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Nicorette Lozenges 2 mg Fruits 80 tablets
Over-the-counter medication

Nicorette Lozenges 2 mg Fruits 80 tablets

Brand : Nicorette Nicorette
€14.68 EXCL. VAT €14.99 INCL. VAT
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Reference : 3400930285824
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2MG Nicorette 80 TABLETS SUCKING A MINT on sale in our space baby - motherhood

What are Nicorette Lozenges 2 mg Fruits used for?

For warnings, precautions for use and contraindications, please consult the instructions for use.

If you are looking for an effective way to quit smoking and return to a healthier life, Nicorette 2 mg Fruit Lozenges may be the solution you have been waiting for. With their portable case, these tablets accompany you everywhere, ready to help you relieve your desire to smoke.

Nicorette 2 mg Fruit Suck Tablets are designed to help you fight against smoking, whether you want to stop immediately or gradually reduce your cigarette consumption . Here are some of their essential benefits:

An effective alternative to cigarettes

These tablets occupy the mouth, offering an alternative to cigarettes. They are specially formulated to help distract you from the urge to smoke. When you feel like smoking, simply take a Nicorette lozenge and place it in your mouth.

Gradual release of nicotine

Nicorette lozenges dissolve in the oral cavity in 20 to 30 minutes. During this dissolution process, they gradually release nicotine, which is absorbed through the oral mucosa before reaching the bloodstream. This controlled release of nicotine helps relieve cravings in a gentler way than cigarettes.

Versatile use

Nicorette tablets can be used in two main ways: for immediate cessation of smoking or for a gradual reduction before stopping completely. This versatility gives you the freedom to choose the approach that suits you best, based on your needs and situation.

Recommended by experts

These tablets are recommended for low or moderately dependent smokers, that is to say those who smoke their first cigarette more than 30 minutes after waking up. You can determine your degree of dependence by consulting your doctor, pharmacist, or using the Fagerström test.

Complete smoking cessation program

If you opt to stop smoking completely, Nicorette tablets can support you throughout your journey. The recommended program is as follows:

  • Initial phase of treatment (Week 1 to 6): Take at least 9 lozenges per day, or one tablet every 1 to 2 hours.
  • Treatment monitoring (Week 7 to 9): Reduce to 1 tablet every 2 to 4 hours.
  • Smoking cessation (Week 9 to 12): Increase to 1 tablet every 4 to 8 hours.
  • To help with continued withdrawal (After 12 weeks): Take only 1 to 2 lozenges per day in case of strong temptations.

It is essential not to exceed 15 tablets per day and to limit the duration of treatment to 6 months.

Smoking reduction

If you prefer to gradually reduce your cigarette consumption, Nicorette lozenges offer you the flexibility you need. Here are a few tips :

  • Alternate between nicotine tablets and cigarettes to minimize your tobacco consumption .
  • As soon as the urge to smoke appears, suck a tablet to extend the time between each cigarette.
  • The number of tablets to suck per day may vary depending on your needs, but it should not exceed 15 per day.
  • If you are unable to reduce your cigarette consumption after 6 weeks of treatment, consult a healthcare professional for further advice.

Give your opinion on the advice for use and dosage of Nicorette Suck Tablets 2 mg Fruits with our partner Avis checked after your purchase. Your experience can help others make the decision to begin their journey to a tobacco-free lifestyle.

How to use Nicorette Lozenges 2 mg Fruits?

Using Nicorette 2 mg Fruit Sucking Tablets is simple and effective. Here is a step-by-step guide to help you get the most out of this product:

  • Whenever you want to smoke, take a lozenge and place it in your mouth, where it will begin to dissolve.
  • For optimal absorption of nicotine, move the tablet from one side of the mouth to the other regularly while dissolving. This usually takes between 20 and 30 minutes.
  • Be sure not to chew or swallow the tablet, as the nicotine must be absorbed through the oral mucosa for maximum effectiveness.
  • Avoid drinking or eating while you have the tablet in your mouth, as this may interfere with the absorption of nicotine.

Precautions for use

It is important to follow some precautions when using Nicorette 2 mg Fruit Sucking Tablets :

  • Keep the tablets out of the reach of children and pets because they contain nicotine, a potentially dangerous substance if accidentally ingested.
  • If you are pregnant, breastfeeding, or have a special medical history, consult your healthcare professional before using this product.
  • Do not use these tablets if you are allergic to any of the ingredients listed in the composition section below.
  • Never exceed the recommended dose of 15 tablets per day, and do not use this product beyond 6 months.
  • If you experience any adverse effects or allergic reactions, discontinue use immediately and consult a healthcare professional.

