Nicotine Gums 2 mg/4 mg Gum.
Clinical Summary
Quick overview from the medicine insert
Indication
Temporary aid for smoking cessation.
Dosage (summary)
Use for 3 months, then gradually reduce to 1-2 gums/day.
Onset of Action / Duration
Onset: 5-7 mins, Duration: 30 mins
Special Populations
- Hepatic impairment
- Renal impairment
- Elderly
Pregnancy & Breastfeeding
Contraindicated in pregnancy; nicotine passes into breast milk.
Key Drug Interactions
- May enhance effects of adenosine
- Altered metabolism of certain drugs post-smoking cessation
Contraindications
- Hypersensitivity to nicotine
- Post-myocardial infarction
- Severe angina
- Active TMJ disease
Common side effects
- Nausea
- Headache
- Mouth irritation
- Hiccups
- Jaw muscle ache
Counselling Points
- Chew slowly for nicotine release
- Do not exceed 15 pieces/day
- Avoid use in children
Serious warnings
- Use with caution in cardiovascular diseases
- Potential for nicotine dependence
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