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Nicotine Replacement Therapy (NRT)

Specifics on the Nicotine Lozenge

What are the product strengths? The nicotine in the lozenge is either 2mg or 4mg in strength. Multiple flavors are available.

What is the recommended treatment duration?
The manufacturer recommends treatment for 12 weeks. Talk to your doctor if you feel you need to use the lozenge longer than 12 weeks.

What are the adverse reactions and cautionary messages?
Some lozenge users experience soreness in the gums and teeth, irritated throat tissue, hiccups and heartburn/indigestion. These symptoms usually become more tolerable over time. The most common side effects of lozenge use are soreness of the teeth and gums, indigestion, and irritated throat. These side effects are usually short-lived and are less likely with use as directed. Do not bite into or chew the lozenge, as this will cause more nicotine to be swallowed quickly and result in indigestion and/or heartburn. Check with your doctor if you take prescription medicine for depression, asthma, diabetes or other conditions; your medications may need to be adjusted as you quit. Also, consult your doctor if you are pregnant or breastfeeding.

It is advised to start using the nicotine lozenge on your quit day. If you happen to have a brief lapse and smoke a cigarette or briefly use another type of tobacco, do not stop your nicotine therapy program. It is important to quickly get back to your quit plan and try to avoid relapse to your previous smoking or tobacco use. If you resume your previous pattern of tobacco use, stop your nicotine lozenges and re-examine your quit plan with your doctor or coach. Using tobacco at significant levels and lozenge as directed might cause you to ingest an excessive amount of nicotine. While the lozenge eliminates most of health risks associated with tobacco use, nicotine itself can cause serious medical problems if abused. Keep out of reach of children (the lozenge resembles candy) and animals.

NOTE: Phenylketonurics should be aware that nicotine lozenge may contain phenylalanine.

If you are considering using nicotine lozenges, first read this information from the National Institutes of Health:

Content author: Alan S. Peters, CTTS-M
Reviewed by: Ann Wendling, MD, MPH, April 2013

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