NICORETTE LOZENGE OTC
Generic Name and Formulations:
Nicotine polacrilex 2mg, 4mg; contains sodium, phenylalanine; mint, cherry, or original flavor.
Indications for NICORETTE LOZENGE:
Adjunct in smoking cessation therapy.
Start on quit day. Do not chew or swallow lozenge. Use 2mg if patient smoked first cigarette >30 mins after waking up; use 4mg if patient smoked first cigarette within 30 mins of waking up. Dissolve slowly in mouth; minimize swallowing. ≥18yrs: 1 lozenge every 1–2hrs (at least 9 lozenges/day) for 6 weeks, then every 2–4hrs for 3 weeks, then every 4–8hrs for 3 weeks, then stop; max 5 lozenges/6hrs (20 lozenges/day).
<18yrs: not recommended.
Cardiovascular disease, recent heart attack, irregular heart beat. Uncontrolled hypertension. Peptic ulcer disease. Diabetes. History of seizures. Sodium-restricted diet. Discontinue and evaluate if irregular heart beat, palpitations, mouth/teeth/jaw problems, persistent indigestion, severe sore throat, nicotine overdose symptoms, or allergic reactions occur. Keep out of reach of children and pets. Pregnancy. Nursing mothers.
Do not eat or drink for 15 mins before and during use. Concomitant other non-nicotine smoking cessation drug. Concomitant antidepressants or anti-asthmatic drugs; may need to adjust dose.
Nausea, vomiting, diarrhea, hiccups, heartburn, dizziness, palpitations, hypertension, mouth problems.
Gum—20, 100, 110, 200; Lozenge—(mint, cherry)—72; (original)—108; Mini lozenge—20, 81, 108, 135