Nicorette 2MG MICROTAB 100 TABLETS

3400937992398

Nicorette Nicorette

Nicorette 2mg MicroTab box 100 sublingual tablets is recommended for smokers strongly to weakly dependent.

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Nicorette Microtab 100 2MG TABLETS

For warnings, precautions for use and against-indications, please refer to the user manual.

Description Nicorette Microtab 100 2MG TABLETS

Nicorette Microtab 2mg box of 100 sublingual tablets, is recommended for smokers strongly to weakly dependent. This drug is indicated for the treatment of tobacco dependence in order to relieve the craving of nicotine withdrawal symptoms of nicotine in subjects wishing to stop their use of tobacco.

For adults (from 18 years)

This drug can be used in:

  • Where a smoking temporarily refrains from smoking,
  • Réuction a strategy of smoking as a step towards the final judgment.

Composition Nicorette Microtab 100 2MG TABLETS

Nicotine 2 mg as nicotine bitartrate dihydrate

Excipients: betadex, crospovidone, magnesium stearate, colloidal anhydrous silica.

Dosage Nicorette Microtab 100 2MG TABLETS

  • For an immediate halt to a smoking less than 20 cigarettes / day: 1 tablet every 1-2 hours. 8-12 tablets / day. gradually reduce the number of tablets and stop when the consumption is 1 to 2 tablets / day.
  • For an immediate halt to a smoker of 20 cigarettes / day:  

Follow the same steps as for smokers under 20 cigarettes a day, taking 2 tablets per dose.

Nicorette Microtab should dissolve slowly under the tongue. Do not chew or swallow the tablet. Maximum 30 tablets a day

Deficiencies in vitamin C and vitamin E among tobacco smokers

Smoking causes a deficiency of vitamin C (ascorbic acid) and vitamin E (tocopherol).
Vitamin E and vitamin C are antioxidants, capable of neutralizing in our body the free radicals produced during inflammatory processes (smoking, cancer, Alzheimer disease). In fact, free radicals generated by tobacco smoke gradually destroys cellular membranes.
The vitamin E (tocopherol) acts synergistically with vitamin C, which is why the intake of vitamin C significantly reduced vitamin E deficiency observed in tobacco smokers.
Tobacco smokers always are deficient in vitamin E and vitamin C, it is for these reasons we recommend the food supplements rich in vitamin C (Acerola) and bioavailable vitamin E natural.

Cons-indications Nicorette Microtab 100 2MG TABLETS

  • Hypersensitivity to nicotine or any component of the sublingual tablet.
  • recent myocardial infarction (within the last three months).
  • unstable or progressive angina.
  • Variant angina.
  • Severe heart rhythm disorder.
  • recent stroke.

sublingually

Read the label


Conditioning :   100 sublingual tablets.

Warnings about medications

Attention drug Nicorette Microtab 2mg is not a product like any other. Read the package leaflet before ordering. Do not let drugs out of reach of children. If symptoms persist, seek the advice of your doctor or pharmacist. Beware of incompatibilities on your current products.

Tell your pharmacist Online ongoing treatment to identify any incompatibilities. The order confirmation form contains a custom message field provided for this purpose.

Click here to find the manual of this drug on the website of the National Agency of Drug Safety and health products.

Pharmacovigilance : Declare one or effect (s) undesirable (s) connected (s) to the use of a drug

VIDAL OF THE FAMILY

NICORETTE MICROTAB

Medication for smoking cessation

nicotine

. Presentations . Composition . Indications . Contraindications . Warning . Drug Interactions . Pregnancy and breastfeeding . Directions for use and dosage . Advice . Undesirable effects . Lexicon

PRESENTATIONS (summary)

NICORETTE MICROTAB 2 mg: sublingual tablet (white); box of 100.
-

NICORETTE MICROTAB LEMON 2 mg: sublingual tablet (white, lemon flavoring); box of 30.
-

NICORETTE MICROTAB LEMON 2 mg: sublingual tablet (white, lemon flavoring); box of 100.
-

