Indications 

Nicorette Coated Ice Mint is a gum used to aid in quitting smoking. It works best when used alongside a smoking cessation program, which might involve support groups, counseling, or behavior change techniques. 

As a smoking cessation aid, Nicorette Coated Ice Mint works by delivering a controlled dose of nicotine, gradually absorbed through the mouth’s lining. This helps alleviate withdrawal symptoms associated with quitting smoking, such as insomnia, low mood, irritability, frustration, anxiety, and restlessness. Moreover, it serves as a substitute oral activity to diminish the urge to smoke. 

Uses and Dosage 

Before initial use and each subsequent refill of Nicorette Coated Ice Mint, review the enclosed user guide for instructions and important details. If there are any uncertainties, consult your doctor or pharmacist for guidance. 

Nicorette Coated Ice Mint comes in two doses, with usage based on individual smoking habits. 

For individuals who smoke their first cigarette within 30 minutes of waking, the 4mg gum is recommended. If the first cigarette is smoked more than 30 minutes after waking, the 2mg gum should be used. 

Nicorette Coated Ice Mint should be used consistently during the cessation journey, starting on the selected quit date. Refrain from eating or drinking 15 minutes before or during gum usage. 

Initially, one piece should be chewed every 1-2 hours for 6 weeks, then every 2-4 hours for 3 weeks, and finally every 4-8 hours for 3 weeks. If cravings are strong, a second piece can be chewed within an hour. To increase the chances of quitting, at least 9 pieces should be chewed daily for the first 6 weeks. 

For effective use of Nicorette Coated Ice Mint, use the ‘chew and park’ method: 

1. Chew the gum slowly until you taste the nicotine or experience a slight tingling in your mouth.  
2. Pause and place the gum between your cheek and gum (parking).  
3. Resume chewing when the tingling subsides (approximately 1 minute).
4. Repeat this process for about 30 minutes. 

For optimal results, use Nicorette Coated Ice Mint precisely as directed in the user guide or as instructed by your doctor if this medication is recommended. 

Use only one gum piece at a time. Avoid chewing one piece right after another to prevent increased side effects like hiccups, nausea, or heartburn. Furthermore, do not exceed 24 gum pieces in a day. 

Finish the full 12-week course of Nicorette Coated Ice Mint. If, after completing the treatment, you find the urge to continue using the medication to prevent smoking, consult with your doctor. 

Avoid abrupt discontinuation of this medication, as it may lead to withdrawal symptoms. To mitigate withdrawal, gradual dose reduction is needed. 

If you have a history of prolonged or high-dose nicotine use, withdrawal is more probable. Promptly inform your doctor or pharmacist if you experience withdrawal symptoms. 

Side Effects 

Common Side Effects 

• Dizziness 
• Dry mouth, upset stomach, burping, or hiccups 
• Mouth or throat soreness 
• Changes in taste 
• Headache 

Notify your healthcare provider if any of these common side effects last or worsen. 

Serious Side Effects 

• Fast or pounding heartbeats, fluttering in the chest 
• Blisters inside the mouth 
• Problems with the teeth or jaw 
• Wheezing, chest tightness, trouble breathing 

Stop using Nicorette Coated Ice Mint and contact your healthcare provider right away if any of the above-listed serious side effects occur. 

Allergic Reactions 

In rare cases, Nicorette Coated Ice Mint can cause severe allergic reactions. If you experience any of the following symptoms of a serious allergic reaction, seek medical aid promptly: 

• Hives 
• Trouble breathing 
• Face, lips, tongue, or throat swelling 

This list does not include all potential side effects of Nicorette Coated Ice Mint. If you notice other effects not listed here, report them to your healthcare provider. 

Cautions 

Consult a medical professional before using Nicorette Coated Ice Mint if you have any hypersensitivities, particularly any of the ingredients of this gum. 

Before using Nicorette Coated Ice Mint, disclose to your doctor your medical history, particularly if you have a history of: 

• Blood vessel disease (e.g., Raynaud’s disease, stroke) 
• Dental/jaw problems (e.g., bridges, temporomandibular joint disease – TMJ) 
• Diabetes 
• Heart disease (e.g., chest pain, heart attack, irregular heartbeat) 
• High blood pressure 
• Liver disease 
• Kidney disease 
• Esophagus problems (e.g., esophagitis) 
• Stomach/intestinal sores (peptic ulcers) 
• Adrenal problems (pheochromocytoma) 
• Overactive thyroid (hyperthyroidism) 
• Seizures 

Consult a healthcare professional to assess the safety of using Nicorette Coated Ice Mint in conjunction with other medications, including prescriptions, over-the-counter drugs, vitamins, or herbal supplements. 

Notify your healthcare providers and pharmacists about your smoking cessation, as quitting smoking may affect the liver’s metabolism of certain drugs, including: 

• Acetaminophen 
• Caffeine 
• Insulin 
• Oxazepam 
• Pentazocine 
• Propoxyphene 
• Propranolol 
• Theophylline 
• Tricyclic antidepressants (e.g., amitriptyline/imipramine) 
• Diuretics (e.g., furosemide) 

Avoid smoking cigarettes or using other nicotine products while using Nicorette Coated Ice Mint to prevent the risk of nicotine overdose. 

Do not use Nicorette Coated Ice Mint if you are pregnant unless directed by your doctor. Use effective birth control and inform your doctor promptly if you become pregnant during treatment. 

Consult your doctor regarding the safety of breastfeeding while using Nicorette Coated Ice Mint, as it may pose potential risks. 

Dispose of used gum by wrapping it in paper and ensure proper disposal away from children and pets. The gum still contains enough nicotine to potentially make a child or pet ill.