If you are experiencing a medical emergency please dial 911 immediately
Pronunciation: NIK oh teen
Brand: Nicotrol Inhaler, Nicotrol NS
Do not use this medication if you are pregnant or breast-feeding unless your doctor has told you to.
Ask a doctor or pharmacist before using nicotine nasal spray or inhaler if you have heart disease, a heart rhythm disorder, circulation problems, high blood pressure, history of stroke or heart attack, nasal or sinus problems, liver or kidney disease, diabetes, thyroid disorder, stomach ulcer, asthma or other breathing disorder, or an adrenal gland tumor.
Do not smoke or use other nicotine products (including snuff, chewing tobacco, or nicotine patches, gum, or lozenges) while you are using nicotine nasal spray or inhaler.
Do not use nicotine nasal spray or inhaler for longer than 12 weeks without the advice of your doctor.
Keep this medicine out of the reach of children or pets. The amount of nicotine in a used or unused bottle or cartridge can cause serious harm to a child who accidentally sucks or chews on it.
Nicotine is the primary ingredient in tobacco products.
Nicotine nasal spray and inhaler are medical products used to aid in smoking cessation in adults. Using a controlled amount of nicotine helps reduce nicotine withdrawal symptoms when you quit smoking.
Nicotine may also be used for purposes not listed in this medication guide.
Ask a doctor or pharmacist if it is safe for you to use this medicine if you have:
Do not use this medication if you are pregnant unless your doctor has told you to. Use effective birth control, and tell your doctor if you become pregnant during treatment.
Nicotine can pass into breast milk and may harm a nursing baby. Do not use this medication if you are breast-feeding unless your doctor has told you to.
Smoking cigarettes during pregnancy can cause low birth weight, miscarriage, or stillbirth. Using a nicotine replacement product during pregnancy or while breast-feeding may be safer than smoking. However, you should try to stop smoking without using a nicotine replacement product if you are pregnant or breast-feeding. Talk with your doctor about the best way for you to stop smoking.
Nicotine nasal or inhalation is only part of a complete program of treatment that may also include counseling, group support, and behavior changes. Your success will depend on your participation in all aspects of your smoking cessation program.
Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results.
This medication comes with patient instructions for safe and effective use. Follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.
To use the nasal spray:
To use nicotine inhalation:
Store at room temperature away from moisture, heat, and light. Keep the nasal spray bottle tightly closed when not in use. Store inhaler cartridges away from open flame or high heat, such as in a car on a hot day.
Keep this medicine out of the reach of children or pets.
Since nicotine is used as needed, you are not likely to miss a dose. Do not use more than 16 nicotine inhaler cartridges or 40 sprays of nasal nicotine per day.
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. The amount of nicotine in a used or unused bottle or cartridge can cause serious harm to a child who accidentally sucks or chews on it. Seek emergency medical attention if this happens.
Overdose symptoms may include severe dizziness, nausea, vomiting, diarrhea, stomach pain, confusion, problems with hearing or vision, weakness, pale skin, cold sweat, fast heart rate, fainting, seizure (convulsions), slow breathing (breathing may stop).
Do not smoke or use other nicotine products (including snuff, chewing tobacco, or nicotine patches, gum, or lozenges). Using many forms of nicotine together can be dangerous.
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Stop using this medication and call your doctor at once if you have a serious side effect such as:
Less serious side effects may include:
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Tell your doctor about all other medicines you use, especially:
This list is not complete and other drugs may interact with nicotine nasal spray or inhaler. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
Your pharmacist can provide more information about nicotine nasal or inhalation.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
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