Now that you have all the necessary information on usage and usage precautions, you are ready to begin your journey to a tobacco-free lifestyle with confidence.

What is its composition?

Nicorette 2 mg Fruit Suck Tablets are carefully formulated to offer you an effective solution to fight against smoking cravings. Here is the list of ingredients that make up these tablets:

  • Mannitol (E421)
  • Xanthan gum
  • Winterfresh aroma
  • Anhydrous sodium carbonate
  • Sucralose
  • Acesulfame potassium
  • Magnesium stearate

Immediate dissolution envelope:

  • Hypromellosis
  • Winterfresh aroma
  • Titanium dioxide (E171)
  • Sucralose
  • Sepifilm gloss
  • Acesulfame potassium
  • Polysorbate 80

This combination of ingredients has been specially designed to provide a controlled release of nicotine while providing a pleasant experience thanks to the Winterfresh aroma. Each of these components plays an essential role in the quality and effectiveness of Nicorette tablets.

Nicorette Tablets to Suck 2 mg Fruits comes in the form of practical boxes containing 80 tablets. You can find them at the best price in your online pharmacy, making them an accessible option to help you quit smoking.

In conclusion, Nicorette 2 mg Fruit Lozenges offer an effective and practical solution to help you overcome smoking. With their gradual nicotine release, versatility of use, and carefully selected list of ingredients, they are designed to maximize your chances of a successful journey to a tobacco-free lifestyle. Get started today and discover the freedom of living without cigarette addiction.

Please note, the medicine is not a product like any other. Read the medication leaflet carefully before ordering it. Do not leave medicines within the reach of children. If symptoms persist, seek the advice of your doctor or pharmacist. Beware of incompatibilities on your current products.

Pharmacovigilance Report an adverse drug reaction(s)

Download PDF leaflet

NOTICE

ANSM - Updated on: 21/08/2017

Name of the medicinal product

NICORETTE 2 mg, sucked tablet

Nicotine

framed

Please read this leaflet carefully before you start using this medicine because it contains important information for you.

You should always use this medication exactly as prescribed in this leaflet or by your doctor or pharmacist.

· Keep this leaflet. You might need to read it again.

· Ask your pharmacist for advice or information.

· If you experience any side effects, talk to your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. See section 4.

· You should talk to your doctor if you do not feel better or feel less well.

What is in this leaflet?

1. What is NICORETTE 2 mg, tablet to be sucked and in which cases it is used?

2. What should I know before taking NICORETTE 2 mg tablet to suck?

3. How to take NICORETTE 2 mg, tablet to suck?

4. What are the possible side effects?

5. How to store NICORETTE 2 mg, tablet to suck?

6. Package contents and other information.

1. WHAT IS NICORETTE 2 mg, tablet to be sucked AND WHAT IT IS USED FOR?

Pharmacotherapeutic group: MEDICINAL PRODUCTS USED IN NICOTINE DEPENDENCE, ATC code: N07BA01 .

This drug is indicated for the treatment of tobacco dependence in order to relieve symptoms of nicotine withdrawal in subjects wishing to stop their tobacco use.

Although definitive cessation of tobacco use is preferable, this drug may be used in:

· the cases where a smoker temporarily abstains from smoking,

· a strategy to reduce smoking as a step towards the final stop.

2. BEFORE YOU TAKE NICORETTE 2 mg, tablet to suck?

Do not take NICORETTE 2 mg, tablet to suck:

· if you are allergic to the active substance or to any of the other ingredients of this medication mentioned in section 6.

· if you do not smoke or if you are an occasional smoker.

Warnings and Precautions

Special warnings

In order to succeed in quitting smoking, complete cessation of smoking is essential.

Carefully read the health education tips

Talk to your doctor or pharmacist before taking NICORETTE 2 mg tablet to suck .

· Some diseases require examination and medical follow-up before using this medication.

Therefore, it is essential to consult your doctor before using this medication if you present:

- recent history (<3 months) of heart attack or stroke,

- chest pain (unstable angina pectoris), or stable angina pectoris,

- a heart problem affecting your heart rate or heart rate,

- an arterial hypertension that is not controlled by drugs,

- a history of allergic reactions that have manifested as swelling of the lips, face and throat (angioedema) or rash associated with itching (urticaria). It may happen that the use of a NRT triggers this type of reaction,

- severe or moderate hepatic impairment,

- severe renal insufficiency,

- diabetes,

- hyperthyroidism,

- a tumor of the adrenal gland (pheochromocytoma),

- an evolving stomach or duodenal ulcer,

- a chronic condition of the throat,

- of asthma.

