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Nicorette Chewing Gum 2mg Glacial Mint Sugarfree Nicorette Chewing Gum 2mg Glacial Mint Sugarfree Nicorette Chewing Gum 2mg Glacial Mint Sugarfree
Nicorette Chewing Gum 2mg Glacial Mint Sugarfree Nicorette Chewing Gum 2mg Glacial Mint Sugarfree Nicorette Chewing Gum 2mg Glacial Mint Sugarfree
Over-the-counter medication

Nicorette Chewing Gum 2mg Glacial Mint Sugarfree

Brand : Nicorette Nicorette

Nicorette 2mg 105 Gommes Menthe Glaciale Sans Sucre : Nicorette 2 MG menthe glaciale 2 mg is a medicine indicated in the treatment of tobacco dependence to relieve nicotine withdrawal symptoms in subjects wishing to stop smoking.

€6.76 EXCL. VAT €6.90 INCL. VAT
This product is an over-the-counter medication. Please consult the package insert before ordering online.
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What is Nicorette 2 mg Menthe Glaciale used for?

For warnings, precautions for use and contraindications, please consult the instructions for use.

If you're determined to put an end to your dependence on tobacco, Nicorette 2 mg Menthe Glaciale is your essential ally. This nicotine-containing chewing gum is specially designed to help combat the withdrawal symptoms associated with cutting down or stopping smoking.

Fight effectively against withdrawal symptoms

Nicorette 2 mg Menthe Glaciale is an invaluable tool for those seeking to free themselves from tobacco dependence. This chewing gum contains nicotine, the essential active ingredient that helps you manage withdrawal symptoms. Nicotine, when administered in a controlled way through Nicorette, can reduce cigarette cravings, soothe irritability and give you the support you need to overcome the challenges of quitting smoking.

A practical, discreet solution

One of the key features of Nicorette 2 mg Menthe Glaciale is its practicality. This chewing gum slips easily into your pocket or bag, allowing you to have it to hand whenever the urge to smoke strikes. Unlike cigarettes, Nicorette doesn't produce smoke or unpleasant odours, so you can use it discreetly, wherever you are.

Progressive, long-lasting results

Nicorette 2 mg Menthe Glaciale is designed to help you gradually reduce your dependence on nicotine. By chewing this slow-release gum, you control the flow of nicotine into your body, avoiding the sudden spikes and drops in blood nicotine you get from smoking a cigarette. This allows you to manage your cravings more effectively while minimizing unwanted side effects.

A sugar-free option for better oral health

Unlike many other chewing gums, Nicorette 2 mg Menthe Glaciale is sugar-free. This means you can use this product without worrying about increasing your sugar intake, which could have negative effects on your oral health. Cool mint adds a touch of freshness to each gum, leaving you with fresh breath after every use.

A step towards a tobacco-free life

By using Nicorette 2 mg Menthe Glaciale, you're taking an active step towards regaining control of your smoke-free life. You'll no longer be a slave to the nicotine in cigarettes, but rather a master of your destiny. This means you can free yourself from the constraints of tobacco, improve your overall health and save money, all while regaining the freedom to live a smoke-free life.

Conclusion: Dare to change with Nicorette 2 mg Menthe Glaciale

In short, Nicorette 2 mg Menthe Glaciale is much more than just a chewing gum. It's your invaluable ally in the fight against tobacco addiction. With its sugar-free formula, practicality and proven effectiveness, Nicorette offers you a real opportunity to break the cycle of tobacco dependence. It enables you to manage withdrawal symptoms, gradually reduce your nicotine dependency and finally take control of your smoke-free life. Dare to change today with Nicorette 2 mg Menthe Glaciale.

How do I use Nicorette 2 mg Menthe Glaciale?

To get the best results from Nicorette 2 mg Menthe Glaciale, it's essential to follow the instructions for use correctly. Here's a step-by-step guide to the dosage and administration of this product.

Dosage and administration :

  • For adults only (15 years and over): Nicorette 2 mg Menthe Glaciale is intended for adults aged 15 and over. It is not recommended for use by children or adolescents under the age of 15.
  • Level of nicotine dependence: 2 mg chewing gum is ideal for smokers moderately dependent on nicotine. If you have a high Fagerström test score (7-10) or smoke more than 20 cigarettes a day, you may wish to consider a higher-dose version of Nicorette.
  • Do not exceed 30 x 2 mg gums per day: It is important to respect the maximum recommended daily dose of 30 x 2 mg gums. Exceeding this amount may lead to nicotine overdose, which may have undesirable effects on your health.
  • Duration of use: Nicorette chewing gums should not be used for more than 12 months. It is essential to work gradually towards complete cessation of chewing gum to achieve a tobacco-free life.
  • Initial phase: In general, during the first three months of your weaning program, you can use between 8 and 12 chewing gums a day, depending on your level of dependence and your needs. This phase allows you to effectively manage cigarette cravings and familiarize yourself with the use of Nicorette.
  • Reduction phase: After the initial phase, you should gradually reduce your consumption of chewing gum. Gradually reduce to 1 to 2 gums a day, depending on your progress and your residual level of dependence.

Precautions for use :

  • Non-smokers or occasional smokers: Nicorette 2 mg Menthe Glaciale is specially designed for smokers who want to stop smoking. It is not suitable for non-smokers or occasional smokers.
  • Allergy to ingredients : If you are allergic to any of the components of Nicorette 2 mg Menthe Glaciale (see package insert for details), you should not use this product. Be sure to check the list of ingredients to avoid any risk of allergy.

Give your opinion on the advice for use and dosage of Nicorette 2 mg Menthe Glaciale with our partner Verified Reviews after your purchase. Your experience and comments can help others looking to quit smoking to make an informed decision.

What does it contain?