Laboratory

COMPOSITION (summary)
p cp p c lemon
Nicotine 2 mg 2 mg
aspartame +

INDICATIONS (summary)
This medication helps smokers detoxify tobacco. The sublingual tablet brings nicotine, the main active substance in tobacco, responsible for addiction into the bloodstream, via the oral mucosa .
CONTRAINDICATIONS (summary)
This medication should not be used in the following cases:
WARNING (Contents)
This medication should not be used in children under 18 years of age without prior medical consultation.
The use of these tablets must be accompanied by a cessation of smoking.
Precautions are necessary in case of severe heart disease, hypertension , stomach ulcer or duodenum , hyperthyroidism , pheochromocytoma , diabetes , renal or hepatic insufficiency or arteritis of the lower limbs. In these situations, a prior medical consultation is essential before using this medication; a cessation of smoking without substitution treatment may be necessary.
Do not use other medicines containing nicotine, including transdermal patches (see below).
Do not leave this medicine in the reach of children: it may cause serious accidents.
DRUG INTERACTIONS (summary)
The products contained in tobacco smoke can accelerate the rate of elimination of certain drugs, especially theophylline. When smoking cessation, these drugs can see their effect strengthened and signs of overdose may appear. Contact your doctor in case of any doubt.
PREGNANCY AND BREAST-FEEDING (summary)
Pregnancy :
Smoking in pregnant women may cause fetal growth retardation. Stopping tobacco is always desirable. In women who are highly dependent on nicotine, the use of this medication may be an aid, but the effects of nicotine alone on the fetus are poorly understood. This drug has the advantage of not exposing the fetus to other toxic substances present in tobacco smoke. In summary: if the ideal is not to smoke and not to expose the fetus to nicotine intake, the use of this drug is a lesser evil compared to tobacco.

Breastfeeding:
Nicotine passes into breast milk, and breast-feeding is not recommended during treatment.
DIRECTIONS FOR USE AND DOSAGE (summary)
Place the tablet under the tongue to allow the slow and steady absorption of nicotine through the blood vessels of the tongue. The tablet dissolves for about 30 minutes.
The catch must be renewed every 1 to 2 hours.

Usual dosage:

  • Adult: 1 tablet, 8 to 12 times a day. In highly dependent smokers, the dosage may be increased to 2 tablets, 8 to 12 times daily. Do not exceed 30 tablets per day.
In practice, it is useful to know the signs of under or overdose to adapt the dosage after a few days of treatment:
  • the overdose results in the condition of the smoker who has smoked too much and is mainly reflected in a nauseous condition and headaches. Difficulty in sight or hearing, trembling, dizziness are also possible;
  • an under-dosage causes symptoms of lack: irritability, nervousness, stomach cramps (kind of painful hunger), difficulty concentrating.
As soon as the desire to smoke is overcome, gradually reduce the number of tablets, until complete cessation.
Do not exceed 6 months of continuous treatment.
TIPS (summary)
This medication can be used by smokers without medical advice. It is available without a prescription and can be accessed directly in certain pharmacies. Nevertheless, do not hesitate to have your choice chosen by your pharmacist. His advice is precious. He can help you determine the best time to quit and explain the causes of failure.
Nicotine taken by way oral replacing the cigarette has the same cardiovascular harmful than that in tobacco. Only the risk of lung cancer disappears. When smoking cessation is motivated by urgent medical reasons: recent infarction , arteritis , gastritis or ulcer , it is preferable to stop the absorption of nicotine in all its forms.
like all smoke-free methods used to help smokers, this drug can only be effective when the will to quit is personal and accompanied by strong motivation. it is this motivation that will make it possible to fight against the desire to smoke, without being forced to make constant appeal to the will that dulls over time. A cessation of lasting tobacco in the smoker assumes that the smoker considers tobacco to be a poison, an unacceptable addiction. It must be done to the idea that it will never smoke, from the beginning of weaning. Every day without tobacco must be experienced as a release, not as a calvary. The smoker who is in this state of mind is a good candidate for definitive weaning.
Stopping smoking, which is a real drug, causes many problems: weight gain is frequent, concentration disorders can last several weeks. A mild depressive condition is possible. Weight gain should be fought by a diet, and if possible by a sports program that has the advantage of reconciling the smoker with his body.
Do not hesitate to consult your doctor in case of difficulty; his advice and experience will be invaluable in the fight against relapses.
POSSIBLE ADVERSE EFFECTS (summary)
At the start of treatment: irritation of the mouth or throat usually decreases with continued treatment.
Frequent: nausea, digestive disturbances, hiccups, headache, palpitations , dry mouth, rhinitis, cough.
Rarely: heart rhythm disorder , allergic reaction .