It is imperative to keep the tablets to suck out of the reach of children. Indeed, the therapeutic dose intended for the adult could cause a serious poisoning or even fatal in the child.

Precautions for use

· Some signs indicate an under-dosage. If you feel, despite the treatment, a feeling of "lack" such as in particular:

- compelling need to smoke,

- irritability, sleep disturbances,

- agitation or impatience,

- difficulty of concentration,

consult your doctor or pharmacist. Indeed, it may be necessary to change the dosage of the drug.

· Some signs may reflect an overdose: in case of signs of overdose, ie:

- nausea, abdominal pain, diarrhea,

- hypersalivation,

- sweating, headache, dizziness, hearing loss,

- general weakness,

it is imperative to adapt the treatment with the advice of your doctor or pharmacist.

IN CASE OF DOUBT DO NOT HESITATE TO REQUEST THE NOTICE OF YOUR DOCTOR OR PHARMACIST.

Children and Youth

Not applicable.

Other medicines and NICORETTE 2 mg, sucked tablet

Inform your doctor or pharmacist if you are taking, have recently taken or may take any other medicines.

This is especially important if you are taking clozapine (an antipsychotic), methadone (an opiate substitution treatment), ropinirole (a treatment for Parkinson's disease) or theophylline (used in the treatment of anti- asthma).

NICORETTE 2 mg, tablet to suck with food and drink

Not applicable.

Pregnancy and breast feeding

If you are pregnant or breastfeeding, think you may be pregnant or plan a pregnancy, ask your doctor or pharmacist for advice before taking this medicine.

Pregnancy

It is very important to stop smoking during pregnancy as this can slow down the growth of your baby. This can also lead to premature delivery or late fetal deaths. It is advisable to stop smoking without using medicines containing nicotine.

If you are unable to stop smoking without nicotine replacement therapy, NICORETTE may be used after consulting the healthcare professional who is following your pregnancy, your family doctor, or a doctor at a center specializing in helping people wishing to stop smoking.

feeding

If you smoke a lot and do not plan to stop smoking, you should not breastfeed your child, but use artificial breastfeeding.

If you want to stop smoking and breastfeed your child, take advice from your doctor or a doctor at a smoking cessation center.

The use of this medication should be avoided during breast-feeding because nicotine passes into breast milk and can affect your child. If your doctor has recommended that you use NICORETTE 2 mg tablet to suck, the dose should be taken immediately after breastfeeding or more than 2 hours before the next breastfeeding.

Driving and using machines

NICORETTE 2 mg, sucked tablet has no or negligible effect on the ability to drive and use machines.

3. HOW TO TAKE NICORETTE 2 mg, tablet to suck?

Always take this medication exactly as prescribed in this leaflet or as directed by your doctor or pharmacist. Check with your doctor or pharmacist if in doubt.

Do not use the tube for any other purpose, due to the presence of tablet residues that may be deposited on the new contents.

Dosage

Reserved for adults only.

This medication should not be used without prescription in patients younger than 18 years of age.

The number of tablets to suck to be used each day depends on your nicotine addiction which can be assessed using the Fagerström test (see "Health Education Tips").

Nicotine 2 mg sucking tablets are suitable for use by nicotine-dependent and moderately dependent smokers (test score Fagerström from 3 to 6 or smoking less than 20 cigarettes per day).

Complete cessation of smoking

The treatment of nicotine addiction is usually done in 3 steps.

Step 1

Weeks 1 to 6

2nd step

Weeks 7 to 9

Step 3

Weeks 10 to 12

To help with weaning after 12 weeks: 1 to 2 tablets to suck per day only in case of strong temptations

Initial Treatment Phase

Treatment follow-up

Smoking cessation

1 tablet to suck every 1 to 2 hours

1 tablet to suck every 2 to 4 hours

1 tablet to suck every 4 to 8 hours

During weeks 1 to 6, the dosage should be at least 9 tablets to be sucked per day.

In no case should the number of tablets to be sucked exceed 15 tablets per day.

Temporary abstinence from tobacco

Suck one tablet every time the urge to smoke appears.

