Drug information

Nicotine chewing gum 2 mg (NICOMILD-2)


Indications

1.Aid in the treatment of smoking cessation.

2.Reduce the cravings to smoke.

3.Reduce the withdrawal symptoms if you stop smoking.   Click to listen highlighted text! Indications 1.Aid in the treatment of smoking cessation. 2.Reduce the cravings to smoke. 3.Reduce the withdrawal symptoms if you stop smoking.


  Contraindications and precautions

1.Do not use in patients with history of hypersensitivity to Nicotine or any components of this product.

2.Do not use in non-smokers.

3.Do not use in patients with gastrointestinal ulcer, esophagitis, jaw pain or inflammation.

4.Do not use in patients with severe myocardial ischemia, and arrhythmia, or acute myocardial infarction in the last 2 weeks.

5.Do not use in pregnant women. Avoid using this medication in lactating women.

6.Do not use in children under 12 years of age. 

 7.Use this medication cautiously if you have these conditions:

wearing dentures

- cardiovascular disease  

- cerebrovascular accident

- peripheral vascular disease

- hypertension

- diabetes

- hepatic impairment

- renal impairment

- hyperthyroidism

- epilepsy (fits or seizures)

- pheochromocytoma (a tumor of the adrenal gland)

- myasthenia gravis

8.You should not use this medication together with some medicines such as:

Theophylline, Clozapine, Ropinirole, Tacrine, Insulin, Imipramine, Olanzapine, Clomipramine, Fluvoxamine, Phenacetin, Caffeine, Pentazocine, Propoxyphene

because it may affect the treatment and cause harm.   Click to listen highlighted text! Contraindications and precautions 1.Do not use in patients with history of hypersensitivity to Nicotine or any components of this product. 2.Do not use in non-smokers. 3.Do not use in patients with gastrointestinal ulcer, esophagitis, jaw pain or inflammation. 4.Do not use in patients with severe myocardial ischemia, and arrhythmia, or acute myocardial infarction in the last 2 weeks. 5.Do not use in pregnant women. Avoid using this medication in lactating women. 6.Do not use in children under 12 years of age.   7.Use this medication cautiously if you have these conditions: - wearing dentures - cardiovascular disease   - cerebrovascular accident - peripheral vascular disease - hypertension - diabetes - hepatic impairment - renal impairment - hyperthyroidism - epilepsy (fits or seizures) - pheochromocytoma (a tumor of the adrenal gland) - myasthenia gravis 8.You should not use this medication together with some medicines such as: Theophylline, Clozapine, Ropinirole, Tacrine, Insulin, Imipramine, Olanzapine, Clomipramine, Fluvoxamine, Phenacetin, Caffeine, Pentazocine, Propoxyphene because it may affect the treatment and cause harm.


  Recommendations of drug use

Stop smoking immediately or within 2 weeks after beginning using this medicine because smoking during therapy makes you get more Nicotine so it could be harmful.

If you want to have surgery or see a dentist, you should inform your physician or dentist about use of this medication.

You should always carry this medication with you in order to take it when you want to smoke.

 Take this medication whenever there is an urge to smoke only.

 How To Take the Medication - Chew the gum slowly until you feel tingling or taste a peppery flavor. Move it to the inside of your cheek until the tingling goes away. Chew it a few more times until the tingling returns, then move it to your other cheek or a different place in your mouth. Repeat this until the tingling stops, usually after about 30 minutes.

- Wrap any used gum in a paper towel and throw it away. 

- Patients using Nicotine gum should not drink acidic drinks such as coffee, fruits juice, or mineral water within 15 minutes before taking gum because it could result in decreased drug absorption.