GLOSSARY (summary)


stroke
Brain injury due to haemorrhage or abrupt obstruction of an artery. Depending on the size of the lesion, the consequences are more or less serious: temporary discomfort, paralysis, coma.
Abbreviation: AVC.


angina pectoris
Oppressive pain due to partial obstruction of the coronary arteries that irrigate the heart muscle. It can manifest in the chest, arms or jaw.
Synonym: angor.


arteritis
Arterial disease favored by smoking and most often localized to the legs. It is characterized by a thickening of the arterial walls which interferes with blood circulation and causes pain during walking (intermittent claudication). Lower limb arteritis increases the risk of myocardial infarction and requires medication. At an advanced stage, it can be treated surgically.
Synonym: Occlusive arteriopathy of the lower limbs.


diabetes
A general term for diseases that result in the emission of abundant urine and intense thirst. The word diabetes, used alone, is generally related to diabetes mellitus, which corresponds to a disruption in the regulation of the body's sugars by insulin. It results in increased sugar (glucose) in the blood and its possible presence in the urine. There are two types of diabetes mellitus: Type 1 or insulin-dependent diabetes, which requires insulin injections, and type 2 or non-insulin dependent diabetes, which can initially be treated with oral antidiabetics.


transdermal devices
System, sometimes called patch or patch, allowing the absorption of a drug through the skin: it ensures the diffusion of the active substance to the blood vessels of the dermis. The substance then circulates in the blood and can act as if it had been swallowed or injected. This device avoids the first-pass effect of the liver.


duodenum
A part of the intestine into which food from the stomach penetrates.


depressed state
State of moral suffering associating a demotivation, a fatigue, a feeling of uselessness, of self-depreciation. In the absence of treatment, the depressive state may develop into a serious depression with a feeling of incurability, guilt, and a suicidal risk.


gastritis
Inflammation of the stomach favored by stress, tobacco, alcohol and certain drugs such as aspirin or anti-inflammatory drugs.


hypertension
Excess blood pressure (tension) in the arteries. This pressure is provided by the heart and is expressed by two digits. It is maximal during contraction of the heart, or systole (first digit), and minimal during cardiac rest, or diastole (second digit). High blood pressure is characterized by a maximum (systolic) pressure greater than or equal to 16, or a minimum (diastolic) pressure greater than or equal to 9.5. Treatment is initiated when these numbers are exceeded or for lower blood pressure in some people with cardiovascular risk factors: heredity, smoking, diabetes, excess cholesterol. Permanent antihypertensive therapy reduces damage to the heart and blood vessels due to high blood pressure.


hyperthyroidism
Excessive thyroid hormones, including heart failure, poor heat tolerance, weight loss and chronic fatigue.


myocardial infarction
Destruction of part of the cardiac muscle (myocardium), deprived of blood by obstruction of its arteries.


hepatic
Inability of the liver to perform its function, which is essentially the elimination of some waste, but also the synthesis of many biological substances essential to the body: albumin, cholesterol and coagulation factors (vitamin K, etc.).


renal failure
Inability of the kidneys to eliminate waste or medicinal substances. Advanced renal insufficiency does not necessarily result in a decrease in the amount of urine excreted. Only a blood test and creatinine dosage may reveal this disease.


mucous
Tissue (membrane) that lines the cavities and ducts of the body communicating with the outside (digestive tract, respiratory tract, urinary tract, etc.).


palpitations
Abnormal perception of irregular heartbeat.


phenylketonuria
An inherited disease that is characterized by the absence of an enzyme and that leads to the accumulation in the blood of a toxic product. Screening is systematic at birth. Treatment is based on a specific diet during early childhood.


pheochromocytoma
Very rare tumor of the adrenal glands, manifested mainly by seizures of hypertension.


dosage
Quantity and distribution of the dose of a drug according to the age, weight and general condition of the patient.


