INTRODUCTION ABOUT NICOGUM 4 NICOTINEGUM FRESHMINT TABLET

NICOGUM 4 NICOTINEGUM FRESHMINT TABLET contains Nicotine, which belongs to the group of medicines called Smoking Cessation Aids. It is used to quit smoking. It avoids and relieves the withdrawal symptoms that occur in people who wish to quit smoking. It also reduces cravings for smoking when you try to reduce the number of cigarettes that you smoke in a day.

Smoking is a harmful practice in which abusive substances (such as tobacco) are burned and ingested in the form of smoke. Tobacco contains a chemical called nicotine, which makes you smoke more. Within seconds of taking a puff, nicotine from the tobacco reaches your brain and increases the release of certain brain chemicals that regulate your mood and behaviour. Over a period, this causes addiction, and your body tends to show cravings for smoking or precipitate withdrawal symptoms if you try to quit smoking.

NICOGUM 4 NICOTINEGUM FRESHMINT TABLET is a nicotine replacement therapy. It helps to quit smoking by replacing the deficient levels of nicotine in your body that happen when you attempt to quit smoking. As a result, it reduces cravings for smoking and protects your body from the harmful effects of abusive substances (such as tobacco).

Chew NICOGUM 4 NICOTINEGUM FRESHMINT TABLET slowly in your mouth. Do not swallow the medicine. Your doctor will decide the number of doses to be taken per day depending upon the number of cigarettes that you smoke in a day.

Before taking NICOGUM 4 NICOTINEGUM FRESHMINT TABLET, inform your doctor if you have any heart, liver, or kidney diseases. You must also inform your doctor if you have diabetes, stomach problems, thyroid problems, or fits before taking NICOGUM 4 NICOTINEGUM FRESHMINT TABLET as a precaution.

Do not take NICOGUM 4 NICOTINEGUM FRESHMINT TABLET if you are allergic to nicotine or if you are a child aged below 12 years. Women who are pregnant or breastfeeding must try to quit smoking without using nicotine replacement therapy. However, if it is not possible, NICOGUM 4 NICOTINEGUM FRESHMINT TABLET can be used by such women to quit smoking after consulting their doctor.

The most common side effects of taking NICOGUM 4 NICOTINEGUM FRESHMINT TABLET are ulceration of the mouth, tongue, or throat, hiccups, nausea, increased salivation, and stomach pain. Consult your doctor if any of these side effects worsen.

USES OF NICOGUM 4 NICOTINEGUM FRESHMINT TABLET

It helps to quit smoking

HOW NICOGUM 4 NICOTINEGUM FRESHMINT TABLET WORKS

NICOGUM 4 NICOTINEGUM FRESHMINT TABLET is a nicotine replacement therapy. It contains nicotine, which replaces the nicotine derived from tobacco products. It helps to quit smoking by replacing the deficient levels of nicotine in your body that happen when you attempt to quit smoking. It also reduces cravings for smoking by supplementing your body with sufficient nicotine levels that are usually attained during smoking. As a result, it reduces cravings for smoking and protects your body from the harmful effects of abusive substances (such as tobacco).

DIRECTIONS FOR USE

Use NICOGUM 4 NICOTINEGUM FRESHMINT TABLET as directed by your physician. Chew NICOGUM 4 NICOTINEGUM FRESHMINT TABLET slowly until the taste becomes strong. Rest the medicine between your gums and cheeks for some time. Chew the medicine once again.

Repeat the same for at least 30 minutes or until the taste of the medicine fades. Do not chew the medicine continuously, as it may release nicotine very quickly. This can also irritate your throat or cause stomach upsets or hiccups.

Your doctor will decide the number of doses of NICOGUM 4 NICOTINEGUM FRESHMINT TABLET to be taken per day depending upon the number of cigarettes that you smoke in a day.

SIDE EFFECTS OF NICOGUM 4 NICOTINEGUM FRESHMINT TABLET

COMMON

headache, dizziness
throat irritation, sore mouth or throat, changes in taste
nausea, vomiting
hiccups, cough
tingling and numbness of the hands and feet
stomach pain, diarrhea, and dry mouth
flatulence, increased salivation, indigestion
burning sensation in the mouth
tiredness

UNCOMMON

abnormal dreams (nightmares)
reddish discoloration of the face and/or neck
difficulty in breathing
voice damage
nose block, sneezing
throat tightness or congestion
burping
swollen, red, sore tongue

RARE

difficulty in swallowing

Stop taking NICOGUM 4 NICOTINEGUM FRESHMINT TABLET and contact your doctor immediately if you experience any of the following side effects:

allergic reactions (such as swelling of the face, mouth, lips, throat, and tongue, itching of the skin, swelling of the skin, ulceration, and inflammation of the lining of the mouth, difficulty breathing, and dizziness)
fast or increased heartbeat, chest palpitations, shortness of breath
seizures (fits) or abnormal body movements

HOW TO MANAGE SIDE EFFECTS

Dizziness Or Drowsiness

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.

