Nicorette Inhaler 18 Cartridges

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Classification
Pharmacy Only Medicine

Dosage
Using Nicorette 10mg
Use the inhaler whenever you feel the urge to smoke. The more you are able to use it, the easier it will be to give up smoking. You can puff on the Nicorette inhaler in the same way as you would a cigarette. One cartridge can replace 4 cigarettes. It is recommended that you use the inhaler for about 20 minutes per session. If you use the inhaler like this each cartridge lasts for about 4 sessions.

The Combined Solution approved dosage and weaning programme are as follows:

Initial treatment: The treatment should begin with one 15 mg/16 hour patch daily, applied to an intact area of the skin upon waking up in the morning and removed at bedtime, combined with either the 2mg gum or 10mg inhaler. Use a minimum of 4 x 2 mg gums per day; usually 5 - 6 gums will be adequate for effect. Do not use more than 24 gums per day. Usually 4 - 5 inhaler cartridges will be adequate for effect. Do not use more than 12 inhaler cartridges per day. This full dose should be used for 6 - 12 weeks whereafter gradual weaning from the products should be initiated.

Weaning from combination:
This can be done in two ways, either by using lower strength patches I.e. 3 - 6 weeks on 10 mg/16 hour patches and then 3 - 6 weeks on 5 mg/16 hour patches, using the same amount of gum 2mg/inhaler 10mg as the initial treatment period, and then gradually reduce the amount of gum/inhaler up to 12 months. Alternatively stop using the patch and gradually reduce the number of gums/inhaler cartridges up to 12 months.

Recommended dosage:
Initial treatment
First 6-12 weeks:
Patch: 1 patch 15 mg/16 hour per day
Gum 2mg: Ad. libitum Recommended 5 - 6 gums per day
Inhaler 10mg: Ad libitum Recommended 4 - 5 cartridges per day

Weaning - alternative 1
Next 3 - 6 weeks
Patch: 1 patch 10 mg/16 hour per day
Gum 2mg: Continue to use gum as needed
Inhaler 10mg: Continue to use inhaler as needed

Following 3 - 6 weeks
Patch: 1 patch 5 mg/16 hour per day
Gum 2mg: Continue to use gum as needed
Inhaler 10mg: Continue to use inhaler as needed

Up to 12 months No Patch
Gum 2mg: Gradually wean from gum use
Inhaler 10mg: Gradually wean from inhaler use

Weaning - alternative 2
Up to 12 months
No Patch
Gum 2mg: Continue to gradually wean from gum use
Inhaler 10mg: Continue to gradually wean from inhaler use

Ingredients
Nicorette inhaler refill contains 10mg nicotine per unit. Each inhaler cartridge contains 18 cartridges as 3 sealed trays, plus one mouthpiece.

Purpose/Usage
How Nicorette Inhaler Works
Smokers have both a physical reliance on nicotine (i.e. the body becomes dependent on nicotine) and a psychological reliance on the smoking habit.

When you give up smoking, your body will miss the effects of nicotine and you will miss the habit of smoking.

Nicorette Inhaler helps you to tackle these two sides of the problem separately, instead of all at once.

It is your body's dependence on nicotine, which causes with-drawal symptoms when you suddenly stop smoking. Nicotine is an addictive substance. Symptoms may include irritability, restlessness, depression, weight gain, and craving for cigarettes.

Nicorette Inhaler is intended to ease such withdrawal symptoms by providing your body with nicotine. This leaves your mind free to concentrate on overcoming your psychological desire to smoke.

Nicorette Inhaler consists of a plastic tube with a plug loaded with nicotine. Menthol is added as a flavour.

Unlike cigarettes Nicorette Inhaler does not contain harmful tar and carbon monoxide.

How long should Nicorette Inhaler be used for
To quit smoking
It is important that you use Nicorette Inhaler for long enough to help overcome your dependence on cigarettes. Normally this period will be at least 3 months. After that the dosage is gradually reduced. When you are using only 1 to 2 cartridges a day, then you should stop using Nicorette Inhaler. Use of the inhaler beyond 12 months is not recommended.

Smoking reduction:
Use the Inhaler between smoking episodes to prolong smoke-free intervals and with the intention to reduce your smoking as much as possible. If after 6 weeks you have not reduced the number of cigarettes smoked each day, then you should seek professional advice.

you should try to quit smoking as soon as you feel ready, but no later than 6 months after starting your treatment. If 9 months has passed since starting Nicorette Gum and you have still not been able to make a serious attempt at quitting smoking, then seek professional advice.

Precautions
When you Must not use Nicorette Inhaler
Do not use Nicorette Inhaler If:

Adverse Effects
Nicotine like all other medicines may cause unwanted side effects in some people.

Seek professional advice from your doctor or pharmacist as soon as possible if you do not feel well while you are using Nicorette Gum. Most of the undesirable effects reported by users of Nicorette occur during the first weeks after beginning treatment.

The most common side effects are irritation in the throat and mouth, and cough. These will diminish during the first weeks. Seek professional advice if you are not sure.

You may notice the following: