Archive for the ‘smoking cessation agents’ Category

Nicorelief

Nicorelief

Generic Name: nicotine (oral/patches/nasal) (NIK oh teen)

What is nicotine?

Nicotine is the primary ingredient in tobacco products.

Nicotine in medical products is used to aid in smoking cessation. Using a controlled amount of nicotine helps reduce nicotine withdrawal symptoms when you quit smoking.

Nicotine may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about nicotine?

Do not use this medication if you are pregnant. It could cause harm to the unborn baby. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment.

You may not be able to use certain forms of this medicine if you have medical conditions that could interfere with use. Nasal or sinus problems (allergies, nasal polyps, sinusitis) could affect safe use of the nasal spray form of nicotine. Mouth or dental problems may affect safe use of nicotine gum or lozenges. A skin condition may affect safe use of nicotine transdermal patches. Talk with your doctor about the best form of nicotine for you to use.

Do not smoke while you are using nicotine. Stop smoking as soon as your treatment begins. Smoking while using this medication can be dangerous. The nicotine transdermal patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch before undergoing such a test.

What should I discuss with my healthcare provider before using nicotine?

You may not be able to use certain forms of this medicine if you have medical conditions that could interfere with use. Nasal or sinus problems (allergies, nasal polyps, sinusitis) could affect safe use of the nasal spray form of nicotine. Mouth or dental problems may affect safe use of nicotine gum or lozenges. A skin condition may affect safe use of nicotine transdermal patches. Talk with your doctor about the best form of nicotine for you to use.

Before using this medication, tell your doctor if you have:

heart disease, an irregular heartbeat, high blood pressure or chest pain;

a jaw condition called TMJ (temporomandibular joint) disease;

an overactive thyroid;

diabetes;

pheochromocytoma (tumor of the adrenal gland);

a stomach ulcer; or

asthma or chronic pulmonary disease.

Nicotine oral lozenges may contain phenylalanine. Tell your doctor if you have phenylketonuria (PKU).

Nicotine can cause harm to an unborn baby. Do not use nicotine if you are pregnant. Tell your doctor if you become pregnant during treatment. Use an effective form of birth control while you are using this medication. Nicotine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. The nicotine transdermal patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch before undergoing such a test.

How should I take nicotine?

Use nicotine exactly as it was prescribed for you. Do not use the medication in larger amounts or for longer than recommended by your doctor.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

To use the patches:

Choose a different place on your body to wear the patch each time you put on a new one. Do not use the same skin area twice within 7 days.

Apply the patch to clean, dry, and hairless skin on the outer part of your upper arm or on your chest. Remove the patch after 24 hours and replace it with a new one.

If you are using Nicotrol patches, apply a new patch each morning and remove it at bedtime. Do not wear the patch while you are sleeping. If you are using Nicoderm CQ, you may wear the patch for 16 or 24 hours. If you crave cigarettes when you wake up, you may wear the patch for 24 hours. Do not wear the patch at night if you have vivid dreams or trouble sleeping.

To use the chewing gum or oral lozenges:

Place a piece of gum or a lozenge in your mouth.

Chew the gum slowly several times and stop chewing when you notice a tingling sensation or a peppery taste in the mouth. “Park” the gum between your cheek and gum and leave it there until the taste or tinging sensation is almost gone. Then slowly chew a few more times until the taste or sensation returns. Park the gum again in a different place in your mouth. Chewing too much or too quickly can cause too much nicotine to be released from the gum and you may have side effects such as nausea, hiccups, or stomach problems. Remove the gum after 30 minutes, or when the taste or tingle no longer return when you chew the gum.

Allow the lozenge to dissolve slowly without chewing or swallowing. You may notice a warm or tingling sensation in your mouth. Move the lozenge from one side of your mouth to the other while it is dissolving.

Do not eat or drink for 15 minutes before using the gum or lozenge and while the medicine is in your mouth.

To use the nasal spray:

Blow nose if it is not clear. Tilt head back slightly. Insert the tip of bottle into your nostril as far as comfortable. Spray once in each nostril. Do not sniff, swallow, or inhale while spraying. If your nose runs, gently sniff to keep the medicine in. Wait 2 or 3 minutes before blowing your nose. Do not use more of the medication than is directed.

Recap the bottle after each use. If you don’t use the nasal spray for 24 hours, prime the pump by spraying several sprays into a tissue 1, then throw the tissue away.

To use the inhaler:

Inhale deeply or puff in short breaths. As you inhale through the mouthpiece, nicotine turns into a vapor and is absorbed into the mouth and throat. Nicotine in cartridges is used up after about 20 minutes of active puffing.

Keep used and unused nicotine patches or gum out of the reach of children and pets to prevent poisoning. Used bottles of nasal spray should be thrown away with their child-resistant caps in place.

Store nicotine products at room temperature away from moisture, heat, and direct sunlight.

What happens if I miss a dose?

Since nicotine is used as needed, you may not be on a dosing schedule. If you are using the medication regularly, use the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine, or if anyone has accidentally swallowed it.