Printzmetal
angina pectoris a particular form of angina pectoris due to spasm of the coronary arteries.


allergic reaction
Reaction due to hypersensitivity of the organism to a drug. Allergic reactions can take a wide variety of aspects: urticaria, angioedema, eczema, eruption of pimples resembling measles, etc. Anaphylactic shock is a generalized allergic reaction that causes discomfort due to a sudden drop in blood pressure.


sublingual
A route of administration of a drug substance that allows rapid absorption by veins under the tongue. The medication should be kept under the tongue long enough to pass through the bloodstream (a few minutes in general).


overdose
Excessive intake of a drug may result in an increase in the intensity of adverse effects or even in the development of specific adverse effects.
This overdose may result from accidental or voluntary poisoning for suicide, so consult your local Poison Control Center (listed in the appendix to the book). However, in most cases, overdose is the result of an error in the understanding of the prescription, or the search for an increase in efficacy by exceeding the recommended dosage. Finally, untimely self-medication may lead to excessive absorption of the same substance contained in different drugs. Some drugs are particularly prone to this risk because they are (wrongly) considered to be harmless: vitamins A and D, aspirin, etc. Stopping or decreasing drug intake helps to remove the disorders associated with an overdose.


symptoms
Trouble felt by a person with an illness. The same symptom can translate different diseases and the same disease does not necessarily give the same symptoms in all the patients.


heart rhythm disorders
Severe or benign anomaly of the frequency of contractions of the heart. Extrasystole is contraction occurring just before or after a normal contraction, often perceived as a slight shock in the chest. Fibrillation is an irregular and disorderly contraction. Other disorders include torsades de pointes, Wolf-Parkinson-White syndrome, Bouveret's disease, tachysystolia, flutter and atrioventricular block, etc.


ulcer
Injury of skin, mucous membranes or cornea.
  • Leg ulcer: chronic wound due to poor circulation of blood.
  • Gastroduodenal ulcer: a localized wound in the mucosa of the stomach or duodenum due to excess acidity and very often to the presence of a bacterium (Helicobacter pylori). The ulcer is favored by stress, alcohol, smoking and certain medications (aspirin, NSAIDs, etc.).


way
  • Pathway (route of administration) used to administer drugs: oral, sublingual, subcutaneous, intramuscular, intravenous, intradermal, transdermal.
  • Set of hollow organs allowing the passage of air (airways), food (digestive tract), urine (urinary tract), bile (bile ducts), etc.

Cliquez ici pour retrouver la notice de ce médicament sur le site de l'Agence Nationale de Sécurité du Médicament et des produits de santé.

Pharmacovigilance : Déclarer un ou des effet(s) indésirable(s) lié(s) à l'utilisation d'un médicament

NOTICE

ANSM - Last updated: 28/02/2011

Name of the medicinal product

NICORETTE MICROTAB 2 mg, sublingual tablet

Nicotine

framed

Read this leaflet carefully, including the health education tips you will find at the end. The information you will find is important to help you quit smoking.

· This medication is a specialty of AUTOMEDIZATION which can be used without consultation or prescription from a doctor.

· Keep this leaflet, you may need to read it again.

· If you need more information and advice, ask your pharmacist or doctor.

Review summary

In this notice :

1. WHAT IS NICORETTE MICROTAB 2 mg, sublingual tablet AND WHAT IT IS USED FOR?

2. BEFORE YOU TAKE NICORETTE MICROTAB 2 mg, sublingual tablet?

3. HOW TO TAKE NICORETTE MICROTAB 2 mg, sublingual tablet?

4. WHAT ARE POSSIBLE SIDE EFFECTS?

5. HOW TO STORE NICORETTE MICROTAB 2 mg, sublingual tablet?

6. ADDITIONAL INFORMATION

1. WHAT IS NICORETTE MICROTAB 2 mg, sublingual tablet AND WHAT IT IS USED FOR?

Pharmacotherapeutic group

MEDICINAL PRODUCT USED IN NICOTINE DEPENDENCE.

Therapeutic indications

This medication is indicated for the treatment of tobacco addiction in order to alleviate the symptoms of nicotine withdrawal, in particular, the irresistible cravings of smoking in subjects wishing to stop their tobacco consumption.

Tailored management promotes the success rate of smoking cessation.

2. BEFORE YOU TAKE NICORETTE MICROTAB 2 mg, sublingual tablet?

List of information needed before taking the medication

Not applicable.

Cons-indications

Never take NICORETTE MICROTAB 2 mg, sublingual tablet in the following cases:

· if you do not smoke or if you are an occasional smoker,

· in case of allergy to one of the constituents,

· in the case of severe or recent cardiovascular disease (recent myocardial infarction, unstable or worsening angina pectoris, severe heart rhythm disorder)

· in the event of a recent stroke.

If in doubt, it is essential to seek the advice of your doctor or pharmacist.

Precautions for use; special warnings

Take special care with NICORETTE MICROTAB 2 mg, sublingual tablet:

Special warnings

In order to succeed in quitting smoking, complete cessation of smoking is essential.

