Why is this medication prescribed?

Nicotine polacrilex is commonly prescribed as a smoking cessation aid. It is a medication that helps people quit smoking by delivering nicotine to the body in a controlled and less harmful way compared to smoking tobacco.

Nicotine polacrilex comes in the form of gum or lozenges and is designed to be chewed or sucked on. It is used as a replacement for the nicotine obtained from smoking cigarettes, helping to reduce nicotine cravings and withdrawal symptoms. By providing a steady and controlled dose of nicotine, it can help individuals gradually reduce their dependence on cigarettes and eventually quit smoking altogether.

How should this medicine be used?

Nicotine polacrilex, commonly known as nicotine gum, is a smoking cessation product that delivers nicotine to help reduce withdrawal symptoms and cravings associated with quitting smoking. Here’s how it is typically used:

1. Choose the appropriate strength: Nicotine gum is available in various strengths, typically ranging from 2 mg to 4 mg of nicotine per piece. The strength you choose depends on your smoking habits and nicotine dependency. If you smoke your first cigarette within 30 minutes of waking up, the 4 mg strength is recommended. If you wait longer than 30 minutes, the 2 mg strength may be sufficient.
2. Chew the gum slowly: When you have an urge to smoke or experience cravings, take one piece of nicotine gum and start chewing it slowly. It is important not to chew it like regular gum. Instead, follow these steps:
   • Chew the gum until you feel a slight tingling sensation or a peppery taste in your mouth.
   • Pause and park the gum between your cheek and gums.
   • Once the tingling subsides (after a few minutes), start chewing again.
   • Repeat this chewing-parking cycle for about 30 minutes.
3. Avoid excessive chewing: Do not chew more than one piece of gum at a time, and avoid continuous chewing for extended periods. Excessive chewing may lead to an overdose of nicotine and unpleasant side effects.
4. Timing and frequency: The timing and frequency of gum use depend on your smoking habits and individual needs. Generally, you can start using the gum as soon as you quit smoking or reduce the number of cigarettes you smoke. Aim to use at least 9 to 12 pieces of gum per day for the first six weeks, then gradually reduce the number of pieces over the next three months.
5. Gradual tapering: The goal is to gradually reduce your nicotine intake over time until you can stop using the gum completely. As you progress, decrease the number of gum pieces you use each day. Consult with a healthcare professional or follow the instructions on the packaging for specific tapering guidelines.
6. Duration of use: Nicotine gum is typically used for a short period, usually around 12 weeks. However, the duration can vary depending on individual circumstances. It’s important to consult with a healthcare professional to determine the appropriate length of treatment for your specific situation.

Remember, nicotine gum is just one component of a comprehensive smoking cessation program. It is recommended to combine its use with behavioral counseling and support to increase your chances of successfully quitting smoking.

Other uses for this medicine

Nicotine polacrilex is primarily used as a smoking cessation aid, but it may have other off-label uses. However, it’s important to note that the off-label use of medications should always be discussed with a healthcare professional. They can provide guidance based on your specific situation and medical history.

What special precautions should I follow?

As for special precautions with nicotine polacrilex, here are some important points to consider:

• Precautions for Smokers: Nicotine polacrilex is intended for individuals who want to quit smoking. It is not meant for use by individuals who continue to smoke or use other tobacco products. Using nicotine polacrilex while smoking or using tobacco products can result in nicotine overdose and potential adverse effects.
• Medical Conditions: Nicotine polacrilex should be used with caution in individuals with certain medical conditions, such as heart disease, high blood pressure, diabetes, asthma, stomach ulcers, or kidney disease. It’s important to inform your healthcare professional about any pre-existing medical conditions you have before using this medication.
• Allergies and Sensitivities: If you are allergic to nicotine or any other ingredients in nicotine polacrilex gum or lozenges, you should avoid using them. Allergic reactions can range from mild symptoms like itching and rash to severe reactions that require immediate medical attention.
• Pregnancy and Breastfeeding: Nicotine polacrilex should be used with caution during pregnancy or breastfeeding. Nicotine can have adverse effects on the developing fetus or nursing infant. It’s important to consult with a healthcare professional for guidance on using nicotine polacrilex in these situations.
• Side Effects and Interactions: Nicotine polacrilex can cause side effects such as mouth or throat irritation, nausea, hiccups, or indigestion. It may also interact with certain medications or substances, such as caffeine, and affect their effectiveness or increase the risk of side effects. It’s important to inform your healthcare professional about all the medications, supplements, and substances you are using.
• Use as Directed: Follow the instructions provided by your healthcare professional or the product label when using nicotine polacrilex. Using more than the recommended dose or using it for longer than prescribed can increase the risk of adverse effects and nicotine dependence.