Overdose symptoms may include nausea; vomiting; diarrhea; stomach pain; cold sweat; headache; dizziness; problems with hearing or vision; confusion; uneven heartbeats; chest pain; seizures; and death.

What should I avoid while taking nicotine?

Do not smoke while you are using nicotine. Stop smoking as soon as your treatment begins. Smoking while using this medication can be dangerous.

Nicotine side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using nicotine and call your doctor at once if you have any of these serious side effects:

seizures; or

chest pain or uneven heartbeats.

Less serious side effects may include:

dizziness;

belching or hiccups;

stomach upset or nausea;

mouth or throat soreness;

dry or watering mouth;

watering eyes;

headache;

runny or stuffy nose (when using the nasal spray);

white patches or sores inside your mouth or on your lips (when using the inhaler);

constipation;

sneezing and coughing;

changes in taste; or

redness, itching, or burning where the patch is worn.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect nicotine?

Before using nicotine, tell your doctor if you are using any of the following drugs:

imipramine (Tofranil);

oxazepam (Serax);

propranolol (Inderal), labetalol (Normodyne, Trandate), or prazosin (Minipress);

theophylline (Theo-Dur, Theochron, Theolair);

pentazocine (Talwin), or

insulin.

This list is not complete and there may be other drugs that can interact with nicotine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Nicorette

Nicorette

Generic Name: nicotine (NIK oh teen)

What is Nicorette?

Nicorette gum is used as an aid in smoking cessation. It works by providing low levels of nicotine, which may help you to quit smoking by lessening the physical signs of withdrawal symptoms.

Nicorette gum contains nicotine, the primary ingredient in tobacco products. It provided nicotine levels lower than those associated with smoking.

Nicorette may also be used for other purposes not listed in this medication guide.

Important information about Nicorette

Do not use Nicorette if you are pregnant. It could cause harm to the unborn baby. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment.

Mouth or dental problems may affect safe use of Nicorette gum.

Do not smoke while you are using Nicorette. Stop smoking as soon as your treatment begins. Smoking while using this medication can be dangerous.

Before using Nicorette

Mouth or dental problems may affect safe use of Nicorette gum.

Before using this medication, tell your doctor if you have:

heart disease, an irregular heartbeat, high blood pressure or chest pain;

a jaw condition called TMJ (temporomandibular joint) disease;

an overactive thyroid;

diabetes;

pheochromocytoma (tumor of the adrenal gland);

a stomach ulcer; or

asthma or chronic pulmonary disease.

Nicorette can cause harm to an unborn baby. Do not use nicotine if you are pregnant. Tell your doctor if you become pregnant during treatment. Use an effective form of birth control while you are using this medication. Nicotine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Nicorette?

Use Nicorette exactly as it was prescribed for you. Do not use the medication in larger amounts or for longer than recommended by your doctor.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

To use the chewing gum:

Place a piece of Nicorette gum in your mouth.

Chew the Nicorette gum slowly several times and stop chewing when you notice a tingling sensation or a peppery taste in the mouth. “Park” the Nicorette gum between your cheek and gum and leave it there until the taste or tinging sensation is almost gone. Then slowly chew a few more times until the taste or sensation returns. Park the gum again in a different place in your mouth. Chewing too much or too quickly can cause too much nicotine to be released from the gum and you may have side effects such as nausea, hiccups, or stomach problems. Remove the gum after 30 minutes, or when the taste or tingle no longer return when you chew the gum.

Do not eat or drink for 15 minutes before using the gum and while the medicine is in your mouth.

Keep unused Nicorette gum out of the reach of children and pets to prevent poisoning.

Store Nicorette at room temperature away from moisture, heat, and direct sunlight.

What happens if I miss a dose?

Since Nicorette is used as needed, you may not be on a dosing schedule. If you are using the medication regularly, use the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine, or if anyone has accidentally swallowed it.

Overdose symptoms may include nausea; vomiting; diarrhea; stomach pain; cold sweat; headache; dizziness; problems with hearing or vision; confusion; uneven heartbeats; chest pain; seizures; and death.

What should I avoid while taking Nicorette?

Do not smoke while you are using Nicorette. Stop smoking as soon as your treatment begins. Smoking while using this medication can be dangerous.

Nicorette side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Nicorette and call your doctor at once if you have any of these serious side effects:

seizures; or

chest pain or uneven heartbeats.

Less serious Nicorette side effects may include:

dizziness;

belching or hiccups;

stomach upset or nausea;

mouth or throat soreness;

dry or watering mouth;

watering eyes;

headache;

constipation;

sneezing and coughing;

changes in taste; or

This is not a complete list of Nicorette side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Nicorette?

Before using Nicorette, tell your doctor if you are using any of the following drugs:

imipramine (Tofranil);

oxazepam (Serax);

propranolol (Inderal), labetalol (Normodyne, Trandate), or prazosin (Minipress);

theophylline (Theo-Dur, Theochron, Theolair);

pentazocine (Talwin), or

insulin.

