COMMON BRAND NAME(S): Nicorette

USES: This medication is used as a temporary aid to stop smoking.

HOW TO USE THIS MEDICATION: You must stop smoking completely before using this medication. Chew a piece of gum when you feel the urge to smoke.

Chew the gum very slowly for 30 minutes to release all of the nicotine.

Most people use about 10 to 12 pieces of gum per day during the first month of therapy. Do not chew more than 30 pieces of gum a day. You will use less gum as the urge to smoke decreases.

During the first month, the risk of smoking again is the highest. Follow a smoking cessation program and continue to use this gum as directed.

SIDE EFFECTS: Because this gum contains nicotine, it has a peppery-like taste. It may cause a tingling sensation when chewed.

During the first few days of using this medication, you may experience mouth sores, jaw muscle aches, increased saliva production, indigestion, or headache. These effects should disappear as use of the gum is continued.

Chewing the gum too fast can cause lightheadedness, dizziness, hiccups, nausea, vomiting or insomnia. If these effects occur, chew the gum more slowly.

Notify your doctor if you develop cold sweats, fainting, confusion or a pounding heart while using this medication. it may indicate there is too much nicotine in your body.

In the unlikely event you have an allergic reaction to this drug, seek medical attention immediately. Symptoms of an allergic reaction include rash, itching, swelling, dizziness or trouble breathing.

PRECAUTIONS: Before using this medication, tell your doctor your medical history especially of heart disease, diabetes, chest pain (angina), jaw/chewing problems and of any allergies including drug allergies.

Do not smoke while using this gum.

Nicotine gum should not be used during pregnancy. If you become pregnant or think you may be pregnant, inform your doctor immediately.

Nicotine is excreted into breast milk and may affect a nursing infant. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Inform your doctor about all the medicines you use (both prescription and nonprescription) especially if you use insulin, beta-blockers (propranolol or Inderal-like drugs) propoxyphene (Darvon) for pain or xanthine drugs used for asthma (theophylline like) because your dose may need to be adjusted.

NOTES: Because this is not ordinary chewing gum, keep it out of reach of children and do not share with others.

MISSED DOSE: If you miss a dose, do not double the next. Resume your regular schedule.

STORAGE: Store at room temperature away from moisture and sunlight. Do not store in the bathroom.