Read health education tips carefully.

· Some diseases require examination and medical follow-up before using this medication. Thus, in case of :

o heart disease,

o severe or moderate hepatic impairment and / or severe renal impairment,

o thyroid disease,

o diabetes,

o ulcer of the stomach or duodenum in evolution,

o pheochromocytoma (disease of the adrenal glands causing severe hypertension),

It is essential to consult your doctor before using this medication.

· It is imperative to keep sublingual tablets out of the reach of children.
Indeed, the therapeutic dose intended for the adult could cause a serious intoxication or even death in the child.

Precautions for use

· Some signs indicate an under-dosage. If you feel, despite the treatment, a feeling of "lack" like in particular:

o compelling need to smoke,

o irritability, sleep disturbances,

o agitation or impatience,

o difficulty concentrating
Consult your doctor or pharmacist. Indeed, it may be necessary to modify the dosage of the drug.

· Some signs may reflect an overdose : if there are signs of overdose, ie:

o nausea, abdominal pain, diarrhea,

o hypersalivation,

o sweating, headache, dizziness, hearing loss,

o general weakness,

It is imperative to adapt the treatment with the advice of your doctor or pharmacist.

In case of doubt do not hesitate to ask the advice of your doctor or pharmacist.

Interaction with other medicines

Taking or using other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, even medicines obtained without a prescription.

Interactions with food and beverages

Not applicable.

Interactions with Herbal Medicines or Alternative Therapies

Not applicable.

Use during pregnancy and lactation

Pregnancy

It is very important to quit smoking during your pregnancy for you and your child.

Smoking cessation during pregnancy requires medical advice and follow-up. You should therefore consult the doctor who follows your pregnancy or your usual doctor or a doctor at a center specialized in smoking cessation.

feeding

If you smoke a lot and do not plan to stop smoking, you should not breastfeed your child, but use artificial breastfeeding.

The use of this medication should be avoided during breast-feeding.

However, if you want to stop smoking and breast-feed your child, take advice from your doctor or a doctor at a smoking cessation center.

Sport

Not applicable.

Effects on ability to drive or use machines

Not applicable.

List of excipients with known effect

Not applicable.

3. HOW TO TAKE NICORETTE MICROTAB 2 mg, sublingual tablet?

Instructions for proper use

Not applicable.

Dosage, Mode and / or route (s) of administration, Frequency of administration and Duration of treatment

Dosage

Reserved for adults only.

If you are under 18 years of age, this medication should not be used without a prescription.

The number of tablets to use each day depends on your nicotine addiction which can be assessed using the Fagerström test ( see HEALTH EDUCATION ADVICE ).

Treatment of nicotine dependence is usually done in 2 phases.

1 st phase

Take one tablet each time the urge to smoke appears.

If you are low or moderately addicted to nicotine (Fagerström test score 3-6), take one sublingual tablet every 1 to 2 hours to 8 to 12 tablets per day. If you are strongly or heavily dependent on nicotine (Fagerström test score 7 to 10), take 2 tablets per hour, up to 16 to 24 tablets daily, but not more than 30 tablets per day.

The duration of this phase is about 3 months, but may vary depending on the individual response.

2 nd phase

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

Treatment will be stopped when consumption is reduced to 1 to 2 tablets per day.

The irresistible cravings to take a cigarette can show again, keep unused tablets.

Duration of treatment

The total duration of treatment should not exceed 6 months.

However, a longer treatment time may be necessary for some "ex-smokers" to avoid relapse. If you have difficulty with this medication, talk to your doctor.

Administration mode

Mouth.

Place the sublingual tablet under your tongue (or between cheek and gum) and let it dissolve slowly for about 30 minutes.

Warning! the sublingual tablet should not be swallowed or chewed.

Instructions for platelets accompanied by a distributor (with corresponding diagrams)

The plate was specially designed to make it difficult to extract sublingual tablets from children.

· Step 1
1. open the dispenser;
2. Insert the tablet insert in the dispenser on the flat side below;
3. Close the dispenser and make sure it is securely closed.

· 2nd step
4. Rotate the disc until you hear a click;
5. Make sure that one of the notches on the disc is positioned, just in front of the engraved triangle on the dispenser.
6. A sublingual tablet is then in good position to be properly extracted.

· Step 3
7. Press the push button to remove a sublingual tablet and place it under the tongue.
8. To get another tablet, repeat from point 4.