The number of 2 mg tablets should not exceed 15 tablets per day.

Reduction in tobacco consumption

As much as possible, alternate nicotine tablets and cigarettes.

Suck a tablet as soon as the urge to smoke appears to reduce as much as possible the consumption of cigarettes and stay as long as possible without smoking.

The number of tablets to be sucked per day is variable and depends on the needs of the patient.

However, it should not exceed 15 per day.

If a reduction in cigarette consumption has not been obtained after 6 weeks of treatment, it is recommended to seek advice from a health care professional.

Reducing tobacco consumption must gradually lead the patient to complete cessation of smoking. This should be stopped as soon as possible within 6 months of starting treatment. If after more than 6 months after initiation of treatment, the attempt to stop smoking has failed, it is recommended to seek advice from a health professional.

It is recommended not to use tablets to suck for more than 6 months.

Method and route of administration

Mouth.

The tablet to be sucked should be placed in the mouth where it will dissolve. It should be regularly placed from one side of the mouth to the other until it dissolves completely (about 20 to 30 minutes). The tablet should not be chewed or swallowed, as nicotine released gradually should be absorbed by the buccal mucosa.

You should refrain from eating or eating when the tablet is in your mouth.

Duration of treatment

The total duration of treatment should not exceed 6 months.

If you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist of all prescription and nonprescription / herbal products you may use before using this medication.

If you take more NICORETTE 2 mg tablet to suck you should not have

Consult your doctor or pharmacist immediately.

In case of accidental overdose or if a child has swallowed one or more tablets to suck, CONTACT A DOCTOR OR AN EMERGENCY SERVICE.

Severe intoxication may occur and may include hypotension, weak and irregular heartbeat, respiratory discomfort, prostration, cardiovascular collapse and convulsions.

If you forget to take NICORETTE 2 mg, tablet to suck

Not applicable.

If you stop taking NICORETTE 2 mg, tablet to suck

Not applicable.

If you have any further questions on the use of this medication, ask your doctor or pharmacist.

4. WHAT ARE POSSIBLE SIDE EFFECTS?

Like all medicines, this medicine may cause side effects, although not everybody gets them.

NICORETTE may cause side effects similar to nicotine administered by other modes; these effects are mainly dose-dependent and appear at the beginning of treatment.

The following adverse reactions have been reported:

Very common : affects more than 1 in 10 patients

  • Headache
  • hiccough
  • Irritation of the throat
  • Nausea

Common : affects 1 to 10 patients out of 100

· diarrhea

Uncommon : affects 1 to 10 patients in 1,000

· palpitations (feeling unusual to your heartbeat), or fast heartbeat (tachycardia)

· throat pain

· dreams abnormal,

· wheezing (bronchospasm) or difficult breathing (dyspnea), change in the sound of the voice

· stuffy nose, sneezing

· excessive sweating, itching / rash (pruritus / urticaria), flushing

· fatigue, discomfort, pain / discomfort in the chest

· hypertension

Rare : affects 1 to 10 patients out of 10,000

· difficulty swallowing, decreased sensitivity in the mouth

Unknown frequency: can not be estimated on the basis of available data

· blurred vision, increased tears (tearing)

· dry throat, lip pain, pain / discomfort in the abdomen

· allergic reaction including swelling of the face and mouth (angioedema) redness of the skin

Dizziness, headaches, sleep disorders, mouth ulcers may be related to smoking cessation and not to your treatment.

Declaration of side effects

If you experience any side effects, talk to your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. You can also report adverse reactions directly via the national reporting system: National Agency for the Safety of Medicines and Health Products (ANSM) and network of Regional Centers of Pharmacovigilance - Website: www.ansm.sante.fr

By reporting adverse reactions, you are helping to provide more information about the safety of the drug.

5. HOW TO STORE NICORETTE 2 mg, sucked tablet?

Keep this medicine out of the reach and sight of children.

Do not use this medicine after the expiry date which is stated on the carton. The expiry date refers to the last day of that month.

Do not throw any medicines into drains or rubbish. Ask your pharmacist to remove any medications you are no longer using. These measures will help protect the environment.

6. PACKAGE CONTENTS AND OTHER INFORMATION

What NICORETTE contains 2 mg, sucked tablet

· The active substance is:

Nicotine................................................. .................................................. .................... 2.00 mg

In the form of nicotine resinate ............................................ ................................... 10.50 mg

For a tablet to suck.