Nicorette 2 mg Menthe Glaciale contains a carefully balanced combination of ingredients that work together to help you fight your nicotine addiction. Here's the list of ingredients in each chewing gum:

  • Nicotine 2 mg (as nicotine resinate)
  • Excipients : Chewing gum base, xylitol, peppermint essential oil, anhydrous sodium carbonate, sodium bicarbonate, acesulfame potassium, levomenthol, light magnesium oxide.
  • Subcoating: winterfresh* flavoring, hypromellose, sucralose, polysorbate 80.
  • Coating: xylitol, starch, winterfresh* flavor, titanium dioxide (E171), quinoline yellow aluminium lake (E104).

*Composition of winterfresh flavour: terpene-free spearmint essential oil, natural menthol, terpene-free peppermint essential oil, natural eucalyptol, natural menthone, trans-anethole, sandalwood oil.

Nicorette 2 mg Menthe Glaciale is a pharmaceutical-grade formulation that guarantees a controlled release of nicotine to help you manage withdrawal symptoms effectively. Each ingredient has been carefully selected to guarantee the product's efficacy and safety.

When you use Nicorette 2 mg Menthe Glaciale, you can rest assured that you're not fighting nicotine addiction alone. This chewing gum is designed to accompany you every step of the way on your journey to a tobacco-free life, offering you the support you need to overcome the challenges of quitting smoking.

Nicorette 2 mg Menthe Glaciale is available in three convenient formats: 210, 105 or 30 medicated chewing gums. Choose the one that best suits your level of addiction and your specific needs. Sold at the best price in your online pharmacy.

In conclusion, Nicorette 2 mg Menthe Glaciale is much more than just a stop-smoking product. It's your dedicated ally in the fight against tobacco addiction. With its pharmaceutical-grade formulation, practicality and ability to help you manage withdrawal symptoms, Nicorette is your best choice for a tobacco-free future. Don't let tobacco addiction dictate your life, take control with Nicorette 2 mg Glacial Mint.

Please note that Nicorette is not a product like any other. Read the package leaflet carefully before ordering. Keep medicines out of the reach of children. If symptoms persist, ask your doctor or pharmacist for advice. Beware of incompatibilities with your current products.

Pharmacovigilance Report an adverse drug reaction(s)

Download PDF leaflet

NOTICE

ANSM - Updated on : 03/07/2023

Name of medicinal product

NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and lacésulfame potassique

Nicotine

Box

Please read this leaflet carefully before taking this medicine, as it contains important information for you.

You must always take this medicine exactly as instructed in this leaflet or by your doctor or pharmacist.

- Keep this leaflet. You may need to read it again.

- Ask your pharmacist for advice and information.

- If you experience any side effects, talk to your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. See section 4.

- You should contact your doctor if you do not feel any improvement or if you feel less well.

What does this leaflet contain?

1. What is NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and lacésulfame potassique and what is it used for?

2. What do I need to know before taking NICORETTE MENTHE GLACIALE 2 mg SANS SUCRE, medicated chewing gum sweetened with xylitol and lacésulfame potassique?

3. How to take NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and lacésulfame potassique?

4. What are the possible side effects?

5. How to store NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and lacésulfame potassique?

6. Package contents and other information.

1. WHAT IS NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and lacésulfame potassique AND WHAT IS IT USED FOR?

Pharmacotherapeutic class: DRUGS FOR NICOTINE DEPENDENCE, ATC code: N07BA01.

This drug is used in the treatment of tobacco dependence to relieve nicotine withdrawal symptoms in subjects wishing to stop smoking.

Although permanent cessation of tobacco consumption is preferable, this drug may be used in :

- when a smoker is temporarily abstaining from smoking,

- a smoking reduction strategy as a step towards permanent cessation.

2. WHAT YOU SHOULD KNOW BEFORE TAKING NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and acesulfame potassium.

Never take NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and acesulfame potassium:

- if you do not smoke or if you are an occasional smoker.

- if you are allergic to nicotine or to any of the other components of this medicine mentioned in section 6.

IF IN DOUBT, ASK YOUR DOCTOR OR PHARMACIST.

Warnings and precautions

Talk to your doctor or pharmacist before taking NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and lacésulfame potassique.

- Certain diseases require medical examination and follow-up before using this medicine.

It is essential to consult your doctor before using this medicine if you have :

- a recent history (< 3 months) of heart attack or stroke,

- chest pain (unstable angina pectoris), or stable angina pectoris,

- a heart problem affecting your heart rate or rhythm,

- high blood pressure not controlled by medication,

- a history of allergic reactions manifested by swelling of the lips, face and throat (angioedema) or an itchy rash (urticaria). The use of NRT may trigger this type of reaction,

- severe or moderate hepatic insufficiency,

- severe renal insufficiency

- diabetes,

- hyperthyroidism,

- a tumor of the adrenal gland (pheochromocytoma),

- an evolving stomach or duodenal ulcer,

- chronic throat disease,

- asthma,

- a history of seizures or convulsions.

- Chewing gum must be kept out of the reach of children .

The therapeutic dose intended for adults could cause serious or even fatal intoxication in children.

Precautions for use

- Certain signs indicate underdosing. If, despite treatment, you experience a sensation of "withdrawal", such as

- urge to smoke

- irritability, sleep disorders,

- restlessness or impatience,

- difficulty concentrating.

Consult your doctor or pharmacist. It may be necessary to adjust the dosage.

- Certain signs may indicate overdosage: if signs of overdosage appear, i.e:

- nausea, abdominal pain, diarrhea,

- hypersalivation,

- sweating, headache, dizziness, hearing loss,

- general weakness.

It is essential to adapt your treatment with the help of your doctor or pharmacist.

If NICORETTE 2 mg medicated chewing gum is combined with NICORETTESKIN transdermal device, please refer to the package leaflet for each medication.

IF IN DOUBT, ASK YOUR DOCTOR OR PHARMACIST FOR ADVICE.