Headache

Rest and relax. Keep yourself hydrated by drinking plenty of fluids, such as water or electrolytes. Applying a pain-relieving balm to your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

Nausea And Vomiting

Take NICOGUM 4 NICOTINEGUM FRESHMINT TABLET with or just after meals. Stick to simple meals. Avoid eating oil-rich or spicy foods. Consult your doctor if your nausea worsens.

Sore Throat

Drink plenty of fluids. Avoid eating spicy foods. Apply a pain-relieving gel to your mouth after consulting your doctor. Consult your doctor if this symptom worsens. Your doctor may suggest an alternative therapy for you.

WARNING & PRECAUTIONS

PREGNANCY

Consult your doctor

Women who are pregnant must try to quit smoking without using nicotine replacement therapy. However, if it is not possible, NICOGUM 4 NICOTINEGUM FRESHMINT TABLET can be used to encourage them to quit smoking after consulting their doctor.

BREASTFEEDING

Consult your doctor

Women who are breastfeeding must try to quit smoking without using nicotine replacement therapy. However, if it is not possible, NICOGUM 4 NICOTINEGUM FRESHMINT TABLET can be used to encourage them to quit smoking after consulting their doctor. Make sure to breastfeed the infant before taking NICOGUM 4 NICOTINEGUM FRESHMINT TABLET so that the infant receives only a lesser amount of the medicine through breast milk.

KIDNEY

Use with Caution

NICOGUM 4 NICOTINEGUM FRESHMINT TABLET should be used with caution in patients with kidney problems. Therefore, consult your doctor before taking it.

LIVER

Use with Caution

NICOGUM 4 NICOTINEGUM FRESHMINT TABLET should be used with caution in patients with liver problems. Therefore, consult your doctor before taking it.

ALLERGY

Contraindicated

Do not take NICOGUM 4 NICOTINEGUM FRESHMINT TABLET if you are allergic to nicotine.

HEART DISEASE

Use with Caution

NICOGUM 4 NICOTINEGUM FRESHMINT TABLET should be used with caution in patients with heart diseases (such as an abnormal heartbeat, angina, high blood pressure, or stroke). Therefore, consult your doctor before taking it.

USE IN PEDIATRICS

Contraindicated

NICOGUM 4 NICOTINEGUM FRESHMINT TABLET is not recommended for use in children aged below 12 years. Therefore, consult your doctor for advice.

USE IN GERIATRICS

Use with Caution

NICOGUM 4 NICOTINEGUM FRESHMINT TABLET should be used with caution with elderly patients. Therefore, consult your doctor before taking.

OTHERS

Before taking NICOGUM 4 NICOTINEGUM FRESHMINT TABLET, inform your physician if you:

have diabetes
have ulcers in the esophagus, stomach, or intestines
have an overactive thyroid disorder
have phaeochromocytoma (a tumour present in the adrenal gland)
have fits or seizures

INTERACTIONS

A. Drug-Drug interactions:

Before taking NICOGUM 4 NICOTINEGUM FRESHMINT TABLET, inform your doctor if you are taking any of the following medicines, such as:

theophylline (a medicine used to manage asthma)
clozapine (a medicine used to manage schizophrenia)
ropinirole (a medicine used to manage Parkinson's disease)
insulin (used to manage diabetes)

B. Drug-Food interaction:

Avoid drinking coffee, soda, and other acidic beverages while taking NICOGUM 4 NICOTINEGUM FRESHMINT TABLET, as it may increase the risk of side effects.

Overdosage:

If you or anyone else accidentally took more NICOGUM 4 NICOTINEGUM FRESHMINT TABLET, contact your doctor immediately. Symptoms of overdosage might include nausea, vomiting, dizziness, headache, weakness, increased saliva secretion, rapid heartbeat, stomach pain, diarrhea, sweating, or hearing disturbances.

SYNOPSIS

Drug	:	Nicotine
Pharmacological Category	:	Nicotine replacement therapeutic agent
Therapeutic Indication	:	Smoking cessation therapy
Dosage Forms	:	Tablet, Chew gum, Gum, Pastille, Lozenges, Patch

MORE INFORMATION

Keep NICOGUM 4 NICOTINEGUM FRESHMINT TABLET out of reach of children
Store NICOGUM 4 NICOTINEGUM FRESHMINT TABLET at room temperature

FAQs ABOUT NICOGUM 4 NICOTINEGUM FRESHMINT TABLET

Q: Is NICOGUM 4 NICOTINEGUM FRESHMINT TABLET harmful?

A: No. NICOGUM 4 NICOTINEGUM FRESHMINT TABLET is one of the safest alternatives to smoking. It helps you to quit smoking. It replaces nicotine levels in your body that your body usually craves while you stop smoking.

Q: Can the use of NICOGUM 4 NICOTINEGUM FRESHMINT TABLET cause cancer?

A: No. NICOGUM 4 NICOTINEGUM FRESHMINT TABLET is one of the safest alternatives to smoking. There is no evidence of cancer following the use of NICOGUM 4 NICOTINEGUM FRESHMINT TABLET.