This list is not complete and there may be other drugs that can interact with Nicorette. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Leader Nicotine Polacrilex

Leader Nicotine Polacrilex

Generic Name: nicotine (oral/patches/nasal) (NIK oh teen)

What is nicotine?

Nicotine is the primary ingredient in tobacco products.

Nicotine in medical products is used to aid in smoking cessation. Using a controlled amount of nicotine helps reduce nicotine withdrawal symptoms when you quit smoking.

Nicotine may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about nicotine?

Do not use this medication if you are pregnant. It could cause harm to the unborn baby. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment.

You may not be able to use certain forms of this medicine if you have medical conditions that could interfere with use. Nasal or sinus problems (allergies, nasal polyps, sinusitis) could affect safe use of the nasal spray form of nicotine. Mouth or dental problems may affect safe use of nicotine gum or lozenges. A skin condition may affect safe use of nicotine transdermal patches. Talk with your doctor about the best form of nicotine for you to use.

Do not smoke while you are using nicotine. Stop smoking as soon as your treatment begins. Smoking while using this medication can be dangerous. The nicotine transdermal patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch before undergoing such a test.

What should I discuss with my healthcare provider before using nicotine?

You may not be able to use certain forms of this medicine if you have medical conditions that could interfere with use. Nasal or sinus problems (allergies, nasal polyps, sinusitis) could affect safe use of the nasal spray form of nicotine. Mouth or dental problems may affect safe use of nicotine gum or lozenges. A skin condition may affect safe use of nicotine transdermal patches. Talk with your doctor about the best form of nicotine for you to use.

Before using this medication, tell your doctor if you have:

heart disease, an irregular heartbeat, high blood pressure or chest pain;

a jaw condition called TMJ (temporomandibular joint) disease;

an overactive thyroid;

diabetes;

pheochromocytoma (tumor of the adrenal gland);

a stomach ulcer; or

asthma or chronic pulmonary disease.

Nicotine oral lozenges may contain phenylalanine. Tell your doctor if you have phenylketonuria (PKU).

Nicotine can cause harm to an unborn baby. Do not use nicotine if you are pregnant. Tell your doctor if you become pregnant during treatment. Use an effective form of birth control while you are using this medication. Nicotine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. The nicotine transdermal patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch before undergoing such a test.

How should I take nicotine?

Use nicotine exactly as it was prescribed for you. Do not use the medication in larger amounts or for longer than recommended by your doctor.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

To use the patches:

Choose a different place on your body to wear the patch each time you put on a new one. Do not use the same skin area twice within 7 days.

Apply the patch to clean, dry, and hairless skin on the outer part of your upper arm or on your chest. Remove the patch after 24 hours and replace it with a new one.

If you are using Nicotrol patches, apply a new patch each morning and remove it at bedtime. Do not wear the patch while you are sleeping. If you are using Nicoderm CQ, you may wear the patch for 16 or 24 hours. If you crave cigarettes when you wake up, you may wear the patch for 24 hours. Do not wear the patch at night if you have vivid dreams or trouble sleeping.

To use the chewing gum or oral lozenges:

Place a piece of gum or a lozenge in your mouth.

Chew the gum slowly several times and stop chewing when you notice a tingling sensation or a peppery taste in the mouth. “Park” the gum between your cheek and gum and leave it there until the taste or tinging sensation is almost gone. Then slowly chew a few more times until the taste or sensation returns. Park the gum again in a different place in your mouth. Chewing too much or too quickly can cause too much nicotine to be released from the gum and you may have side effects such as nausea, hiccups, or stomach problems. Remove the gum after 30 minutes, or when the taste or tingle no longer return when you chew the gum.

Allow the lozenge to dissolve slowly without chewing or swallowing. You may notice a warm or tingling sensation in your mouth. Move the lozenge from one side of your mouth to the other while it is dissolving.

Do not eat or drink for 15 minutes before using the gum or lozenge and while the medicine is in your mouth.

To use the nasal spray:

Blow nose if it is not clear. Tilt head back slightly. Insert the tip of bottle into your nostril as far as comfortable. Spray once in each nostril. Do not sniff, swallow, or inhale while spraying. If your nose runs, gently sniff to keep the medicine in. Wait 2 or 3 minutes before blowing your nose. Do not use more of the medication than is directed.

Recap the bottle after each use. If you don’t use the nasal spray for 24 hours, prime the pump by spraying several sprays into a tissue 1, then throw the tissue away.

To use the inhaler:

Inhale deeply or puff in short breaths. As you inhale through the mouthpiece, nicotine turns into a vapor and is absorbed into the mouth and throat. Nicotine in cartridges is used up after about 20 minutes of active puffing.

Keep used and unused nicotine patches or gum out of the reach of children and pets to prevent poisoning. Used bottles of nasal spray should be thrown away with their child-resistant caps in place.

Store nicotine products at room temperature away from moisture, heat, and direct sunlight.

What happens if I miss a dose?