Children and adolescents

Not applicable.

Other medicines and NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and lacésulfame potassique

Tell your doctor or pharmacist if you are taking, have recently taken or may take any other medicines.

This is particularly important if you are taking clozapine (an antipsychotic), methadone (an opiate substitution treatment), ropinirole (a treatment for Parkinson's disease) or theophylline (used to treat asthma).

NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and lacésulfame potassique with food and drink

Not applicable.

Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to become pregnant, ask your doctor or pharmacist for advice before taking this medicine.

Pregnancy

It is very important to stop smoking during pregnancy, as it can slow down your baby's growth. It can also lead to premature delivery or late fetal death. It is advisable to stop smoking without using nicotine-containing medication.

If you are unable to stop smoking without nicotine replacement therapy, NICORETTE may be used in consultation with the healthcare professional who is monitoring your pregnancy, your family doctor, or a doctor at a center specializing in helping people who want to stop smoking.

Breast-feeding

If you are a heavy smoker and do not intend to stop smoking, you should not breast-feed your child, but resort to artificial feeding.

If you wish to stop smoking and breastfeed your child, take the advice of your doctor or a doctor at a center specializing in smoking cessation.

Use of this medicine should be avoided while breast-feeding, as nicotine passes into breast milk and may affect your child. If your doctor has recommended that you use NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened withIf your doctor has recommended that you use NICORETTE MENTHE GLACALE, medicated chewing gum sweetened with xylitol and lacésulfame potassique, the dose should be taken immediately after feeding or more than 2 hours before the next feeding.

In addition, because terpene derivatives (mint/eucalyptus flavour) can be passed into milk, and because of the neurological toxicity in infants, you should consider using another chewing gum flavour.

Sportsmen

Not applicable.

Driving and use of machinery

NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and lacesulfame potassium has no or negligible effect on the ability to drive vehicles and use machines.

NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and potassium sulfate contains less than 1 mmol (23 mg) sodium per chewing gum, i.e. it is essentially "sodium-free".

3. HOW TO TAKE NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and acesulfame potassium?

Always take this medicine exactly as instructed in this leaflet or as directed by your doctor or pharmacist. Check with your doctor or pharmacist if in doubt.

For adults only (15 years and over).

Dosage

2 mg chewing gum is not suitable for smokers who are strongly or very strongly dependent on nicotine (Fagerström test score of 7 to 10 or smoking more than 20 cigarettes a day: see "Health education advice").

Complete cessation of smoking

Nicotine dependence is usually treated in 2 phases.

1st phase:

Chew gum every time you feel the urge to smoke.

The number of chewing gums containing 2 mg is generally 8 to 12 per day, and should never exceed 30 per day.

The duration of this phase is around 3 months, but may vary according to individual response.

2nd phase:

When the urge to smoke is completely overcome, gradually reduce the number of gum chews per day.

Treatment should be stopped when consumption has been reduced to 1-2 gum chews per day.

It is recommended not to use chewing gums beyond 12 months.

If you continue to experience cravings during treatment, or if your treatment has failed, ASK YOUR DOCTOR OR PHARMACIST FOR ADVICE. He or she may advise you to combine NICORETTE 2 mg medicated chewing gum with a form that delivers nicotine throughout the day: NICORETTESKIN transdermal devices.

Temporary abstinence from smoking

Chew one gum each time you feel the urge to smoke.

The number of chewing gums containing 2 mg is generally 8 to 12 per day, and should never exceed 30 per day.

Reducing tobacco consumption

As far as possible, alternate nicotine gums with cigarettes.

Chew gum as soon as you feel the urge to smoke, to reduce cigarette consumption as much as possible and remain smoke-free for as long as possible.

The number of gum chews per day is variable and depends on your needs. However, it should not exceed 30 gums a day.

If a reduction in cigarette consumption has not been achieved after 6 weeks of treatment, it is advisable to seek advice from a healthcare professional.

Reducing tobacco consumption should gradually lead to complete cessation. This should be attempted as soon as possible within 6 months of starting treatment. If, more than 9 months after the start of treatment, the attempt to stop smoking completely has failed, it is advisable to seek advice from a healthcare professional.

It is recommended not to use gum beyond 12 months.

To increase the chances of success in quitting smoking completely, it is important to aim for a reduction of more than 50% in consumption during this reduction phase. NICORETTE chewing gums help you achieve this goal before you stop smoking for good.

Method and route of administration

By mouth.

To be active, the nicotine contained in the gum and released by chewing must be absorbed by the buccal mucosa.

If nicotine is swallowed with saliva, it has no effect. It is therefore important not to chew the gum too vigorously.

First chew the gum until the taste becomes strong or a slight tingling sensation is felt, then hold it between the cheek and gum for around 10 minutes: the gum softens, allowing the nicotine to be gradually released and absorbed by the oral mucosa, thus passing into the bloodstream.

Then, when the taste has faded, chew the gum very slowly (around 20 times in 20 minutes).

Chewing gum should be kept in the mouth for about 30 minutes. After 30 minutes, the gum will no longer deliver nicotine.

Duration of treatment

For complete smoking cessation:

Use is limited to 12 months.

In the event of persistent craving or difficulty in quitting, consult your doctor.

If you have taken more NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and lacésulfame potassique than you should have done

Consult your doctor or pharmacist immediately.

In case of accidental overdose or if a child swallows one or more chewing gums: CONTACT A PHYSICIAN OR EMERGENCY SERVICE.

Serious intoxication may occur, manifested by hypotension, weak and irregular pulse, respiratory distress, prostration, cardiovascular collapse and convulsions.

If you forget to take NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and lacésulfame potassique

Not applicable.

If you stop taking NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and lacésulfame potassique

Not applicable.

If you have any further questions about the use of this medicine, please ask your doctor or pharmacist.