Symptoms and Instructions for Overdose

If you take more NICORETTE MICROTAB 2 mg, sublingual tablet than you should: in case of accidental overdose or if a child has sucked or swallowed a sublingual tablet CONTACT A DOCTOR OR AN EMERGENCY SERVICE.

Severe intoxication may occur and may include hypotension, weak and irregular heartbeat, respiratory discomfort, prostration, cardiovascular collapse and convulsions.

Instructions for omission of one or more doses

Not applicable.

Risk of withdrawal syndrome

Not applicable.

4. WHAT ARE POSSIBLE SIDE EFFECTS?

Description of adverse reactions

Like all medicines, NICORETTE MICROTAB 2 Mg, sublingual tablet is likely to have side effects, although not everyone is subject to it.

Most reported adverse events occur within the first 3 to 4 weeks after initiation of therapy.

Early on treatment irritation or burning sensation of the mouth, irritation of the throat, coughing may appear. In the majority of cases, patients quickly become accustomed to these effects after a few days.

Other side effects reported include headache, dizziness, nausea, digestive problems, hiccups, sore throat, dry mouth, rhinitis, palpitations.

More rarely occurrence of heart rhythm disorder.

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

If you notice any side effects not listed in this leaflet, or if any of the side effects gets serious, contact your doctor or pharmacist.

5. HOW TO STORE NICORETTE MICROTAB 2 mg, sublingual tablet?

Keep out of the reach and sight of children.

Expiration date

Do not use after the expiry date stated on the carton.

Storage conditions

Store at a temperature not exceeding 30 ° C.

If necessary, warnings against visible signs of deterioration

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist what to do with unused medications. These measures will help protect the environment.

6. ADDITIONAL INFORMATION

Full list of active substances and excipients

What does NICORETTE MICROTAB 2 mg contain, sublingual tablet?

The active substance is:

Nicotine ................................................. .................................................. ....................................... 2.00 mg

In the form of betadex nicotine ............................................. .................................................. ....... 17.10 mg

For a tablet.

The other components are :

Betadex, anhydrous colloidal silica, crospovidone, magnesium stearate.

Pharmaceutical form and content

What is NICORETTE MICROTAB 2 mg, sublingual tablet and contents of the pack?

This medication is in the form of sublingual tablets. Box of 30 or 105 with dispenser.

This medication is in the form of sublingual tablets. Box of 20, 30, 90, 100 or 150 with case.

Not all pack sizes may be marketed.

Name and address of the marketing authorization holder and the holder of the manufacturing authorization responsible for the release of the lots, if different

Holder

JOHNSON & JOHNSON SANTE BEAUTE FRANCE

1, rue Camille Desmoulins

92130 ISSY LES MOULINEAUX

exploiting

JOHNSON & JOHNSON SANTE BEAUTE FRANCE

1, rue Camille Desmoulins

92130 ISSY LES MOULINEAUX

Maker

MCNEIL AB

NORRBROPLATSEN 2

25109 HELSINGBORG

SWEDEN

Names of the medicinal product in the Member States of the European Economic Area

This medicinal product is authorized in the Member States of the European Economic Area under the following names:

In accordance with the regulations.

Date of approval of the notice

The last date on which this leaflet was approved is {date}.

AMM under exceptional circumstances

Not applicable.

Internet Information

Detailed information on this medicine is available on the Afssaps website (France).

Information for health professionals only

Not applicable.

Other

ADVICE / HEALTH EDUCATION

As soon as you stop smoking:

· You will not absorb the irritating and toxic substances of cigarettes,

· You will see some improvements: progressive disappearance of headaches, cough, irritation of the throat, shortness of breath,

· You will often have the satisfaction of regaining better sleep, food flavor, odor and improve your physical performance,

· You will reduce your risk of developing lung cancer or cardiovascular disease.

It's never too late to quit even if you've smoked a long time and a lot.

What is tobacco dependence?

Tobacco addiction is twofold:

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

· Physical dependence:
The need for the nicotine body is due to the effects of this substance on the nervous system. This is physical dependence. Failure to satisfy this need results in a sense of lack (see description in the chapter "How to overcome your physical dependence?").
Nicotinic substitutes aim to treat this dependence.

How to overcome your psychological addiction?

· Stopping smoking is necessary to increase your chances of success, but more:

o Choose a J day in the period that you think is the most favorable.