Q: What are the side effects of NICOGUM 4 NICOTINEGUM FRESHMINT TABLET?

A: The most common side effects of taking NICOGUM 4 NICOTINEGUM FRESHMINT TABLET are ulceration of the mouth, tongue, or throat, hiccups, nausea, increased salivation, stomach pain, diarrhea, flatulence, sensation of numbness, headache, and dizziness. Consult your doctor if any of these side effects worsen.

Q: Can NICOGUM 4 NICOTINEGUM FRESHMINT TABLET be used during pregnancy?

A: Women who are pregnant or breastfeeding must try to quit smoking without using nicotine replacement therapy. However, if it is not possible, NICOGUM 4 NICOTINEGUM FRESHMINT TABLET can be used to encourage them to quit smoking after consulting their doctor.

Q: How do I use NICOGUM 4 NICOTINEGUM FRESHMINT TABLET?

A: Use NICOGUM 4 NICOTINEGUM FRESHMINT TABLET as directed by your physician. Chew NICOGUM 4 NICOTINEGUM FRESHMINT TABLET slowly until the taste becomes strong. Rest the medicine between your gums and cheeks for some time. Chew the medicine once again. Repeat the same for at least 30 minutes or until the taste of the medicine fades. Do not chew the medicine continuously or swallow it.

Q: How does NICOGUM 4 NICOTINEGUM FRESHMINT TABLET work?

A: NICOGUM 4 NICOTINEGUM FRESHMINT TABLET is a nicotine replacement therapy. It contains nicotine, which replaces the nicotine derived from tobacco products. It helps to quit smoking by replacing the deficient levels of nicotine in your body that happen when you attempt to quit smoking. It also reduces cravings for smoking by supplementing your body with sufficient nicotine levels that are usually attained during smoking. As a result, it reduces cravings for smoking and protects your body from the harmful effects of abusive substances (such as tobacco).

Q: Can NICOGUM 4 NICOTINEGUM FRESHMINT TABLET help in quitting smoking?

A: Yes. NICOGUM 4 NICOTINEGUM FRESHMINT TABLET is one of the safest alternatives to smoking. It helps you to quit smoking. It avoids and relieves the withdrawal symptoms that occur in people who wish to quit smoking. It also reduces cravings for smoking when you try to reduce the number of cigarettes that you smoke in a day.

Q: Are there any food restrictions that I need to follow while taking NICOGUM 4 NICOTINEGUM FRESHMINT TABLET?

A: Avoid drinking coffee, soda, and other acidic beverages while taking NICOGUM 4 NICOTINEGUM FRESHMINT TABLET, as it may increase the risk of side effects.

Q: Can I stop taking NICOGUM 4 NICOTINEGUM FRESHMINT TABLET once my symptoms subside?

A: No. Do not stop taking NICOGUM 4 NICOTINEGUM FRESHMINT TABLET without consulting your doctor. Take NICOGUM 4 NICOTINEGUM FRESHMINT TABLET for the stipulated duration instructed by your doctor. Sudden cessation of the therapy may cause the symptoms to reappear.

Q: How long should I take NICOGUM 4 NICOTINEGUM FRESHMINT TABLET?

A: Take NICOGUM 4 NICOTINEGUM FRESHMINT TABLET for the stipulated duration instructed by your doctor. Your doctor will decide the number of doses of NICOGUM 4 NICOTINEGUM FRESHMINT TABLET to be taken per day depending upon the number of cigarettes that you smoke in a day.

Q: What is the maximum dose of NICOGUM 4 NICOTINEGUM FRESHMINT TABLET to be taken per day?

A: Take NICOGUM 4 NICOTINEGUM FRESHMINT TABLET as directed by your physician. Your doctor will decide the number of doses of NICOGUM 4 NICOTINEGUM FRESHMINT TABLET to be taken per day depending upon the number of cigarettes that you smoke in a day. Do not exceed the recommended dosage. If you smoke more than 20 cigarettes per day, you may be prescribed a higher dose of nicotine (4 mg), and if you smoke less than 20 cigarettes per day, you may be prescribed a lower dose of nicotine (2 mg).

REFERENCES

1. KD. Tripathi. Anticholinergic drugs and drugs act on autonomic ganglia. Essentials of medical pharmacology. Seventh Edition. 2019. Page – 121-122.

2. Umesh Wadgave1 and L Nagesh. Nicotine Replacement Therapy: An Overview. NIH National Library of Medicine, National center for biotechnology information. [Revised in July 2016] [Accessed on 22nd February 2024] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5003586/

3. McNeil Products Limited. Electronic Medicines Compendium (EMC). [Revised in February 2021] [Accessed on 22nd February 2024] https://www.medicines.org.uk/emc/files/pil.6206.pdf

4. Ciplamed. Nicotex Chewing Gum. [Revised in November 2013] [Accessed on 22nd February 2024] https://www.ciplamed.com/product-index/nicotex-chewing-gum

AUTHOR DETAILS

Written By Dr. N. Sai Swaroop, Pharm.D
Last updated on 23 Feb 2024 | 05:36 PM(IST)