4. WHAT ARE THE POSSIBLE SIDE EFFECTS?

Like all medicines, NICORETTE may cause undesirable effects, but these do not always occur in everyone.

NICORETTE may cause undesirable effects similar to nicotine administered by other means; these effects are mainly dose-dependent and appear at the start of treatment.

Gum may stick, and in rare cases there is a risk of dental damage.

The following adverse reactions have been reported:

Very common: affecting more than 1 in 10 patients

- headache

- hiccups

- throat irritation

- nausea

Common: affects 1 to 10 patients in 100

- diarrhoea

Uncommon: affects 1 to 10 patients in 1000

- palpitations (unusual sensation in your heartbeat), or rapid heartbeat (tachycardia)

- throat pain

- abnormal dreams

- wheezing (bronchospasm) or difficulty breathing (dyspnea), change in the sound of your voice

- blocked nose, sneezing

- excessive sweating, itching/rashes (pruritus/urticaria), hot flushes

- fatigue, malaise, chest pain/discomfort

- hypertension

Rare: affects 1 to 10 in 10,000 patients

- difficulty swallowing, decreased sensitivity in the mouth

Unknown frequency: cannot be estimated on the basis of available data

- blurred vision, increased tears (lacrimation)

- dry throat, lip pain, abdominal pain/discomfort

- allergic reaction including swelling of the face and mouth (angioedema), reddening of the skin

- convulsions

Dizziness, headaches, sleep disturbances, mouth ulcers may be related to smoking cessation and not to your treatment.

In case of combination of NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE chewing gums with NICORETTESKIN transdermal device, please refer to the package leaflet of each medication.

Reporting side effects

If you experience any side effects, please tell your doctor or pharmacist. This also applies to any side effects not mentioned in this leaflet. You can also report adverse reactions directly via the national reporting system: Agence nationale de sécurité du médicament et des produits de santé (ANSM) and the network of Centres Régionaux de Pharmacovigilance.

By reporting adverse reactions, you are helping to provide more information on drug safety.

5. HOW TO USE NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and lacésulfame potassique?

Keep out of sight and reach of children.

Do not use this medicine after the expiration date indicated on the packaging. The expiration date refers to the last day of that month.

Store at a temperature not exceeding 25°C.

Do not dispose of any medicine down the drain or in the household waste. Ask your pharmacist to dispose of any medicines you no longer use. These measures will help protect the environment.

6. CONTENTS AND OTHER INFORMATION

What NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE contains, medicated chewing gum sweetened with xylitol and lacésulfame potassique.

- The active substance is :

Nicotine............................................................................................................................. 2 mg

In the form of nicotine resinate

For one medicated chewing gum.

- Other components are :

Chewing gum base, xylitol, peppermint essential oil, anhydrous sodium carbonate, sodium bicarbonate, acesulfame potassium, levomenthol, light magnesium oxide.

Sub-coating winterfresh* flavor, hypromellose, sucralose, polysorbate 80.

CoatingXylitol, starch, winterfresh* flavor, titanium dioxide (E171).

*Composition of winterfresh flavour Terpene-free spearmint essential oil, natural menthol, terpene-free peppermint essential oil, natural eucalyptol, natural menthone, trans-anethole, sandalwood oil.

What is NICORETTE MENTHE GLACIALE 2 mg SUGAR-FREE, medicated chewing gum sweetened with xylitol and lacésulfame potassique and what does it contain?

This medicine comes in the form of chewing gum. Boxes of 10, 12, 15, 20, 24, 30, 36, 40, 45, 90, 96, 105 or 210 chewing gums.

Not all presentations may be marketed.

Marketing authorization holder

JOHNSON & JOHNSON SANTE BEAUTE FRANCE

43 RUE CAMILLE DESMOULINS

92130 ISSY-LES-MOULINEAUX, FRANCE

Marketing authorization holder

JOHNSON & JOHNSON SANTE BEAUTE FRANCE

43 RUE CAMILLE DESMOULINS

92130 ISSY-LES-MOULINEAUX

Manufacturer

McNEIL AB

NORRBROPLATSEN 2

SE-25109 HELSINGBORG

SWEDEN

Product names in member states of the European Economic Area

Not applicable.

The last date on which this leaflet was revised was :

[to be completed subsequently by the holder].

Other

Detailed information on this drug is available on the ANSM (France) website.

Health education advice :

Quitting smoking as soon as possible has immediate health benefits. It's never too late to quit, even if you've smoked a lot for a long time.

As soon as you stop smoking:

- You'll no longer absorb the irritating and toxic substances in cigarettes,

- You'll notice certain improvements: gradual disappearance of headaches, coughing, throat irritation and shortness of breath,

- You'll often enjoy the satisfaction of better sleep, the taste of food and smells, and improved physical performance,

- You'll reduce your risk of developing lung cancer or cardiovascular disease.

In the case of heart or arterial disease (angina pectoris, arteritis of the lower limbs), it is particularly important to succeed in quitting smoking.

What is tobacco dependence?

Tobacco addiction is twofold:

- Psychological dependence :

Smoking a cigarette involves a ritual of automatic, repetitive gestures associated with particular circumstances (pleasure, response to stress, intellectual stimulation, support for morale, need for the gesture of conviviality). This is psychological and behavioral dependence.

- Physical dependence :

The body's need for nicotine is due to the effects of this substance on the nervous system. This is physical dependence. Failure to satisfy this need leads to a sensation of craving (see description in the "How to overcome your physical dependence " chapter).

Nicotine substitutes are designed to treat this dependence.

How to overcome your psychological dependence?

- Stopping smoking altogether is necessary to increase your chances of success:

o Choose a day on which you feel most confident about quitting.

o Throw away your last pack of cigarettes, your lighter and put away your ashtrays.

o In the case of a smoking couple, it's preferable for both partners to quit at the same time.

