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

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Jay W. Marks, MD
    Jay W. Marks, MD

    Jay W. Marks, MD

    Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

What is the dosage for nicotine gum?

  • 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.

Which drugs or supplements interact with nicotine gum?

  • 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.
Medically Reviewed by a Doctor on 9/30/2016

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