Nicorette®

introduction

Under Nicoretten®, the Chewing gum understood, which is why this article will also look more closely at the dosage form than chewing gum.
Further forms of administration are plasters, sprays, lozenges and inhalers.

Active ingredients

The active substances in the Nicorette® chewing gum are polacrilin, nicotin, nicotin polacrine (1: 4).

application areas

Nicorette® chewing gum is used for Nicotine withdrawal symptoms and related complaints.

Contraindications

The drug Nicorette® must not be used if hypersensitivity (allergy) against any of the ingredients or occurs during the course of treatment.

Further contraindications for treatment with Nicorette® are:

  • Non-smoker
  • children
  • recently Heart attack
  • known recurring heart pain
  • heavy Cardiac arrhythmias
  • more acute stroke

Nicotine chewing gum should be used with caution in patients who have one or more of the following limitations:

  • severe cardiovascular disease
  • inadequately treated high blood pressure
  • severe liver disorder
  • severe kidney disorder
  • active Stomach ulcers
  • active intestinal ulcers
  • Diabetes (Diabetes mellitus)
  • Adrenal tumors

Instructions for use

Adults should a nicotine gum (à 2mg) per hour consume, however a maximum of 16 chewing gum a day use. If the smoker to be treated is heavily dependent on nicotine, the stronger nicotine chewing gum of 4mg per piece should be used.

If the patient is under 18 years of age, the nicotine chewing gum may only be used after consultation with the attending physician, as no study results are available to date.

The nicotine gum is about Chewed for 30 minutes with breaksso that the whole nicotine is released from the chewing gum mass. It is important here that Chewing nicotine gum slowlybecause the nicotine is mainly absorbed by the oral mucosa and less through the gastric mucosa. Slow chewing can prevent unnecessarily high swallowing of the nicotine contained in chewing gum. The nicotine in the blood can do that Smoking desire can be switched off for a certain period of time.

It is often the case that smokers who want to quit smoking require fewer nicotrinking gums than they previously used on cigarettes per day.

After an application time about The amount of nicotine gum per day should be gradually reduced for 4-6 weeks and to extend it to longer time intervals. In the case of heavily dependent smokers, the amount of nicotine in the chewing gum should first be reduced from 4mg per piece to 2mg per piece before the time intervals are increased.

The first time the nicotine gum should be discontinued after one during the past week Average daily consumption of only 1-2 pieces could be achieved. However, as soon as the desire to smoke occurs again, a nicotine-containing chewing gum should be kept handy in order to prevent a relapse into cigarette smoking.

Treatment with Nicorette® over a period of time longer than 6 months is not recommendedHowever, in some cases this is necessary to avoid relapse into smoking habits.

Use in pregnancy

Nicorette® can only be used during pregnancy and breastfeeding in consultation with the attending physician, but it is generally not advisable because the nicotine passes into the child's blood and can disrupt the circulation and respiratory regulation. For this reason a pregnant smoker should always be advised to quit smoking and not to use substitute nicotine products.
Nevertheless, it is believed that continued smoking is more harmful to the unborn child than the use of nicotine substitutes during a medically supervised withdrawal program.

The nicotine passes into breast milk too, so Smoking and nicotine substitutes should also be avoided during breastfeeding.