Since nicotine is used as needed, you may not be on a dosing schedule. If you are using the medication regularly, use the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine, or if anyone has accidentally swallowed it.

Overdose symptoms may include nausea; vomiting; diarrhea; stomach pain; cold sweat; headache; dizziness; problems with hearing or vision; confusion; uneven heartbeats; chest pain; seizures; and death.

What should I avoid while taking nicotine?

Do not smoke while you are using nicotine. Stop smoking as soon as your treatment begins. Smoking while using this medication can be dangerous.

Nicotine side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using nicotine and call your doctor at once if you have any of these serious side effects:

seizures; or

chest pain or uneven heartbeats.

Less serious side effects may include:

dizziness;

belching or hiccups;

stomach upset or nausea;

mouth or throat soreness;

dry or watering mouth;

watering eyes;

headache;

runny or stuffy nose (when using the nasal spray);

white patches or sores inside your mouth or on your lips (when using the inhaler);

constipation;

sneezing and coughing;

changes in taste; or

redness, itching, or burning where the patch is worn.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect nicotine?

Before using nicotine, tell your doctor if you are using any of the following drugs:

imipramine (Tofranil);

oxazepam (Serax);

propranolol (Inderal), labetalol (Normodyne, Trandate), or prazosin (Minipress);

theophylline (Theo-Dur, Theochron, Theolair);

pentazocine (Talwin), or

insulin.

This list is not complete and there may be other drugs that can interact with nicotine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Chantix

Chantix

Generic Name: varenicline (ver EN e kleen)

What is Chantix?

Chantix is used as a smoking cessation medicine or treatment. It is used together with behavior modification and counseling support to help you stop smoking cigarettes. Chantix works in the brain to block the pleasurable effects of smoking. This helps to decrease your desire to keep smoking.

Chantix may also be used for other purposes not listed in this medication guide.

Important information about Chantix

Before using Chantix, tell your doctor if you have kidney disease, or a history of mental illness.

Use Chantix exactly as it was prescribed for you. Do not use it in larger amounts or for longer than recommended by your doctor. Follow the directions on your prescription label.

Chantix can cause drowsiness, which may impair your thinking or reactions. You may also have mood or behavior changes when you quit smoking. Until you know how Chantix and the smoking cessation process is going to affect you, be careful if you drive or do anything that requires you to be cautious and alert. Stop using this medication and call your doctor at once if you have any mood or behavior changes, or if you feel agitated, hostile, depressed, or have thoughts about suicide or hurting yourself.

Your family or other caregivers should also be alert to changes in your mood or behavior.

Less serious side effects are more likely, and you may have none at all. Chantix can cause persistent nausea for up to several months. Talk to your doctor about any side effect that seems unusual or is especially bothersome.

If you miss a dose, use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

There may be other drugs that can interact with Chantix. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

What should I discuss with my health care provider before taking Chantix?

Before using Chantix, tell your doctor if you have kidney disease, or a history of mental illness.

FDA pregnancy category C. Chantix may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether this medication passes into breast milk or if it could harm a nursing baby. Do not use Chantix without telling your doctor if you are breast-feeding a baby. Do not give this medicine to anyone younger than 18 years old.

How should I take Chantix?

Take Chantix exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

To improve your chances for successful smoking cessation, set a date to quit smoking. Start taking Chantix one week before your planned quit date.

When you first start taking Chantix, you will take a low dose and then gradually increase your dose over the first several days of treatment. Follow your doctor’s instructions. Your doctor may occasionally change your dose to make sure you get the best results from this medication.

Take this medicine with a full glass of water. Take the medicine after eating.

In most cases, Chantix treatment lasts for 12 weeks. Your doctor may recommend a second 12-week course of Chantix to improve the chance that you will quit smoking long-term.

It is important to take this medication regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

To be sure Chantix is not causing harmful effects, your kidney function may need to be tested on a regular basis. It is important that you not miss any scheduled visits to your doctor.

Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose. Be sure to take the medicine after eating.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a Chantix overdose are unknown.

What should I avoid while taking Chantix?

Chantix can cause drowsiness, which may impair your thinking or reactions. You may also have mood or behavior changes when you quit smoking. Until you know how Chantix and the smoking cessation process are going to affect you, be careful if you drive or do anything that requires you to be cautious and alert

Chantix side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Chantix: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using this medication and call your doctor at once if you have any mood or behavior changes, or if you feel agitated, hostile, depressed, or have thoughts about suicide or hurting yourself.

Your family or other caregivers should also be alert to changes in your mood or behavior.

Call your doctor at once if you have any of these other serious side effects:

fever, sore throat, and headache with a severe blistering, peeling, and red skin rash; or

the first sign of any blistering type of skin rash, no matter how mild.

Less serious Chantix side effects may include:

nausea (may persist for several months);

stomach pain, indigestion, vomiting, constipation, gas;

weakness, tired feeling;

increased appetite;

unpleasant taste in your mouth;

headache; or

sleep problems (insomnia) or unusual dreams.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Chantix?