- Let your family and colleagues know that you're quitting smoking. Ask them to respect your decision (not to smoke near you, not to offer you any more cigarettes).

- Be prepared for the urge to smoke. It may come on suddenly and intensely, especially in the first few weeks after you've stopped smoking, but it shouldn't last more than 3 or 4 minutes.
You need to plan what you're going to do in this case and act very quickly to avoid "cracking", for example:

o drinking a large glass of water

o chew gum,

o count to 100,

o take a few deep breaths,

o leave the room,

o change activities...

- Avoid situations associated with smoking (coffee, aperitifs, etc.), avoid temptations (sit with non-smokers).

- Find ways to compensate for smoking (hobbies, sports, cultural activities, etc.).

How can you overcome your physical dependence?

If you're addicted to nicotine, you may need to use nicotine substitutes to succeed.

To assess your level of dependence, we suggest you take the Fagerström test.

FAGERSTROM TEST

How soon after waking up do you smoke your first cigarette?

- within 5 minutes: 3

- 6 to 30 minutes: 2

- from 31 to 60 minutes: 1

- after 60 minutes: 0

Do you find it difficult not to smoke in places where it's forbidden?

- yes : 1

- no : 0

Which cigarette of the day would be the most difficult for you to give up?

- the first: 1

- another : 0

How many cigarettes do you smoke a day?

- 10 or less : 0

- 11 à 20 : 1

- 21 à 30 : 2

- 31 or more: 3

Do you smoke more in the morning than in the afternoon?

- yes : 1

- no : 0

Do you smoke when you are so ill that you have to stay in bed most of the day?

- yes : 1

- no : 0

TOTAL POINTS

score from 0 to 2 : you are not addicted to nicotine.

You can stop smoking without needing a nicotine substitute.

However, if you're worried about quitting, ask your pharmacist or doctor for advice.

score of 3 to 4 : you are mildly dependent on nicotine.

score 5 to 6 : you are moderately dependent on nicotine.

The use of nicotine substitutes will increase your chances of success.

Ask your pharmacist or doctor for advice on the best treatment for you.

score of 7 to 10 : you are strongly or very strongly dependent on nicotine.

The use of nicotine substitutes is recommended to help you overcome this nicotine dependence. This treatment must be used in sufficient and appropriate doses.

Ask your pharmacist or doctor for advice, possibly in the context of a specialized smoking cessation consultation.

Withdrawal symptoms may persist for a long time, and treatment should be of sufficient duration, usually one to three months.

If, despite treatment, you experience a persistent sensation of "craving", such as :

- the urge to smoke

- irritability, sleep disturbances

- restlessness or impatience,

- difficulty concentrating.

Consult your doctor or pharmacist, as dose adjustments may be necessary.

How can we help you?

- Support from healthcare professionals

The support, advice and follow-up provided by your doctor or pharmacist will be invaluable during the first six months of quitting smoking. You can also turn to a specialized smoking cessation consultation, especially if you've already failed.

- Psychological support

Quitting smoking requires a supportive family and social environment. If you're worried that the difficulties are too great, psychological support or temporary treatment can help.

- Diet

In the months following smoking cessation, you may notice a moderate weight gain.
If you have any concerns in this area, you can consult a health professional who will be able to advise you.

Why have you started smoking again?

Consider this relapse as an accident along the way, as a normal event that helps you learn: relapse is not a failure.

Analyze the reasons why you started smoking again.

- Physical dependence
This may not have been properly taken into account, or it may have reappeared after several months, for example, during prolonged stays in smoky atmospheres.

- Excessive weight gain
You may need to modify your eating habits a little before your next attempt to stop smoking.

- Because of a drop in motivation, a painful event or difficult period, or psychological difficulties that have arisen in the course of quitting smoking.psychological difficulties (depression, anxiety), or a very tempting situation. Understand the reason for this relapse, so you can prevent it if possible the next time you try.

In all cases, don't hesitate to ask a health professional for advice, or seek specialized help in quitting smoking.

If you've started smoking again, don't be discouraged. Experience shows that your chances of success increase after one or more attempts to quit.

VIDAL DE LA FAMILLE

NICORETTE gomme à mâcher

Fiche révisée le : 16/09/2024

Substitut nicotinique

nicotine

.Présentations. Composition.Indications.Contre-indications.Attention.Interactions médicamenteuses.Grossesse et allaitement.Mode d'emploi et posologie. Conseils.Effets indésirables.Lexique

PRÉSENTATIONS  (sommaire)

NICORETTE 2 mg : gomme à mâcher ; boîte de 30.
Non remboursé - Prix libre -

NICORETTE 2 mg : gomme à mâcher ; boîte de 105.
Remboursé à 65 %. - prix : 11,24 euro(s).

NICORETTE 2 mg : gomme à mâcher ; boîte de 210.
Remboursé à 65 %. - prix : 22,42 euro(s).

NICORETTE FRUITS 2 mg : gomme à mâcher (blanche) ; boîte de 30.
Non remboursé - Prix libre -

NICORETTE FRUITS 2 mg : gomme à mâcher (blanche) ; boîte de 105.
Remboursé à 65 %. - prix : 11,24 euro(s).

NICORETTE FRUITS 2 mg : gomme à mâcher (blanche) ; boîte de 210.
Remboursé à 65 %. - prix : 22,42 euro(s).

NICORETTE MENTHE FRAÎCHE 2 mg : gomme à mâcher (blanche) ; boîte de 30.
Non remboursé - Prix libre -

NICORETTE MENTHE FRAÎCHE 2 mg : gomme à mâcher (blanche) ; boîte de 105.
Remboursé à 65 %. - prix : 11,24 euro(s).

NICORETTE MENTHE FRAÎCHE 2 mg : gomme à mâcher (blanche) ; boîte de 210.
Remboursé à 65 %. - prix : 22,42 euro(s).