· The other components are:

Core

Mannitol (E421), xanthan gum, Winterfresh flavor, anhydrous sodium carbonate, sucralose, potassium acesufame, magnesium stearate.

Immediate dissolving envelope

Hypromellose, Winterfresh flavor, titanium dioxide (E171), sucralose, sepifilm gloss, acesulfame potassium, polysorbate 80.

What is NICORETTE 2 mg, tablet to suck and contents of the pack

This medication is in the form of an oval, white to almost white tablet with an "n" printed on one side and a "2" on the other.

24 tablets in platelets (OPA / PVC / Aluminum).

20 and 80 tablets in a tube (Polypropylene).

Not all pack sizes may be marketed.

Marketing Authorization Holder

JOHNSON & JOHNSON SANTE BEAUTE FRANCE

1, RUE CAMILLE DESMOULINS

92130 ISSY-LES-MOULINEAUX

Marketing Authorization Operator

JOHNSON & JOHNSON SANTE BEAUTE FRANCE

1, RUE CAMILLE DESMOULINS

92130 ISSY-LES-MOULINEAUX

Maker

McNEIL AB

NORRBROPLATSEN 2

SE-25109 HELSINGBORG

SWEDEN

Names of the medicinal product in the Member States of the European Economic Area

Not applicable.

The last date on which this leaflet was revised is:

[to be completed later by the holder]

Other

Detailed information on this medicine is available on the ANSM website (France).

Health education councils:

Stopping smoking as soon as possible results in immediate health benefits. It's never too late to quit even if you've smoked a long time and a lot .

As soon as you stop smoking:

· You will not absorb the irritating and toxic substances of cigarettes,

· You will see some improvements: progressive disappearance of headaches, cough, irritation of the throat, shortness of breath,

· You will often have the satisfaction of regaining better sleep, food flavor, odor and improve your physical performance,

· You will decrease your risk of developing lung cancer or cardiovascular disease.

Moreover, in cardiac or arterial diseases (angina pectoris, arteritis of the lower limbs ...), it is particularly imperative to succeed in quitting smoking.

What is tobacco dependence?

Tobacco addiction is twofold:

· Psychological dependence :

Smoking a cigarette involves a ritual of automatic and repetitive gestures associated with particular circumstances (pleasure, response to stress, intellectual stimulation, support for morale, need for a gesture of conviviality). This is psychological and behavioral dependence.

· Physical dependence :

The need for the nicotine body is due to the effects of this substance on the nervous system. This is physical dependence. Failure to satisfy this need results in a sense of lack (see description in the chapter " How to overcome your physical dependence ?").

Nicotinic substitutes aim to treat this dependence.

How to overcome your psychological addiction?

· Stopping smoking is necessary to increase your chances of success, but more:

o Choose a J day in the period that you think is the most favorable.

o Throw away your last pack of cigarettes, your lighter and put away your ashtrays.

o In a couple of smokers, it is preferable that the attempt to stop is made at the same time by both spouses.

· Tell your family and co-workers that you quit smoking. Ask them to respect your decision (no smoking near you, no longer offering you cigarettes).

· Prepare yourself to cope with the desire to smoke. It may occur suddenly and severely, especially during the first few weeks after the cessation of smoking, but does not last more than 3 or 4 minutes.
You have to anticipate what you will do in this case and act very quickly so as not to "crack" as for example:

o drink a large glass of water,

o to chew gum,

o counting up to 100,

o do some deep breaths,

o out of the room,

o change activity ...

· Avoid situations associated with taking cigarettes (coffee, aperitif, ...), avoid temptations (settle with non-smokers).

· Find cigarette compensation (leisure, sport, cultural activity ...).

How to overcome your physical addiction?

If you are addicted to nicotine, the success of your approach may require the use of nicotine substitutes.

In order to assess your level of dependence, the Fagerström test is offered.

FAGERSTROM TEST

How long after you wake up do you smoke your first cigarette?

· within 5 minutes: 3

· from 6 to 30 minutes: 2

· from 31 to 60 minutes: 1

· after 60 minutes: 0

Do you find it difficult to not smoke in places where it is forbidden?

· yes: 1

· no: 0

What cigarette of the day would you be the hardest to give up?

· the first: 1

· another: 0

How many cigarettes do you smoke per day?

· 10 or less: 0

· 11 to 20: 1

· 21 to 30: 2

· 31 or more: 3

Do you smoke at a more sustained pace in the morning than in the afternoon?