After you stop smoking, the doses of any medications you are using may need to be adjusted. Tell your doctor about all other medicines you use, especially:

insulin;

a blood thinner such as warfarin (Coumadin); or

theophylline (Respbid, Theobid, Theoclear, Theo-Dur, Uniphyl).

This list is not complete and there may be other drugs that can interact with or be affected by Chantix. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Nicotrol Inhaler

Nicotrol Inhaler

Nicotrol Inhaler is used for:

Helping you to quit smoking.

Nicotrol Inhaler is a smoking deterrent. It works by providing low levels of nicotine, which may help you to quit smoking by lessening physical signs of withdrawal symptoms.

Do NOT use Nicotrol Inhaler if:

Contact your doctor or health care provider right away if any of these apply to you.

Before using Nicotrol Inhaler:

Some medical conditions may interact with Nicotrol Inhaler. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

Some MEDICINES MAY INTERACT with Nicotrol Inhaler. Tell your health care provider if you are taking any other medicines.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Nicotrol Inhaler may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Nicotrol Inhaler:

Use Nicotrol Inhaler as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Nicotrol Inhaler.

Important safety information:

When used for long periods of time or at high doses, some people develop a need to continue taking Nicotrol Inhaler. This is known as DEPENDENCE or addiction.

Do not suddenly stop taking Nicotrol Inhaler without your doctor’s approval. Stopping Nicotrol Inhaler suddenly may cause serious WITHDRAWAL symptoms including anxiety; depression; dizziness; fatigue; muscle aches; sleep problems.

Possible side effects of Nicotrol Inhaler:

All medicines may cause side effects, but many people have no, or minor, side effects.

Anxiety; coughing; diarrhea; flu-like symptoms; headache; hiccups; indigestion; mouth or throat irritation; muscle aches; nausea; pain in the jaw and neck; runny nose; taste changes.

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); abnormal skin sensations; chest pain; depression; fever; irregular or fast heartbeat; pounding in the chest; severe dizziness or headache; shortness of breath.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (

Store Nicotrol Inhaler at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Store the mouthpiece and cartridges in the plastic case provided. Do not store in the bathroom. Keep Nicotrol Inhaler out of the reach of children and away from pets.

General information:

This information is a summary only. It does not contain all information about Nicotrol Inhaler. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

More Nicotrol Inhaler resources

Compare Nicotrol Inhaler with other medications for the treatment of:

Commit

Commit Lozenges

Commit Lozenges are used for:

Helping you to quit smoking.

Commit Lozenges are a smoking deterrent. It works by providing low levels of nicotine, which may help you to quit smoking by lessening physical symptoms of withdrawal.

Do NOT use Commit Lozenges if:

Contact your doctor or health care provider right away if any of these apply to you.

Before using Commit Lozenges:

Some medical conditions may interact with Commit Lozenges. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

Some MEDICINES MAY INTERACT with Commit Lozenges. Tell your health care provider if you are taking any other medicines, especially any of the following:

This may not be a complete list of all interactions that may occur. Ask your health care provider if Commit Lozenges may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Commit Lozenges:

Use Commit Lozenges as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Commit Lozenges.

Important safety information:

Possible side effects of Commit Lozenges:

All medicines may cause side effects, but many people have no, or minor, side effects.

Warm or tingling sensation in the mouth.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); irregular heartbeat; mouth pain, sores, or swelling; persistent indigestion; severe sore throat.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (

Store Commit Lozenges at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Store Commit Lozenges in the original blister pack. Once removed from the blister, use immediately. Do not store in the bathroom. Keep Commit Lozenges out of the reach of children and away from pets.

General information:

This information is a summary only. It does not contain all information about Commit Lozenges. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

More Commit Lozenges resources

Zyban

Zyban

Generic Name: bupropion (oral) (byoo PRO pee on)

What is Zyban?

Zyban is a is an antidepressant medicine that has been found to aid in the stopping of smoking.

Zyban is used to help people stop smoking by reducing cravings and other withdrawal effects. At least one brand of bupropion (Wellbutrin) is used to treat major depressive disorder and seasonal affective disorder.

Zyban may also be used for purposes other than those listed in this medication guide.

Important information about Zyban

Do not take Zyban if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days. You should not take Zyban if you have seizures, an eating disorder, if you are using a second form of bupropion, or if you have suddenly stopped using alcohol or sedatives.

Zyban may cause seizures, especially in people with certain medical conditions or when using certain drugs. Tell your doctor about all of your medical conditions and the drugs you use.

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. Do not smoke at any time if you are using a nicotine product along with Zyban. Too much nicotine can cause serious side effects. Avoid drinking alcohol while taking Zyban. Alcohol may increase your risk of a seizure while you are taking Zyban.

What should I discuss with my healthcare provider before taking Zyban?

Do not take Zyban if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days. You should not take Zyban if you have:

epilepsy or a seizure disorder;

an eating disorder such as anorexia or bulimia;

if you are using a second form of bupropion; or

if you have suddenly stopped using alcohol or sedatives (such as Valium).

