylate dispersion, xanthan gum, colloidal anhydrous silica, levomenthol, peppermint oil, aspartame, magnesium stearate. The lozenge is sugar free.
Nicotinell Lozenge contains nicotine. When the patient sucks the lozenge, the nicotine is slowly released and absorbed through the lining of the mouth.
The lozenge can alleviate some of the unpleasant withdrawal effects that frequently occur when giving up smoking, such as cravings and irritability.
The lozenge can reduce the desire of the patient to smoke and help improve willpower to resist smoking by providing some of the nicotine previously inhaled.
Nicotinell Lozenge is best suited for those with low nicotine dependency, and is not recommended for those smoking more than 20 cigarettes per day.
The nicotine dependence makes it difficult to stop smoking. The craving for cigarettes can continue for some time after the patient have ceased smoking. The patient needs to use willpower to resist the urge to smoke. Advice and support will improve the success of the patient.
Do not smoke when using Nicotinell Lozenge.
Suck one lozenge when the patient feels the urge to smoke.
When starting treatment, 1 lozenge may be sucked every 1 to 2 hours. Most people suck 8-12 lozenges per day. The maximum daily dose is 20 lozenges.
Nicotinell Sucking Technique: Suck one lozenge slowly until the taste becomes strong. Rest the lozenge between the gum and the cheek. Suck again when the taste has faded. Suck the lozenge slowly so it remains whole for about 30 minutes. It is important to suck the lozenges correctly over 30 minutes. They must not be chewed. After about three months, the patient must gradually cut down the number of lozenges each day. Stop using the lozenges when the dose has been reduced to 1-2 lozenges a day. The patient should not use the lozenges for longer than 6 months.
In the event of accidental overdose, or if a child has eaten any, contact the physician or nearest casualty department, and show the pack or leaflet. Nicotinell Lozenge is not suitable for children, who may develop signs of nicotine overdose. The general symptoms of nicotine overdose include headache, sickness, stomach pains and diarrhoea.
Hypersensitivity to any of the components of Nicotinell Mint Lozenge.
Serious heart disease; stroke; diabetes; overactive thyroid; persistent indigestion or severe sore throat; stomach ulcer; high blood pressure, angina or circulatory problems; serious liver or kidney disease; phaeochromocytoma; inflammation of the mouth or throat; low sodium diet.
Patients with Phenylketonuria: Contains aspartame, which is a source of phenylalanine.
Not to be used by non-smokers.
If the patient is udner 18 years of age, do not use except on the advice of the physician.
If pregnant or breast feeding, the patient is advised to give up smoking without the use of nicotine products; do not use
Nicotinell Lozenges without the physician's advice.
Many of the side effects occur within the first 3 to 4 weeks after starting treatment. Initially there may be slight irritation of the throat and increase of saliva. Excessive swallowing of saliva containing nicotine may cause hiccups.
Those with a tendency to indigestion may suffer initially from indigestion or heartburn. Gentler sucking of the lozenge may overcome these effects.
Those who smoked but did not inhale may experience nausea, faintness and headache.
Side effects such as dizziness and headache and insomnia may be experienced as nicotine intake is lowered.
Other side effects may include wind and dry mouth. Less common are palpitations and a change in heart rhythm. Cold sores have been reported but it is unclear whether this is due to the lozenge. Tell the physician or pharmacist if the patient noticed any other effect that might be caused by using the lozenge.
The effect of some medicines can be altered when the patient stops smoking. If the patient is already taking regular medication, tell the doctor or pharmacist.
Coffee, juices and fizzy drinks may reduce the absorption of nicotine and should not be taken for 15 minutes before sucking.
N07BA01 - nicotine ; Belongs to the class of drugs used in the management of nicotine dependence.