nicotine polacrilex (Nicorette Gum, Nicorelief, Nicorette, Thrive) (cont.)

Pharmacy Author:
Medical and Pharmacy Editor:

STORAGE: Nicotine gums should be stored at room temperature between 20 C to 25 C (68 F to 77 F).

DOSING:

  • Light smokers (less than 25 cigarettes per day): Use 1 piece of 2 mg gum every 1 to 2 hours for weeks 1 to 6; then use 1 piece of 2 mg every 2 to 4 hours for weeks 7 to 9; then use 1 piece of 2 mg gum every 4 to 8 hours for weeks 10 to 12.
  • Heavy smokers (more than 25 cigarettes per day): Use 1 piece of 4 mg gum every 1 to 2 hours for weeks 1 to 6; then use 1 piece of 4 mg every 2 to 4 hours for weeks 7 to 9; then use 1 piece of 4 mg gum every 4 to 8 hours for weeks 10 to 12.

Individuals should not use more than 24 pieces of nicotine gum per day. It is not recommended to eat or drink 15 minutes before or while chewing the gum. It is not recommended to use nicotine gum for more than 12 weeks.

DRUG INTERACTIONS: Nicotine gums may cause abnormal heart rate and rhythm in patients maintained on anti-arrhythmia medications.

Patients with high blood pressure (hypertension), insulin-dependent diabetes, or coronary artery disease should use nicotine gum with caution or consult a doctor before use.

PREGNANCY: There are no adequate studies of nicotine to determine safe and effective use in pregnant women.

NURSING MOTHERS: It is not known if nicotine enters breast milk; therefore, it is best to be cautious before using it in nursing mothers.

Medically reviewed by Eni Williams, PharmD

REFERENCES:

FDA Prescribing Information.

Medscape. nicotine gum (OTC) - Nicorette.


Medically Reviewed by a Doctor on 2/25/2015


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