Zyban may cause seizures, especially in people with certain medical conditions or when using certain drugs. Tell your doctor about all of your medical conditions and the drugs you use.

If you have any of these other conditions, you may need a dose adjustment or special tests to safely take Zyban:

heart disease, high blood pressure, history of heart attack;

a history of head injury, seizures, or brain or spinal cord tumor;

bipolar disorder (manic depression);

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.

Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before taking Zyban, tell your doctor if you are pregnant or plan to become pregnant during treatment. Bupropion passes into breast milk and could be harmful to a nursing baby. Do not take Zyban without telling your doctor if you are breast-feeding a baby. Do not give this medication to anyone younger than 18 years old without the advice of a doctor.

How should I take Zyban?

Take Zyban exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label.

Bupropion can be taken with or without food.

If you take Zyban to help you stop smoking, you may continue to smoke for about 1 week after you start the medicine. Set a date to quit smoking during the second week of Zyban treatment. By that time you will have enough of the medicine in your blood stream to help you quit smoking. Talk to your doctor if you are having trouble quitting after you have used Zyban for at least 7 weeks.

Your doctor may prescribe nicotine patches or gum to help support your smoking cessation treatment. Be sure you read all directions and safety information for the nicotine product. Using nicotine with Zyban may raise your blood pressure and your doctor may want to check your blood pressure regularly. Do not smoke at any time if you are using a nicotine product along with Zyban. Too much nicotine can cause serious side effects.

Do not stop taking Zyban without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.

Store this medicine at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include seizures, muscle stiffness, hallucinations, fainting, fast or uneven heartbeat, or shallow breathing.

What should I avoid while taking Zyban?

Avoid drinking alcohol while taking Zyban. Alcohol may increase your risk of a seizure while you are taking Zyban. If you drink alcohol regularly, talk with your doctor before changing the amount you drink. Zyban can cause seizures in people who drink a lot of alcohol and then suddenly quit drinking when they start using the medication.

Avoid using bupropion to treat more than one condition at a time. If you take take Zyban to help quit smoking do not also take Wellbutrin for depression. Too much of this medicine can increase your risk of a seizure.

Zyban can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Zyban side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Zyban: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have a serious side effect such as:

seizure (convulsions);

severe blistering, peeling, and red skin rash;

fever, swollen glands, rash or itching, joint pain, or general ill feeling;

confusion, trouble concentrating; or

hallucinations, unusual thoughts or behavior.

Less serious Zyban side effects may include:

headache or migraine;

sleep problems (insomnia);

nausea, vomiting, constipation, dry mouth;

dizziness, tremors (shaking);

appetite changes, weight loss or gain;

mild itching or skin rash, increased sweating; or

loss of interest in sex.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Zyban?

Many drugs can interact with Zyban. Below is just a partial list. Tell your doctor if you are using:

cancer medicine such as cyclophosphamide (Cytoxan, Neosar) or thiotepa (Thioplex);

heart rhythm medication such as flecainide (Tambocor), propafenone (Rythmol), and others; or

heart or blood pressure medication such as atenolol (Tenormin), metoprolol (Lopressor, Toprol), propranolol (Inderal), and others.

This list is not complete and there are many other medicines that can interact with Zyban. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list of all the medicines you use and show this list to any doctor or other healthcare provider who treats you. You may have a higher risk of seizures if you use certain medications together with Zyban. Tell your doctor about all other medications you use, especially:

any other antidepressant, or a medicine to treat a psychiatric disorder;

antihistamines that make you sleepy;

asthma medications or bronchodilators;

birth control pills or hormone replacement estrogens;

bladder or urinary medications such as oxybutynin (Ditropan, Urotrol);

certain antibiotics such as cefdinir (Omnicef), cephalexin (Keflex), ciprofloxacin (Cipro), amoxicillin (Amoxil, Augmentin), penicillin, and others;

diet pills, a stimulant, or ADHD medication such as Adderall or Ritalin;

insulin or diabetes medications you take by mouth;

medication for nausea, vomiting, or motion sickness;

medications to treat or prevent malaria;

medicines to treat Parkinson’s disease, restless leg syndrome, or pituitary gland tumor (prolactinoma);

medicines used to prevent organ transplant rejection;

narcotic pain medication;

a sedative such as diazepam (Valium), and others;

a steroid such as prednisone, and others;

street drugs such as “speed” or cocaine;

theophylline (Theo-Dur, Slo-Bid, Bronkodyl Theolair, Respbid); or

ulcer or irritable bowel medications.

Nicoderm CQ

Nicoderm CQ Patch

Nicoderm CQ Patch is used for:

Helping you to quit smoking.

Nicoderm CQ Patch is a smoking deterrent. It works by providing low levels of nicotine, which may help you to quit smoking by lessening physical signs of withdrawal symptoms.

Do NOT use Nicoderm CQ Patch if:

Contact your doctor or health care provider right away if any of these apply to you.

