Generic Name: nicotine lozenge

Brand Names: Nicorette Lozenge, Nicorette Mini Lozenge

Drug Class: Smoking Cessation Aids

What is nicotine lozenge, and what is it used for?

Nicotine is a chemical compound that naturally occurs in tobacco plants. Nicotine is a potent stimulant and a highly addictive substance that is the primary chemical present in all tobacco products. Nicotine stimulates the central nervous system producing rewarding effects, but it is also a toxic chemical that increases heart rate and blood pressure and is associated with hardening of arteries, heart disease, cancers and many other chronic diseases.

Nicotine lozenges are used as nicotine replacement therapy (NRT) to help give up smoking tobacco. Abrupt discontinuation of tobacco products causes nicotine craving and withdrawal symptoms. Nicotine lozenges help relieve the craving and withdrawal symptoms while gradually weaning off nicotine. NRT helps reduce the urge to smoke cigarettes because the body still gets nicotine from another safer method.

Warnings

SLIDESHOW

How to Quit Smoking: 13 Tips to End Addiction See Slideshow

What are the side effects of nicotine lozenge?

Common side effects of nicotine lozenge include:

Call your doctor immediately if you experience any of the following symptoms or serious side effects while using this drug:

This is not a complete list of all side effects or adverse reactions that may occur from the use of this drug. Call your doctor for medical advice about serious side effects or adverse reactions. You may also report side effects or health problems to the FDA at 1-800-FDA-1088.

What are the dosages of nicotine lozenge?

Lozenge

  • 2 mg
  • 4 mg

Adult:

Smoking Cessation

  • Weeks 1-6: 1 lozenge every 1-2 hours
  • Weeks 7-9: 1 lozenge every 2-4 hours
  • Weeks 10-12: 1 lozenge every 4-8 hours
  • Do not exceed more than 5 lozenges/6 hours
  • Do not exceed more than 20 lozenges/day
  • First cigarette smoked more than 30 minutes after awakening: Initiate with 2 mg
  • First cigarette smoked within 30 minutes of awakening: Initiate with 4 mg

Pediatric:

  • Safety and efficacy not established

Overdose

What drugs interact with nicotine lozenge?

Inform your doctor of all medications you are currently taking, who can advise you on any possible drug interactions. Never begin taking, suddenly discontinue, or change the dosage of any medication without your doctor’s recommendation.

  • Nicotine lozenge has no known severe or serious interactions with other drugs.
  • Moderate interactions of nicotine lozenge include:
  • Nicotine lozenge has no known mild interactions with other drugs.

The drug interactions listed above are not all of the possible interactions or adverse effects. For more information on drug interactions, visit the RxList Drug Interaction Checker.

It is important to always tell your doctor, pharmacist, or health care provider of all prescription and over-the-counter medications you use, as well as the dosage for each, and keep a list of the information. Check with your doctor or health care provider if you have any questions about the medication.

QUESTION

What is the average weight gain for those who quit smoking? See Answer

Pregnancy and breastfeeding

  • Do not smoke tobacco if you are pregnant, smoking can cause low birth weight, spontaneous abortion, and increase the risk of mortality of the newborn.
  • Nicotine replacement with lozenges is safer than smoking tobacco during pregnancy, however, avoiding nicotine altogether is the safest for maternal and fetal health. Try to stop smoking without any nicotine replacement if you are pregnant.
  • Nicotine is present in breast milk and can harm the breastfed infant. Second-hand smoke exposure can greatly harm the infant. Stopping smoking without replacement nicotine is the safest for the breastfed infant’s health, however, nicotine lozenges are less harmful than smoking while breastfeeding.
  • If you are pregnant or breastfeeding, check with your healthcare provider before using OTC nicotine lozenge to give up smoking.

What else should I know about nicotine lozenge?

  • Follow label instructions exactly when taking OTC nicotine lozenge.
  • Let the lozenge slowly dissolve in the mouth, do not bite, chew or swallow.
  • Complete the full treatment. If you need to use the nicotine lozenge for a longer period to quit smoking, talk to your healthcare provider.
  • Stop using nicotine lozenge and consult with your healthcare provider if you have persistent bothersome side effects.
  • Store safely out of reach of children and pets.
  • In case of accidental consumption by children or nicotine lozenge overdose, seek medical help or contact Poison Control.

Subscribe to MedicineNet's Men's Health Newsletter

By clicking "Submit," I agree to the MedicineNet Terms and Conditions and Privacy Policy. I also agree to receive emails from MedicineNet and I understand that I may opt out of MedicineNet subscriptions at any time.

Summary

Nicotine lozenges are used as nicotine replacement therapy (NRT) to help give up smoking tobacco. Common side effects of nicotine lozenge include palpitations, irregular heart rhythm (cardiac arrhythmia), rapid heart rate (tachycardia), dizziness, increase in blood pressure, oral irritation, increased salivation, sore throat, hiccups, heartburn, indigestion (dyspepsia), nausea, vomiting, loss of appetite (anorexia), sleep disturbance, abnormal dreams, and others. Consult your doctor if pregnant or breastfeeding.

Treatment & Diagnosis

Medications & Supplements

Prevention & Wellness

Health Solutions From Our Sponsors

FDA Logo

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

Medically Reviewed on 7/21/2022
References
https://www.rxlist.com/nicotine_lozenge/drugs-condition.htm

https://reference.medscape.com/drug/nicorette-lozenge-nicotine-lozenge-999318#0

https://www.uptodate.com/contents/nicotine-drug-information

https://www.accessdata.fda.gov/drugsatfda_docs/label/2013/021330Orig1s016lbl.pdf

https://go.drugbank.com/drugs/DB00184

https://www.ncbi.nlm.nih.gov/books/NBK493148/

https://www.mountsinai.org/health-library/poison/nicotine-poisoning