NICORETTE MENTHE GLACIALE 2 mg : gomme à mâcher (blanche) ; boîte de 30.
Non remboursé - Prix libre -

NICORETTE MENTHE GLACIALE 2 mg : gomme à mâcher (blanche) ; boîte de 105.
Remboursé à 65 %. - prix : 11,24 euro(s).

NICORETTE MENTHE GLACIALE 2 mg : gomme à mâcher (blanche) ; boîte de 210.
Remboursé à 65 %. - prix : 22,42 euro(s).

NICORETTE 4 mg : gomme à mâcher ; boîte de 105.
Remboursé à 65 %. - prix : 11,24 euro(s).

NICORETTE FRUITS 4 mg : gomme à mâcher (crème) ; boîte de 105.
Remboursé à 65 %. - prix : 11,24 euro(s).

NICORETTE MENTHE FRAÎCHE 4 mg : gomme à mâcher (crème) ; boîte de 30.
Non remboursé - Prix libre -

NICORETTE MENTHE FRAÎCHE 4 mg : gomme à mâcher (crème) ; boîte de 105.
Remboursé à 65 %. - prix : 11,24 euro(s).

NICORETTE MENTHE GLACIALE 4 mg : gomme à mâcher (crème) ; boîte de 30.
Non remboursé - Prix libre -

NICORETTE MENTHE GLACIALE 4 mg : gomme à mâcher (crème) ; boîte de 105.
Remboursé à 65 %. - prix : 11,24 euro(s).

Laboratoire Johnson & Johnson Santé Beauté France

COMPOSITION  (sommaire)
 p gomme p gomme 
Nicotine 2 mg 4 mg 

INDICATIONS  (sommaire)
Ce médicament aide les fumeurs à se désintoxiquer du tabac. La gomme à mâcher apporte dans le sang, par l'intermédiaire de la salive, la nicotine, principale substance active du tabac, responsable de l'accoutumance.
Il est utilisé soit pour arrêter définitivement de fumer, soit pour arrêter temporairement.
CONTRE-INDICATIONS  (sommaire)
Ce médicament ne doit pas être utilisé chez le non fumeur ou le fumeur occasionnel.
ATTENTION  (sommaire)
Dans l'optique d'une désintoxication définitive, l'arrêt du tabac est une condition nécessaire au succès du traitement.
Des précautions sont nécessaires en cas de maladie cardiovasculaire (infarctus du myocarde, angine de poitrine ou arythmie grave, accident vasculaire cérébral, hypertension artérielle non contrôlée par un traitement...), de diabète, d'inflammation de œsophage, d'ulcère de l'estomac ou du duodénum, d'insuffisance rénale grave, insuffisance hépatique, de phéochromocytome, d'antécédent d'épilepsie. Dans ces situations, une consultation médicale préalable est indispensable avant d'utiliser ce médicament ; une surveillance plus étroite peut être recommandée et un arrêt du tabac sans traitement de substitution doit parfois être envisagé.
N'utilisez pas d'autres médicaments contenant de la nicotine, notamment les dispositifs transdermiques sans avis médical.
La nicotine est une substance toxique. Ne laissez pas les gommes à mâcher à la portée des enfants.
Le port d'une prothèse dentaire peut entraîner des problèmes lors de la mastication des gommes : consultez votre dentiste.
INTERACTIONS MEDICAMENTEUSES  (sommaire)
Les produits contenus dans la fumée du tabac peuvent accélérer la vitesse d'élimination de certains médicaments, la théophylline notamment. Lors de l'arrêt du tabagisme, ces médicaments peuvent voir leur effet renforcé et des signes de surdosage peuvent apparaître. Contactez votre médecin au moindre doute.
GROSSESSE et ALLAITEMENT (sommaire)
Grossesse :
Le tabagisme chez la femme enceinte peut être à l'origine d'un retard de croissance du fœtus. L'arrêt du tabac est donc toujours souhaitable. Chez les femmes fortement dépendantes à la nicotine, l'usage de ce médicament peut être une aide, mais les effets de la nicotine seule sur le fœtus sont mal connus. Ce médicament a l'avantage de ne pas exposer le fœtus aux autres toxiques présents dans la fumée du tabac. En résumé : si l'idéal est de ne pas fumer et de ne pas exposer le fœtus à des apports de nicotine, l'usage de ce médicament est un moindre mal par rapport au tabac.

Allaitement :
La nicotine passe dans le lait maternel, l'allaitement est déconseillé pendant le traitement.
Si l'allaitement maternel est néanmoins choisi, prendre de préférence les gommes après la têtée.
MODE D'EMPLOI ET POSOLOGIE  (sommaire)
Le choix du dosage est fonction de la dépendance initiale à la nicotine : les gommes à 4 mg sont adaptées aux fumeurs fortement ou très fortement dépendants. Elles peuvent également être utilisées par les fumeurs peu dépendants qui préfèrent limiter le nombre de gommes mâchées quotidiennement.
En pratique, il est utile de connaître les signes de sous ou surdosage pour adapter la posologie après quelques jours de traitement :
  • le surdosage aboutit à l'état du fumeur qui a trop fumé et se traduit principalement par un état nauséeux et des maux de tête. Des troubles de la vue ou de l'audition, un tremblement, des vertiges sont également possibles ;
  • un sous-dosage provoque des symptômes de manque : irritabilité, nervosité, crampes d'estomac (sorte de faim douloureuse), difficulté de concentration.
Dès que le désir de fumer est surmonté, réduire progressivement le nombre de gommes ou passer au dosage inférieur, jusqu'à désaccoutumance complète.
Mâcher très lentement chaque gomme afin de permettre l'absorption lente et régulière de la nicotine par les vaisseaux sanguins de la langue : après une première mastication, garder la gomme contre la joue pendant 10 minutes pour la ramollir. Mâcher ensuite le chewing-gum chaque minute (environ 20 fois en 20 minutes). Au bout de 30 minutes de mastication, la gomme n'est plus efficace.