Before using Nicoderm CQ Patch:

Some medical conditions may interact with Nicoderm CQ Patch. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

Some MEDICINES MAY INTERACT with Nicoderm CQ Patch. Tell your health care provider if you are taking any other medicines.

Ask your health care provider if Nicoderm CQ Patch may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Nicoderm CQ Patch:

Use Nicoderm CQ Patch as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Nicoderm CQ Patch.

Important safety information:

Some people who use Nicoderm CQ Patch for a long time may develop a need to continue taking it. People who take high doses are also at risk. This is known as DEPENDENCE or addiction.

Do not suddenly stop taking Nicoderm CQ Patch without your doctor’s approval. If you do, you may have WITHDRAWAL symptoms. These may include anxiety, craving, impaired concentration, increased appetite, irritability, nervousness, sleep disturbances, and weight gain.

Possible side effects of Nicoderm CQ Patch:

All medicines may cause side effects, but many people have no, or minor, side effects.

Abnormal dreams; headache; mild dizziness; mild redness, itching, or burning at the application site; nervousness; sweating; trouble sleeping.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blurred vision; fast or irregular heartbeat; nausea; severe or persistent dizziness or headache; stomach pain or vomiting; swelling or persistent (more than 4 days) redness at the application site.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (

Store Nicoderm CQ Patch at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Nicoderm CQ Patch out of the reach of children and away from pets.

General information:

This information is a summary only. It does not contain all information about Nicoderm CQ Patch. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

More Nicoderm CQ Patch resources

Habitrol

Habitrol

Generic Name: nicotine (oral/patches/nasal) (NIK oh teen)

What is nicotine?

Nicotine is the primary ingredient in tobacco products.

Nicotine in medical products is used to aid in smoking cessation. Using a controlled amount of nicotine helps reduce nicotine withdrawal symptoms when you quit smoking.

Nicotine may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about nicotine?

Do not use this medication if you are pregnant. It could cause harm to the unborn baby. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment.

You may not be able to use certain forms of this medicine if you have medical conditions that could interfere with use. Nasal or sinus problems (allergies, nasal polyps, sinusitis) could affect safe use of the nasal spray form of nicotine. Mouth or dental problems may affect safe use of nicotine gum or lozenges. A skin condition may affect safe use of nicotine transdermal patches. Talk with your doctor about the best form of nicotine for you to use.

Do not smoke while you are using nicotine. Stop smoking as soon as your treatment begins. Smoking while using this medication can be dangerous. The nicotine transdermal patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch before undergoing such a test.

What should I discuss with my healthcare provider before using nicotine?

You may not be able to use certain forms of this medicine if you have medical conditions that could interfere with use. Nasal or sinus problems (allergies, nasal polyps, sinusitis) could affect safe use of the nasal spray form of nicotine. Mouth or dental problems may affect safe use of nicotine gum or lozenges. A skin condition may affect safe use of nicotine transdermal patches. Talk with your doctor about the best form of nicotine for you to use.

Before using this medication, tell your doctor if you have:

heart disease, an irregular heartbeat, high blood pressure or chest pain;

a jaw condition called TMJ (temporomandibular joint) disease;

an overactive thyroid;

diabetes;

pheochromocytoma (tumor of the adrenal gland);

a stomach ulcer; or

asthma or chronic pulmonary disease.

Nicotine oral lozenges may contain phenylalanine. Tell your doctor if you have phenylketonuria (PKU).

Nicotine can cause harm to an unborn baby. Do not use nicotine if you are pregnant. Tell your doctor if you become pregnant during treatment. Use an effective form of birth control while you are using this medication. Nicotine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. The nicotine transdermal patch may burn your skin if you wear the patch during an MRI (magnetic resonance imaging). Remove the patch before undergoing such a test.

How should I take nicotine?

Use nicotine exactly as it was prescribed for you. Do not use the medication in larger amounts or for longer than recommended by your doctor.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

To use the patches:

Choose a different place on your body to wear the patch each time you put on a new one. Do not use the same skin area twice within 7 days.

Apply the patch to clean, dry, and hairless skin on the outer part of your upper arm or on your chest. Remove the patch after 24 hours and replace it with a new one.

If you are using Nicotrol patches, apply a new patch each morning and remove it at bedtime. Do not wear the patch while you are sleeping. If you are using Nicoderm CQ, you may wear the patch for 16 or 24 hours. If you crave cigarettes when you wake up, you may wear the patch for 24 hours. Do not wear the patch at night if you have vivid dreams or trouble sleeping.

To use the chewing gum or oral lozenges:

Place a piece of gum or a lozenge in your mouth.

Chew the gum slowly several times and stop chewing when you notice a tingling sensation or a peppery taste in the mouth. “Park” the gum between your cheek and gum and leave it there until the taste or tinging sensation is almost gone. Then slowly chew a few more times until the taste or sensation returns. Park the gum again in a different place in your mouth. Chewing too much or too quickly can cause too much nicotine to be released from the gum and you may have side effects such as nausea, hiccups, or stomach problems. Remove the gum after 30 minutes, or when the taste or tingle no longer return when you chew the gum.

