Nicotine - nasal

Patient Medicine Information
Why do I need this medicine?
Nicotine nasal spray helps you to stop smoking by reducing the withdrawal symptoms associated with smoking cessation.

This medicine is meant to be taken as part of a complete smoking cessation programme that should include patient education and counselling.
How do I use this medicine?
Use Nicotine nasal spray exactly as directed by your doctor or according to the instructions on the label. Do not use more or less than instructed by your doctor.

How to use the nasal spray:
  1. Blow your nose if your nose is not clear.
  2. Remove the protective cover.
  3. If you are using the nasal spray for the first time or if you have not used it for 2-3 days, prime the spray. Put the nozzle in between the first and second fingers with the thumb on the base of the nasal spray. Firmly press the nozzle a few times until a fine spray appears. When priming, point the spray safely away from you.
  4. Tilt your head slightly backwards and insert the tip into one nostril.
  5. Breath through your mouth and have the recommended dose by firmly pressing the nozzle. Do not sniff, inhale or swallow while spraying. Spray to the other nostril in a similar manner. 
  6. Put on the protective cover.
The dose of this medicine will be decided by your doctor. Your doctor will advise you on the treatment timeframe depending on your condition.

Nicotine nasal spray must be used regularly for it to be effective. Continue using this medicine even when you feel better. Do not stop using it suddenly as this may worsen your condition.
What should I do if I have forgotten to use this medicine?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.

DO NOT double a dose under any circumstances.

If you often forget to take your medicine, let your doctor and pharmacist know.
What should I take note of while using this medicine?
Inform your doctor if you have the following conditions:
  • heart disease e.g. chest pain, abnormal heart rhythm, high blood pressure, recent stroke or heart attack
  • diabetes
  • stomach ulcer
  • liver disease
  • kidney disease
  • overactive thyroid
  • phaeochromocytoma (tumour of the adrenal gland)
  • asthma
  • inflammation of the nose and sinuses
Let your doctor know if you are pregnant or breastfeeding.

Do not smoke cigarettes once you start Nicotine therapy. There may be a risk of Nicotine overdose.

Avoid any contact of this medicine with your skin, eyes, or mouth. If this occur, rinse it immediately with water.

For as long as you are taking this medicine, you may need to have regular monitoring of your cardiac status (heart rate and blood pressure) to check your body’s response to the medicine. Your doctor will advise you how often you need to have them.

What lifestyle changes can I make to help myself quit smoking?

Do not give in to cigarette cravings even for one single puff alone. It is better to avoid groups or places which may encourage smoking. Engaging in sports or exercise and eating healthy foods are effective methods in countering such cravings.

Communicate with others and establish a support group. Always remind yourself about the benefits of quitting smoking e.g. reduced risk of developing diseases caused by smoking, improved general health, increased life expectancy.
What side effects could I experience?
Nicotine nasal spray may cause any of the following side effects: headache, irritability or aggression, depressed mood, restlessness, poor concentration, increased appetite, weight gain, urges to smoke, sleep disturbances, throat or nasal irritation (sneezing, runny nose, watery eyes, cough).

Some side effects may need immediate medical help. Alert your doctor quickly if you experience signs and symptoms of nicotine toxicity such as severe headache, dizziness, confusion, hearing or visual disturbances, irregular pulse, stomach pain, nausea, vomiting, cold sweat, and weakness.

Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.

Can I use this with other medicines?
Inform the doctor or pharmacist if you are on any other forms of Nicotine therapy or other medicines for smoking cessation.

Always notify your doctor and pharmacist if you are taking any other medicines including herbal tonics such as traditional Chinese medicine, supplements and medicines that you buy without a prescription.
What special dietary instructions should I follow?
Avoid alcohol.
How should I store this medicine?
Store ina cool, dry place away from the reach of children.

Medicines must not be used past the expiry date.
This information is independently developed by MIMS based on nicotine - nasal and is provided for your reference only. It is not a replacement for and should only be used in conjunction with full consultation with a licensed healthcare professional, the information provided by your pharmacist and/or the manufacturer of the medication. It may not contain all the available information you require and cannot substitute professional medical care, nor does it take into account all individual circumstances. Although great effort has been made to ensure content accuracy, we shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2021 MIMS. All rights reserved. Powered by
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