Nicorette Gum Fruit 4mg

How to chew Nicorette gum – the nicorette® chewing technique
The method of chewing NICORETTE gum is not the same as ordinary chewing gum. NICORETTE gum is chewed to release nicotine and then rested so that nicotine can be taken in through the lining of the mouth. If NICORETTE gum is chewed continuously, the nicotine is released too quickly and is swallowed. This may irritate your throat, upset your stomach or give you hiccups. If you have false teeth you may have difficulty chewing the gum as NICORETTE® gum could stick to them and on rare occasions, damage dentures. If you experience a problem, other types of nicotine replacement therapy such as a skin patch, inhalator or microtab may be more suitable for you.

The nicorette® chewing technique

1. Chew slowly until the taste becomes strong.
2. Rest between gum and cheek.
3. Chew again when the taste has faded.

Keep chewing like this for about half an hour. After this time the gum will have lost its strength and you should dispose of it carefully.

The active ingredient in NICORETTE® fruitfusion 4 mg gum is 4 mg nicotine.

Other ingredients in NICORETTE® fruitfusion 4 mg gum are: Chewing gum base, xylitol, peppermint oil, anhydrous sodium carbonate, acesulfame potassium, levomenthol, magnesium oxide, quinoline yellow Al-lake (E104), talc, Tuttifrutti QL84441, hypromellose, sucralose, polysorbate 80, acacia, titanium dioxide (E171) and carnauba wax. The chewing gum base contains butylated hydroxytoluene (E321), an anti-oxidant.

None of the gums contains sugar (sucrose) or animal products.

Do not use Nicorette gum:

• if you are a child under 12 years of age.
• if you have an allergy to nicotine or any of the other ingredients.

Talk to your doctor, nurse or pharmacist…

• if you are pregnant or breastfeeding – you may be able to use nicotine replacement therapy (NRT) to help you give up smoking but you should try to give up without it.
• if you are in hospital because of heart disease (including heart attack, disorders of heart rate or rhythm, angina, high blood pressure or stroke).
  In other heart conditions not requiring you to be in hospital, using NRT is better than continuing to smoke.
• if you have a stomach ulcer, duodenal ulcer, inflammation of the stomach or inflammation of the oesophagus (passage between the mouth and stomach).
• if you have liver or kidney disease.
• if you have an overactive thyroid gland or have a phaeochromocytoma (a tumour of the adrenal gland that can affect blood pressure) – your doctor will have told you this.
• if you have diabetes – monitor your blood sugar levels more often when starting to use NICORETTE gum as you may find your insulin or medication requirements alter.
• if you are taking other medicines such as theophylline, clozapine or ropinirole. Stopping smoking or cutting down may require the dose of these medicines to be adjusted.
• if you have ever experienced seizures (fits).

If any of these apply, talk to your doctor, nurse or pharmacist.

Some of the ingredients can cause problems
NICORETTE fruitfusion gum contains butylated hydroxytoluene (E321), an anti-oxidant. May cause local skin reactions (e.g. contact dermatitis), or irritation to the eyes and mucous membranes.

This medicine contains less than 1 mmol sodium (23 mg) in each chewing gum, that is to say essentially ‘sodium-free’.

If you are pregnant or breast-feeding

If you are pregnant:

1. Firstly, you should try to give up smoking without NRT. Stopping completely is by far the best option. The earlier and quicker you do this the better it is for you and your baby.
2. Secondly, if you can’t manage this, you can use NRT as a safer alternative to smoking as the risks to your baby are far less than smoking, however, you should talk to your doctor, nurse or pharmacist for advice.
   
   Products that are used intermittently, including NICORETTE® gum, may be preferable to nicotine patches.
   
   However, patches may be more suitable if you have nausea or sickness. If you do use patches take them off before going to bed at night.

If you are breast-feeding:

1. Firstly, you should try to give up smoking without NRT.
2. Secondly, if you can’t manage this you are best to use NRT products that are taken intermittently (not patches), however, you should talk to your doctor, nurse or pharmacist for advice. Breastfeed just before you use NICORETTE gum to ensure that the baby gets the smallest amount of nicotine possible.
   
   If you do need to use NRT to help you quit, the amount of nicotine that the baby may receive is considerably smaller and less harmful than the second-hand smoke they would inhale if you smoked. Tobacco smoke produces breathing and other problems in babies and children.