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

o In a couple of smokers, it is preferable that the attempt to stop is made at the same time by both spouses.

· Tell your family and co-workers that you quit smoking. Ask them to respect your decision (no smoking near you, no longer offering you cigarettes).

· Prepare yourself to cope with the desire to smoke. It can occur suddenly and severely, especially during the first few weeks after the cessation of smoking, but does not last more than 3 or 4 minutes.
You have to foresee what you will do in this case and act very quickly so as not to "crack" as for example:

o drink a large glass of water,

o to chew gum,

o counting up to 100,

o do some deep breaths,

o out of the room,

o change activity ...

· Avoid situations associated with taking cigarettes (coffee, aperitif, ...), avoid temptations (settle with non-smokers).
Find cigarette compensation (leisure, sport, cultural activity ...).

How to overcome your physical addiction?

If you are addicted to nicotine, the success of your approach may require the use of nicotine substitutes.

In order to assess your level of dependence, the Fagerström test is offered.

FAGERSTROM TEST

How long after you wake up do you smoke your first cigarette?

· within 5 minutes: 3

· from 6 to 30 minutes: 2

· from 31 to 60 minutes: 1

· after 60 minutes: 0

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

· yes: 1

· no: 0

What cigarette of the day would you be the hardest to give up?

· the first: 1

· another: 0

How many cigarettes do you smoke per day?

· 10 or less: 0

· 11 to 20: 1

· 21 to 30: 2

· 31 or more: 3

Do you smoke at a more sustained pace in the morning than in the afternoon?

· yes: 1

· no: 0

Do you smoke when you are so sick that you have to stay in bed almost all day?

· yes: 1

· no: 0

TOTAL POINTS

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

You can stop smoking without the need for nicotine replacement.

If you are concerned about this decision, consult your pharmacist or doctor.

score 3 to 4 : you are weakly dependent on nicotine.

score 5 to 6 : you are moderately addicted to nicotine.

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

Consult with your pharmacist or doctor to help you choose the treatment best suited to your situation.

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

The use of nicotine substitutes is recommended to help you overcome this addiction to nicotine. This treatment should be used in sufficient and appropriate dosage.

Consult with your pharmacist or doctor, possibly as part of a specialized smoking cessation counseling.

Weaning-related disorders may persist for a long time and the duration of treatment should be sufficient, usually one to three months.

If you feel, despite the treatment, a feeling of persistent "lack" such as:

· compelling need to smoke,

· irritability, sleep disturbances,

· agitation or impatience,

· difficulty of concentration,

Take the advice of your doctor or pharmacist as doses may need to be adjusted.

How do you get help?

· Support from health professionals
The support, advice and follow-up that your doctor or pharmacist can give you will be valuable during the first six months of your smoking cessation. You can also use a specialized smoking cessation counseling, especially if you have already failed.

· Psychological support
Stopping smoking requires a supportive family and social environment. If you are concerned that the difficulties are too great, psychological support or temporary treatment can help.

· Dietetics
In the months following tobacco cessation, you may find moderate weight gain. If you have any concerns in this area, you can contact a health professional who will be able to advise you.

You started smoking again, why?

Consider this relapse as an accident of course, as a normal event that allows to learn: the relapse is not a failure.

Analyze the reasons why you took back the tobacco.

· Because of the physical dependence
This may have been poorly taken into account or reappeared after several months, occasionally, for example, by prolonged stays in smoky atmospheres.

· Because of excessive weight gain
It may be necessary to change your diet somewhat before your next attempt to quit smoking.

· Because of a decline in motivation , because of a painful event or a difficult period, because of psychological difficulties appearing at the cessation of smoking (depression, anxiety ...), because of a situation very tempting. Understand the reason for this relapse to prevent it if possible during the next attempt.

In all cases, do not hesitate to ask for advice from a health professional or to use a specialized consultation to help with smoking cessation.

If you have started smoking again, do not get discouraged, experience shows that your chances of success increase after one or more attempts to quit.

Get all Nicorette products to help you stop smoking: Nicorette patch, Nicorette gum, inhaler

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All smokers know, quitting smoking is not an easy task! The lack of nicotine leads to withdrawal syndrome which causes irritability, anxiety, sadness. For a stress-free withdrawal, you will find here the suitable products for stop smoking: patch, gum, lozenges, tablets, inhleur and homeopathy anti tobacco ... We are available via chat, do not hesitate to Contact to get personalized advice.

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