Always consult with a healthcare professional for personalized advice and guidance regarding the use of nicotine polacrilex or any medication. They can provide the most accurate information based on your individual circumstances.

What special dietary instructions should I follow?

Nicotine polacrilex does not have specific dietary restrictions. However, it is generally recommended to avoid eating or drinking for 15 minutes before using the gum or lozenge, as it can interfere with the absorption of nicotine. After using the gum or lozenge, you can resume your normal diet.

What should I do if I forget a dose?

If you forget a dose of nicotine polacrilex, it is generally not recommended to double the dose to make up for the missed one. Instead, continue with your regular dosing schedule. However, if you frequently forget doses or have difficulty following the prescribed regimen, it’s important to discuss this with your healthcare professional. They may provide strategies or alternatives to help you effectively use nicotine polacrilex for smoking cessation.

What side effects can this medication cause?

Nicotine polacrilex, like any medication, can cause side effects in some individuals. The most common side effects associated with nicotine polacrilex gum or lozenges include:

• Mouth or Throat Irritation: Some people may experience mild irritation or soreness in the mouth or throat while using nicotine polacrilex products.
• Nausea and Upset Stomach: Nicotine can cause gastrointestinal symptoms such as nausea, vomiting, stomachache, or indigestion in some individuals.
• Hiccups: Hiccups can occur as a side effect of nicotine polacrilex gum or lozenges.
• Headache: Some individuals may experience headaches, which are usually mild and temporary.
• Dizziness or Lightheadedness: Nicotine can sometimes cause dizziness or a feeling of lightheadedness, particularly if you are not used to nicotine or if you use too much nicotine polacrilex.
• Coughing or Throat Tightness: In some cases, nicotine polacrilex may cause coughing or a sensation of throat tightness.
• Increased Heart Rate: Nicotine is a stimulant and can lead to an increased heart rate in some individuals.

It’s important to note that these side effects are generally mild and temporary. They often improve with continued use or by adjusting the dosage. However, if you experience severe or persistent side effects, it is advisable to consult your healthcare professional.

Additionally, it’s worth mentioning that while nicotine polacrilex is a safer alternative to smoking, it still delivers nicotine to the body. Nicotine itself can have various effects on the cardiovascular system, so it’s essential to use nicotine polacrilex as directed and seek medical advice if you have any concerns, especially if you have pre-existing medical conditions.

As always, it is crucial to discuss any potential side effects or concerns with your healthcare professional, as they can provide personalized guidance and address any specific questions you may have.

What should I know about storage and disposal of this medication?

• Storage: Nicotine polacrilex gum or lozenges should be stored at room temperature, away from direct sunlight, heat, and moisture. Follow the specific storage instructions provided by the manufacturer or as indicated on the product packaging.
• Childproofing: It’s crucial to keep nicotine polacrilex products out of the reach of children and pets. Nicotine can be toxic if ingested in large amounts, so store the medication in a secure location or use childproof containers.
• Disposal: Properly dispose of used nicotine polacrilex gum or lozenges, as well as the packaging, in a way that is safe and out of reach of children and pets. You can consult with your local pharmacy or healthcare provider for guidance on proper disposal methods or follow any local regulations for medication disposal.

In case of emergency/overdose

In case of an emergency or overdose, it is important to seek immediate medical attention. Call your local emergency services or go to the nearest emergency room. Signs of nicotine overdose can include severe nausea, vomiting, dizziness, rapid heart rate, difficulty breathing, and other symptoms.

What other information should I know?

• Nicotine Dependence: Nicotine polacrilex is intended for individuals who want to quit smoking. It is important to have a strong commitment to quitting and to seek additional support, such as counseling or behavioral therapies, to increase the chances of success.
• Nicotine Replacement Therapy (NRT) Duration: Nicotine polacrilex is typically used for a specified duration as part of a comprehensive smoking cessation program. It is important to follow the recommended duration and dosage as prescribed by your healthcare professional.
• Smoking Cessation Support: Nicotine polacrilex is most effective when used as part of a comprehensive smoking cessation plan. Consider seeking support from healthcare professionals, smoking cessation programs, support groups, or helplines to enhance your chances of successfully quitting smoking.

Remember to always consult with your healthcare professional or pharmacist for specific instructions, recommendations, and any other information related to the use of nicotine polacrilex that pertains to your individual circumstances.