· yes: 1

· no: 0

Do you smoke when you are so sick that you have to stay in bed almost all day?

· yes: 1

· no: 0

TOTAL POINTS

score from 0 to 2 : you are not addicted to nicotine.

You can stop smoking without the need for nicotine replacement.

If you are concerned about this decision, consult your pharmacist or doctor.

score 3 to 4 : you are weakly dependent on nicotine.

score 5 to 6 : you are moderately addicted to nicotine.

The use of nicotine substitutes will increase your chances of success.

Consult with your pharmacist or doctor to help you choose the treatment best suited to your situation.

score of 7 to 10 : you are strongly or very strongly dependent on nicotine.

The use of nicotine substitutes is recommended to help you overcome this addiction to nicotine. This treatment should be used in sufficient and appropriate dosage.

Consult with your pharmacist or doctor, possibly as part of a specialized smoking cessation counseling.

The withdrawal symptoms may persist for a long time and the duration of treatment should be sufficient, usually one to three months.

If you feel, despite the treatment, a feeling of persistent "lack" :

· compelling need to smoke,

· irritability, sleep disturbances,

· agitation or impatience,

· difficulty of concentration,

Take the advice of your doctor or pharmacist as doses may need to be adjusted.

How do you get help?

· Support from health professionals

The support, advice and follow-up that your doctor or pharmacist can give you will be valuable during the first six months of your smoking cessation. You can also use a specialized smoking cessation counseling, especially if you have already failed.

· Psychological support

Stopping smoking requires a supportive family and social environment. If you are concerned that the difficulties are too great, psychological support or temporary treatment can help.

· Dietetics

In the months following tobacco cessation, you may find moderate weight gain.
If you have any concerns in this area, you can contact a health professional who will be able to advise you.

You started smoking again, why?

Consider this relapse as an accident of course, as a normal event that allows to learn: the relapse is not a failure.

Analyze the reasons why you took back the tobacco.

· Because of the physical dependence
This may have been poorly taken into account or reappeared after several months, occasionally, for example, by prolonged stays in smoky atmospheres.

· Because of excessive weight gain
It may be necessary to change your diet somewhat before your next attempt to quit smoking.

· Because of a decline in motivation , because of a painful event or a difficult period, because of psychological difficulties appearing at the cessation of smoking (depression, anxiety ...), because of a very tempting situation . Understand the reason for this relapse to prevent it if possible during your next attempt.

In all cases, do not hesitate to ask for advice from a health professional or to use a specialized consultation to help with smoking cessation.

If you have started smoking again, do not get discouraged, experience shows that your chances of success increase after one or more attempts to quit.

VIDAL OF THE FAMILY

NICORETTE tablet to suck

Drug smoking cessation

nicotine

This medicine is a generic of NIQUITIN tablet to suck.

. Presentations . Composition . Indications . Contraindications . Attention . Drug interactions . Pregnancy and breastfeeding . Instructions for use and dosage . Tips . Side effects . Lexicon

PRESENTATIONS (summary)

NICORETTE 2 mg: tablet to suck (white); box of 20.
Not refunded - Free price -

NICORETTE 2 mg: tablet to suck (white); box of 80.
Not refunded - Free price -

Johnson & Johnson Health Beauty France Laboratory

COMPOSITION (summary)
p cp
Nicotine 2 mg
mannitol +

INDICATIONS (summary)
This medication helps smokers to detoxify themselves from tobacco. The sucking tablet brings into the blood, through the oral mucosa , nicotine, the main active ingredient of tobacco, responsible for addiction.
It is used either to permanently stop smoking or to stop temporarily.
CONTRAINDICATIONS (summary)
This medication should not be used by the non-smoker or the occasional smoker.
ATTENTION (summary)
This medication should not be used in children under 18 years of age without prior medical consultation.
Do not leave this medicine within the reach of children: an untimely plug may cause serious accidents.
Precautions are necessary in case of ulcer of the stomach or duodenum , of kidney failure or liver failure severe. In these situations, prior medical consultation is essential before using this medication; stopping smoking without substitution treatment may be necessary.
Do not use other medicines containing nicotine, especially transdermal patches (see Drug Interactions).
DRUG INTERACTIONS (summary)
The products contained in tobacco smoke can accelerate the elimination rate of certain drugs, theophylline in particular. When stopping smoking, these drugs may have an increased effect and signs of overdose may occur. Contact your doctor if there is any doubt.
PREGNANCY and BREASTFEEDING (summary)
Pregnancy :
Smoking in pregnant women can cause fetal growth retardation. Stopping smoking is therefore always desirable. In women highly dependent on nicotine, the use of this drug may be helpful, but the effects of nicotine alone on the fetus are poorly understood. This drug has the advantage of not exposing the fetus to other toxins found in tobacco smoke. In summary: if the ideal is not to smoke and not expose the fetus to nicotine intake, the use of this drug is a lesser evil compared to tobacco.