The recommended numbers of pieces of gum per day vary every week, then withdraw gradually.   Click to listen highlighted text! Recommendations of drug use Stop smoking immediately or within 2 weeks after beginning using this medicine because smoking during therapy makes you get more Nicotine so it could be harmful. If you want to have surgery or see a dentist, you should inform your physician or dentist about use of this medication. You should always carry this medication with you in order to take it when you want to smoke.  Take this medication whenever there is an urge to smoke only.  How To Take the Medication - Chew the gum slowly until you feel tingling or taste a peppery flavor. Move it to the inside of your cheek until the tingling goes away. Chew it a few more times until the tingling returns, then move it to your other cheek or a different place in your mouth. Repeat this until the tingling stops, usually after about 30 minutes. - Wrap any used gum in a paper towel and throw it away.  - Patients using Nicotine gum should not drink acidic drinks such as coffee, fruits juice, or mineral water within 15 minutes before taking gum because it could result in decreased drug absorption. The recommended numbers of pieces of gum per day vary every week, then withdraw gradually.  


  Adverse Reactions

This medication may cause dizziness, headache, insomnia, nightmare, nausea, upset stomach, hiccups, jaw pain, mouth (e.g. aphthous ulceration) and throat irritation, rash, pruritus, skin irritation, diarrhea.

It may not be necessary to discontinue the medication. If the symptoms are severe, seek medical advice.

If you develop these symptoms such as: swelling in the face, eyelids, lips, urticaria, syncope, chest tightness, trouble breathing, erythematous rash, the blistering, peeling skin rash, bruising, or abnormal bleeding, palpitation, fast, slow, pounding, or uneven heartbeat, muscle weakness, changes of consciousness, convulsion, fainting, severe nausea, severe vomiting, severe diarrhea, severe stomachache, changes in vision, hearing, or sensation,

discontinue the medication and seek medical advice immediately.   Click to listen highlighted text! Adverse Reactions This medication may cause dizziness, headache, insomnia, nightmare, nausea, upset stomach, hiccups, jaw pain, mouth (e.g. aphthous ulceration) and throat irritation, rash, pruritus, skin irritation, diarrhea. It may not be necessary to discontinue the medication. If the symptoms are severe, seek medical advice. If you develop these symptoms such as: swelling in the face, eyelids, lips, urticaria, syncope, chest tightness, trouble breathing, erythematous rash, the blistering, peeling skin rash, bruising, or abnormal bleeding, palpitation, fast, slow, pounding, or uneven heartbeat, muscle weakness, changes of consciousness, convulsion, fainting, severe nausea, severe vomiting, severe diarrhea, severe stomachache, changes in vision, hearing, or sensation, discontinue the medication and seek medical advice immediately.  


Drug storage

Store in a dry place protected from heat or light; in original container. Keep out of the reach of children.   Click to listen highlighted text! Drug storage Store in a dry place protected from heat or light; in original container. Keep out of the reach of children.


The above information is drug information used for patient self-care only.

If you have any inquiries, please ask your physicians or pharmacists.   Click to listen highlighted text! The above information is drug information used for patient self-care only. If you have any inquiries, please ask your physicians or pharmacists.


ที่มาของข้อมูล:

1.นริสา ตัณฑัยย์, พาขวัญ ปุณณุปูรต, วุฒิรัต ธรรมวุฒิ, ผุสดี ปุจฉาการ, นิติ โอสิริสกุล, ชัยรัตน์ ฉายากุล, บรรณาธิการ. ข้อมูลยาประชาชน : ฉลากยาเสริม และข้อมูลความปลอดภัยในการใช้ยา. กรุงเทพฯ: โรงพิมพ์เดือนตุลา ; 2561.

2.สุชาดา ชุติมาวรพันธ์, โพยม วงศ์ภูวรักษ์, อภิฤดี เหมะจุฑา, ฐิติมา ด้วงเงิน, กิติยศ ยศสมบัติ, บรรณาธิการ. คู่มือทักษะตามเกณฑ์ความรู้ความสามารถทางวิชาชีพของผู้ประกอบวิชาชีพเภสัชกรรม (สมรรถนะร่วม) พ.ศ. 2562. นนทบุรี: บริษัท เอช อาร์ พริ้นซ์ แอนด์ เทรนนิ่ง จำกัด ; 2562   

3.Micromedex® [Database on internet]. Colorado: Thomson Reuters (Healthcare); c2020. Available from: http://www.micromedexsolutions.com /micromedex2/librarian/.


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