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Nicotine is the principal ingredient of tobacco products. Nicotine finds application in treating withdrawal symptoms during smoking cessation. Usually a controlled amount of nicotine is prescribed for patients who are addicted to tobacco smoking and are planning to quit the habit of smoking.

Things to keep in mind before prescribing this drug: -

Nicotine should be avoided during pregnancy as it can harm the embryo. It is best to use effective birth control measures to avoid pregnancy during the course of nicotine medication. You may not be able to use certain forms of nicotine if you are taking medicines which can interfere with it. Nicotine should not be used if you are suffering from ongoing sinus or nasal problems which may include nasal polyps, allergies or sinusitis. Mouth or dental problems can also prevent you from using nicotine lozenges or gums. Make sure that you stop smoking as soon as the nicotine treatment begins otherwise it may lead to serious consequences.

Before undergoing nicotine treatment, tell your doctor in case you have any of the following conditions: -

• Diabetes;
• Chest pain, irregular heart beat, heart disease, high blood pressure;
• Hyperthyroidism;
• Temporo-mandibular joint disease or TMJ;
• Asthma, stomach ulcer, chronic pulmonary disease;
• Liver or kidney disease;
• Pheochromocytoma;
• Pregnancy and breast feeding.
Nicotine oral lozenges contain a chemical named phenylalanine. You may not use this medicine if you are suffering from phenylketonuria or PKU.

How to take this drug?

Nicotine medicine should be taken as prescribed by the doctor. Never exceed the prescribed dose of nicotine as this may cause serious adverse reactions in your body. Nicotine can be used in many ways such as nicotine patches, nicotine lozenges and chewing gums, inhaler and nasal spray.
What are the possible side effects associated with nicotine administration?

Nicotine exhibits various side effects which may include the following: -

• Dizziness, chest pain, seizure;
• Irregular heart beat, stomach upset, nausea, headache, hiccups or belching;
• Soreness in the mouth and throat, or watery mouth, watery eyes;
• Sneezing and coughing, runny nose, dry mouth;
• Redness, burning and itching sensation where nicotine patch is worn.


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