Breastfeeding:
Nicotine passes into breast milk, breastfeeding is not recommended during treatment.
DIRECTIONS AND DOSAGE (summary)
The tablet should be placed in the mouth, without being crunched or chewed, to allow slow and regular absorption of nicotine by the blood vessels of the mouth. The tablet dissolves for about 30 minutes and must be moved regularly from one side of the mouth to the other during this time.
It is important not to drink or eat while the tablet is in the mouth.
In practice, it is useful to know the signs of under or overdose to adjust the dosage after a few days of treatment:
  • Overdose results in the smoker's over-smoking status, which mainly results in nausea and headaches. Visual or hearing disorders, tremor, vertigo are also possible;
  • under-dosing causes withdrawal symptoms : irritability, nervousness, stomach cramps (a kind of painful hunger), difficulty concentrating.

Usual dosage:

  • Adult over 18:
    Complete cessation of tobacco:
    • during the first 6 weeks, suck one tablet every 1 to 2 hours, not exceeding 15 tablets per day;
    • the next 3 weeks, suck 1 tablet every 2 to 4 hours;
    • the next 3 weeks, still space the catch by sucking 1 tablet every 4 to 8 hours;
    • then take only 1 or 2 tablets daily in case of strong temptation.
    Temporary cessation of tobacco or reduction of the number of cigarettes:
    • 1 tablet whenever the urge to smoke appears, without exceeding 15 tablets a day.
Do not exceed 6 months of continuous treatment.
TIPS (summary)
This medicine can be used by smokers without medical consultation, it is over-the-counter. Your pharmacist's advice is valuable, he can help you determine the best time to quit and explain the causes of failure.
Nicotine taken by way oral replacing the cigarette has the same cardiovascular harmful than that in tobacco. Only the risk of lung cancer disappears. When the smoking cessation is motivated by urgent medical reasons: recent infarction , arteritis , gastritis or ulcer , it is better to stop the absorption of nicotine in all its forms.
Like all anti-smoking methods used to help smokers, this medication can only be effective when the will to quit is personal and is accompanied by strong motivation. It is this motivation that will fight against the desire to smoke, without being forced to constantly appeal to the will that dulls over time. A smoker's cessation of tobacco smoking supposes that he considers tobacco to be a poison, an unacceptable addiction. He must be convinced that he will never smoke again, from the beginning of weaning. Every day without tobacco must be lived as a liberation, and not as a nightmare. The smoker who is in this state of mind is a good candidate for permanent weaning.
The cessation of smoking, which is a real drug, causes many problems: weight gain is common, disorders of the concentration can last several weeks. A slight depressive state is possible. Weight gain must be fought by a diet, and if possible by a sports program that has the advantage of reconciling the smoker with his body.
Do not hesitate to consult your doctor in case of difficulty; his advice and experience will be invaluable in fighting relapse.
ADVERSE POSSIBLE EFFECTS (summary)
At the beginning of treatment: irritation of the mouth or throat usually subsiding to the continuation of the treatment.
Frequently: nausea, indigestion, hiccups, headache, dizziness, palpitations , dry mouth, rhinitis, coughing.
Rarely: heart rhythm disorders , allergic reaction .
Like all medicines and confectionery containing non-absorbable sugars (sorbitol, maltitol ...), possibility of diarrhea in case of significant intake.