Posologie usuelle:

  • Adulte :
    • Arrêt complet du tabac : dans cet objectif, le traitement de la dépendance à la nicotine suit habituellement 2 phases : pendant 3 mois, mâcher une gomme à chaque fois que le besoin de fumer se fait sentir, sans dépasser 30 gommes à 2 mg ou 15 gommes à 4 mg par jour. Cette période de 3 mois peut varier d'une personne à l'autre et sa fin correspond à une forte diminution ou une disparition de l'envie de fumer. La deuxième phase, qui dure 6 à 8 semaines, correspond à une diminution progressive du nombre de gommes journalières, jusqu'à l'arrêt. Le traitement ne doit pas dépasser 6 mois au total.
      Les gommes peuvent être utilisées seules ou en association avec les dispositifs transdermiques Nicorette. Dans ce cas, conformez-vous aux recommandations de votre médecin.
    • Arrêt temporaire du tabac : le principe est le même, mais la durée du traitement est fonction du contexte ayant nécessité un arrêt temporaire du tabagisme.
    • Réduction de la consommation du tabac : mâcher une gomme dès que l'envie de fumer se fait sentir afin de réduire au maximum la consommation de cigarettes et rester aussi longtemps que possible sans fumer. Le nombre de gommes à utiliser par jour est variable mais ne doit pas être supérieur à 30 gommes à 2 mg ou 15 gommes à 4 mg. Si une forte diminution de la consommation de cigarettes n'a pas été obtenue après 6 semaines de traitement, il est recommandé de prendre conseil auprès d'un médecin. L'objectif de la réduction du nombre de cigarette est de parvenir à terme à un arrêt complet du tabac, qui devra être tenté le plus tôt possible, nécessairement dans les 6 premiers mois de traitement. Il n'est pas recommandé de poursuivre le traitement plus de 12 mois.
CONSEILS (sommaire)
Les boîtes de 30 comprimés peuvent être en accès libre (ou accès direct) dans certaines pharmacies et être utilisées sans consultation médicale. Néanmoins, n'hésitez pas à faire valider votre choix par votre pharmacien. Ses conseils sont précieux. Il pourra vous aider à déterminer le meilleur moment pour arrêter de fumer et vous expliquera les causes d'échec.
La nicotine prise par voie orale en remplacement de la cigarette présente la même nocivité cardiovasculaire que celle qui est contenue dans le tabac. Seul le risque de cancer du poumon disparaît. Lorsque l'arrêt du tabac est motivé par des raisons médicales urgentes : infarctus récent, artérite, gastrite ou ulcère, il est préférable d'arrêter l'absorption de nicotine sous toutes ses formes.
Comme toutes les méthodes antitabac utilisées pour aider les fumeurs, ce médicament ne peut être efficace que lorsque la volonté d'arrêter de fumer est personnelle et s'accompagne d'une forte motivation. C'est cette motivation qui permettra de lutter contre l'envie de fumer, sans être forcé de faire en permanence appel à la volonté qui s'émousse avec le temps. Un arrêt du tabac durable chez le fumeur suppose que celui-ci considère le tabac comme un poison, une dépendance inacceptable. Il doit se faire à l'idée qu'il ne fumera plus jamais, dès le début du sevrage. Chaque jour sans tabac doit être vécu comme une libération, et non comme un calvaire. Le fumeur qui est dans cet état d'esprit est un bon candidat au sevrage définitif.
L'arrêt du tabac, qui est une véritable drogue, induit de nombreux problèmes : une prise de poids est fréquente, des troubles de la concentration peuvent durer plusieurs semaines. Un état dépressif léger est possible. La prise de poids doit être combattue par un régime, et si possible par un programme sportif qui a l'avantage de réconcilier le fumeur avec son corps.
N'hésitez pas à consulter votre médecin en cas de difficulté ; ses conseils et son expérience seront précieux pour lutter contre les rechutes.
EFFETS INDÉSIRABLES POSSIBLES  (sommaire)
Très fréquents (plus de 10 % des personnes) : maux de tête, toux, hoquet, irritation de la bouche ou de la gorge s'atténuant habituellement à la poursuite du traitement, nausées.
Fréquents (1 à 10 % des personnes) : trouble du goût, douleur abdominale, sécheresse de la bouche, diarrhée, digestion difficile, flatulence, stomatite, vomissements, brûlure d'estomac, fourmillements, fatigue.
Peu fréquents (moins de 1 % des personnes) : éternuements, gorge serrée, mal de gorge, enrouement, essoufflement, nez bouché, renvois, sueurs, démangeaisons, urticaire, éruption cutanée, malaise, rêves anormaux, palpitations, tachycardie, troubles du rythme cardiaque, hypertension artérielle.
Fréquence indéterminée : réaction allergique, vision floue, larmoiement, gorge sèche.