Allow the lozenge to dissolve slowly without chewing or swallowing. You may notice a warm or tingling sensation in your mouth. Move the lozenge from one side of your mouth to the other while it is dissolving.

Do not eat or drink for 15 minutes before using the gum or lozenge and while the medicine is in your mouth.

To use the nasal spray:

Blow nose if it is not clear. Tilt head back slightly. Insert the tip of bottle into your nostril as far as comfortable. Spray once in each nostril. Do not sniff, swallow, or inhale while spraying. If your nose runs, gently sniff to keep the medicine in. Wait 2 or 3 minutes before blowing your nose. Do not use more of the medication than is directed.

Recap the bottle after each use. If you don’t use the nasal spray for 24 hours, prime the pump by spraying several sprays into a tissue 1, then throw the tissue away.

To use the inhaler:

Inhale deeply or puff in short breaths. As you inhale through the mouthpiece, nicotine turns into a vapor and is absorbed into the mouth and throat. Nicotine in cartridges is used up after about 20 minutes of active puffing.

Keep used and unused nicotine patches or gum out of the reach of children and pets to prevent poisoning. Used bottles of nasal spray should be thrown away with their child-resistant caps in place.

Store nicotine products at room temperature away from moisture, heat, and direct sunlight.

What happens if I miss a dose?

Since nicotine is used as needed, you may not be on a dosing schedule. If you are using the medication regularly, use the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine, or if anyone has accidentally swallowed it.

Overdose symptoms may include nausea; vomiting; diarrhea; stomach pain; cold sweat; headache; dizziness; problems with hearing or vision; confusion; uneven heartbeats; chest pain; seizures; and death.

What should I avoid while taking nicotine?

Do not smoke while you are using nicotine. Stop smoking as soon as your treatment begins. Smoking while using this medication can be dangerous.

Nicotine side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using nicotine and call your doctor at once if you have any of these serious side effects:

seizures; or

chest pain or uneven heartbeats.

Less serious side effects may include:

dizziness;

belching or hiccups;

stomach upset or nausea;

mouth or throat soreness;

dry or watering mouth;

watering eyes;

headache;

runny or stuffy nose (when using the nasal spray);

white patches or sores inside your mouth or on your lips (when using the inhaler);

constipation;

sneezing and coughing;

changes in taste; or

redness, itching, or burning where the patch is worn.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect nicotine?

Before using nicotine, tell your doctor if you are using any of the following drugs:

imipramine (Tofranil);

oxazepam (Serax);

propranolol (Inderal), labetalol (Normodyne, Trandate), or prazosin (Minipress);

theophylline (Theo-Dur, Theochron, Theolair);

pentazocine (Talwin), or

insulin.

This list is not complete and there may be other drugs that can interact with nicotine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Nicotrol NS

Nicotrol NS Spray

Nicotrol NS Spray is used for:

Helping you to quit smoking.

Nicotrol NS Spray is a smoking deterrent. It works by providing low levels of nicotine, which may help you to quit smoking by lessening physical signs of withdrawal symptoms.

Do NOT use Nicotrol NS Spray if:

Contact your doctor or health care provider right away if any of these apply to you.

Before using Nicotrol NS Spray:

Some medical conditions may interact with Nicotrol NS Spray. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

Some MEDICINES MAY INTERACT with Nicotrol NS Spray. Tell your health care provider if you are taking any other medicines.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Nicotrol NS Spray may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Nicotrol NS Spray:

Use Nicotrol NS Spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Nicotrol NS Spray.

Important safety information:

When used for long periods of time or at high doses, some people develop a need to continue taking Nicotrol NS Spray. This is known as DEPENDENCE or addiction.

Do not suddenly stop taking Nicotrol NS Spray without your doctor’s approval. Stopping Nicotrol NS Spray suddenly may cause serious WITHDRAWAL symptoms including: anxiety, craving, impaired concentration, increased appetite, irritability, nervousness, sleep disturbances, and weight gain.

Possible side effects of Nicotrol NS Spray:

All medicines may cause side effects, but many people have no, or minor, side effects.

Acne; back pain; burning or irritation of the mouth, nose, or eyes; changes in taste and smell; constipation; cough; earache; flushing of the face; gas; headache; hoarseness; indigestion; irritability; joint pain; mouth sores; nasal ulcers or blisters; nausea; nose bleed; numbness of the mouth; painful menstruation; runny nose; sinus irritation; sneezing; sore throat; stuffy nose; tingling; tooth disorder; watery eyes.

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); fast or irregular heartbeat; lightheadedness; memory loss; severe dizziness or headache; shortness of breath; tightness in the chest; tremor.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (

Store Nicotrol NS Spray at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Nicotrol NS Spray out of the reach of children and away from pets.

General information:

This information is a summary only. It does not contain all information about Nicotrol NS Spray. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

More Nicotrol NS Spray resources

Compare Nicotrol NS Spray with other medications for the treatment of:

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