LEXICON (summary)


arteritis
Artery disease favored by smoking and most often localized to the legs. It is characterized by a thickening of the arterial walls which hinders the flow of blood and causes pain during walking (intermittent claudication). Arteritis of the lower limbs increases the risk of myocardial infarction and requires medication. At an advanced stage, it can be treated surgically.
Synonym: arteriopathy obliterans of the lower limbs.


diarrhea
The strict medical sense of diarrhea is "stool delivery too frequent and too abundant". In fact, common sense equates diarrhea with the notion of frequent, liquid stools. Normally, the stools are pasty, but the emission of liquid stools or barely formed, without pain or particular associated disorder, is not pathological. One can speak of diarrhea when the liquid stool emissions are repeated during the day, and that the needs are imperious or painful.
Many drugs can accelerate intestinal transit and make the stool more liquid, without this undesirable effect being really worrying.
Antibiotics can alter the digestive flora, essential for digestion, and cause diarrhea more or less troublesome but benign. The effect appears immediately or after a few days of treatment. A form of severe and exceptional diarrhea, pseudomembranous colitis, can be observed after antibiotic treatment; this condition results in the emission of mucus and false membranes (resembling skin flaps) associated with abdominal pain; constipation may replace the initial diarrhea. Pseudomembranous colitis can occur several days after stopping antibiotic treatment and requires urgent medical advice.


transdermal patches
System, sometimes called patch or patch, allowing the absorption of a drug through the skin: it ensures the diffusion of the active substance to the blood vessels of the dermis. The substance then circulates in the blood and can act as if it had been swallowed or injected. This device avoids the effect of first pass liver.


duodenum
Part of the intestine into which food from the stomach enters.


depressed state
State of moral suffering associating a demotivation, a fatigue, a sense of uselessness, of self-depreciation. If left untreated, the depressive state may progress to severe depression with feelings of incurability, guilt, and suicidal risk.


gastritis
Inflammation of the stomach favored by stress, tobacco, alcohol and certain drugs such as aspirin or anti-inflammatories.


infarct
Destruction of part of the heart muscle (myocardium), deprived of blood by obstruction of its arteries.


Hepatic insufficiency
Inability of the liver to perform its function, which is essentially the elimination of certain wastes, but also the synthesis of many biological substances essential to the body: albumin, cholesterol and coagulation factors (vitamin K, etc.).


renal failure
Inability of the kidneys to eliminate waste or drug substances. Advanced renal failure does not necessarily result in a decrease in the amount of urine eliminated. Only a blood test and the determination of creatinine can reveal this disease.


mucous
Tissue (membrane) lining the cavities and ducts of the body communicating with the outside (digestive tract, respiratory system, urinary tract, etc.).


palpitations
Abnormal perception of irregular heartbeat.


dosage
Quantity and distribution of the dose of a drug according to the age, weight and general condition of the patient.


allergic reaction
Reaction due to the hypersensitivity of the body to a drug. Allergic reactions can be very varied: urticaria, angioedema, eczema, rash of measles-like pimples, etc. Anaphylactic shock is a generalized allergic reaction that causes discomfort by sudden drop in blood pressure.


overdose
Excessive intake of a drug may lead to an increase in the intensity of the adverse effects, or even to the occurrence of particular adverse effects.
This overdose can result from an accidental intoxication, or voluntary for the purpose of suicide: it is then advisable to consult the poison control center of your region (list in appendix of the work). But most often, the overdose is the consequence of an error in the understanding of the prescription, or the search for an increase of the effectiveness by a surpassing the recommended dosage. Finally, untimely self-medication can lead to the excessive absorption of the same substance contained in different drugs. Some drugs are particularly exposed to this risk, because they are considered (wrongly) as harmless: vitamins A and D, aspirin, etc. Stopping or decreasing drug intake can eliminate the problems associated with overdose.


symptoms
Disorder felt by a person with an illness. The same symptom can translate different diseases and the same disease does not necessarily give the same symptoms in all patients.


heart rhythm disorders
Serious or benign abnormality of the frequency of contractions of the heart. Extrasystole is a contraction occurring just before or after a normal contraction, often perceived as a slight shock in the chest. Fibrillation is an irregular and disordered contraction. Other disorders include torsades de pointes, Wolf-Parkinson-White syndrome, Bouveret's disease, tachysystole, flutter and atrioventricular block, etc.


ulcer
Intense lesion of the skin, mucous membranes or cornea.
  • Leg ulcer: chronic wound due to poor circulation of blood.
  • Peptic ulcer: localized wound of the lining of the stomach or duodenum, due to an excess of acidity and very often to the presence of a bacterium (Helicobacter pylori). The ulcer is favored by stress, alcohol, smoking and certain medications (aspirin, NSAIDs, etc.).


way
  • Path (route of administration) used to administer the drugs: oral, sublingual, subcutaneous, intramuscular, intravenous, intradermal, transdermal.
  • Set of hollow organs allowing the passage of air (airways), food (digestive tract), urine (urinary tract), bile (bile ducts), etc.

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