LEXIQUE  (sommaire)


artérite
Maladie des artères favorisée par le tabagisme et le plus souvent localisée aux jambes. Elle se caractérise par un épaississement des parois artérielles qui gêne la circulation du sang et entraîne des douleurs au cours de la marche (claudication intermittente). L'artérite des membres inférieurs augmente le risque de survenue d'infarctus du myocarde et nécessite un traitement médicamenteux. À un stade évolué, elle peut être traitée chirurgicalement.
Synonyme : artériopathie oblitérante des membres inférieurs.


dépendance
Besoin psychique ou physique entraîné par la prise de certaines substances naturelles ou médicamenteuses. Cet état peut s'accompagner, à l'arrêt des prises, de symptômes variés, regroupés sous le terme de syndrome de sevrage.


diarrhée
Le sens médical strict de diarrhée est « émission de selles trop fréquentes et trop abondantes ». En fait, le sens commun assimile la diarrhée à la notion de selles liquides et fréquentes. Normalement, les selles sont pâteuses, mais l'émission de selles liquides ou à peine formées, sans douleur ou trouble particulier associé, n'est pas pathologique. On peut parler de diarrhée lorsque les émissions de selles liquides se répètent dans la journée, et que les besoins sont impérieux ou douloureux.
Beaucoup de médicaments peuvent accélérer le transit intestinal et rendre les selles plus liquides, sans que cet effet indésirable soit réellement préoccupant.
Les antibiotiques peuvent altérer la flore digestive, indispensable à la digestion, et provoquer des diarrhées plus ou moins gênantes mais bénignes. L'effet apparaît immédiatement ou après quelques jours de traitement. Une forme de diarrhée grave et exceptionnelle, la colite pseudomembraneuse, peut être observée après un traitement antibiotique ; cette affection se traduit par l'émission de glaires et de fausses membranes (ressemblant à des lambeaux de peau) associées à des douleurs abdominales ; une constipation peut remplacer la diarrhée initiale. La colite pseudomembraneuse peut survenir plusieurs jours après l'arrêt du traitement antibiotique et nécessite un avis médical urgent.


dispositifs transdermiques
Système, parfois appelé timbre ou patch, permettant l'absorption d'un médicament au travers de la peau : il assure la diffusion de la substance active vers les vaisseaux sanguins du derme. La substance circule ensuite dans le sang et peut agir comme si elle avait été avalée ou injectée. Ce dispositif permet d'éviter l'effet de premier passage hépatique.


duodénum
Partie de l'intestin dans laquelle pénètrent les aliments issus de l'estomac.


état dépressif
État de souffrance morale associant une démotivation, une fatigue, un sentiment d'inutilité, d'autodépréciation. En l'absence de traitement, l'état dépressif risque d'évoluer vers une dépression grave avec sensation d'incurabilité, de culpabilité, et un risque suicidaire.


gastrite
Inflammation de l'estomac favorisée par le stress, le tabac, l'alcool et certains médicaments tels que l'aspirine ou les anti-inflammatoires.


infarctus
Destruction d'une partie du muscle cardiaque (myocarde), privé de sang par obstruction de ses artères.


insuffisance hépatique
Incapacité du foie à remplir sa fonction, qui est essentiellement l'élimination de certains déchets, mais également la synthèse de nombreuses substances biologiques indispensables à l'organisme : albumine, cholestérol et facteurs de la coagulation (vitamine K, etc.).


insuffisance rénale
Incapacité des reins à éliminer les déchets ou les substances médicamenteuses. Une insuffisance rénale avancée ne se traduit pas forcément par une diminution de la quantité d'urine éliminée. Seuls une prise de sang et le dosage de la créatinine peuvent révéler cette maladie.


palpitations
Perception anormale de battements cardiaques irréguliers.


posologie
Quantité et répartition de la dose d'un médicament en fonction de l'âge, du poids et de l'état général du malade.


réaction allergique
Réaction due à l'hypersensibilité de l'organisme à un médicament. Les réactions allergiques peuvent prendre des aspects très variés : urticaire, œdème de Quincke, eczéma, éruption de boutons rappelant la rougeole, etc. Le choc anaphylactique est une réaction allergique généralisée qui provoque un malaise par chute brutale de la tension artérielle.


surdosage
La prise en quantité excessive d'un médicament expose à une augmentation de l'intensité des effets indésirables, voire à l'apparition d'effets indésirables particuliers.
Ce surdosage peut résulter d'une intoxication accidentelle, ou volontaire dans un but de suicide : il convient alors de consulter le centre antipoison de votre région (liste en annexe de l'ouvrage). Mais le plus souvent, le surdosage est la conséquence d'une erreur dans la compréhension de l'ordonnance, ou de la recherche d'une augmentation de l'efficacité par un dépassement de la posologie préconisée. Enfin, une automédication intempestive peut conduire à l'absorption en quantité excessive d'une même substance contenue dans des médicaments différents. Certains médicaments exposent plus particulièrement à ce risque, car ils sont considérés (à tort) comme anodins : vitamines A et D, aspirine, etc. L'arrêt ou la diminution des prises médicamenteuses permettent de faire disparaître les troubles liés à un surdosage.


symptômes
Trouble ressenti par une personne atteinte d'une maladie. Un même symptôme peut traduire des maladies différentes et une même maladie ne donne pas forcément les mêmes symptômes chez tous les malades.


troubles du rythme cardiaque
Anomalie grave ou bénigne de la fréquence des contractions du cœur. L'extrasystole est une contraction survenant juste avant ou après une contraction normale, souvent perçue comme un léger choc dans la poitrine. La fibrillation est une contraction irrégulière et désordonnée. D'autres troubles existent : torsades de pointes, syndrome de Wolf-Parkinson-White, maladie de Bouveret, tachysystolie, flutter et bloc auriculoventriculaire, etc.


ulcère
Lésion en creux de la peau, des muqueuses ou de la cornée.
  • Ulcère de jambe : plaie chronique due à une mauvaise circulation du sang.
  • Ulcère gastroduodénal : plaie localisée de la muqueuse de l'estomac ou du duodénum, due à un excès d'acidité et très souvent à la présence d'une bactérie (Helicobacter pylori). L'ulcère est favorisé par le stress, l'alcool, le tabagisme et la prise de certains médicaments (aspirine, AINS, etc.).


voie
  • Chemin (voie d'administration) utilisé pour administrer les médicaments : voie orale, sublinguale, sous-cutanée, intramusculaire, intraveineuse, intradermique, transdermique.
  • Ensemble d'organes creux permettant le passage de l'air (voies respiratoires), des aliments (voies digestives), des urines (voies urinaires), de la bile (voies biliaires), etc.

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