Nicotinell Mint 1mg 144 tablets suck contains nicotine, a tobacco substances. 1MG Nicotinell MINT, lozenge belongs to the range of medicines to help you quit smoking.
The advice of your pharmacist
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Nicotinell MINT 144 TABLETS 1MG A SUCK
For warnings, precautions for use and against-indications, please refer to the user manual.
Description Nicotinell Mint 1mg 144 lozenges
Nicotinell 1MG MINT, lozenge contains nicotine, a tobacco substances. Nicotinell MINT 1MG, lozenge belongs to the range of medicines to help you quit smoking. This medication is indicated for the treatment of tobacco dependence in order to relieve the symptoms of nicotine withdrawal in patients who want to quit their tobacco use. An appropriate treatment improves the chances of successful smoking cessation.
Application advice and advice on Nicotinell Mint 1mg 144 lozenges
Frequency of administration:
The initial dose should be 1 tablet every 1 to 2 hours. Otherwise, suck a tablet whenever you feel the need to smoke. The usual dose is 8 to 12 tablets per day. The maximum dose is 30 tablets per day.
Duration of treatment:
The duration of treatment is to be adapted individually. Normally, treatment should be continued for at least 3 months. After that, gradually reduce the number of tablets; stop treatment when the dose is reduced to 1-2 tablets per day. It is generally not recommended to continue treatment beyond six months. However, some "ex-smokers" may need longer to avoid relapse treatment.
In case of difficulty in stopping this medication beyond nine months, ask the advice of a healthcare professional.
Advice and monitoring can increase your chances of success.
Children and adolescents under 18 years:
In subjects under 18 years, this drug should not be used without medical advice.
Composition of 1 mg Nicotinell lozenges mint 144
The active substance is:
Nicotine ........................................................................................................................................ 1,000 mg
As nicotine bitartrate dihydrate ........................................... ....................................... 3,072 mg
For a lozenge. The other ingredients are:
Maltitol (E965), anhydrous sodium carbonate, sodium bicarbonate, polyacrylate dispersion 30%
xanthan gum, colloidal anhydrous silica, levomenthol, essential oil of peppermint, aspartame (E951),
magnesium stearate. This medication does not contain sugar.
Use caution with Nicotinell Mint 1mg 144 lozenges
Be careful with Nicotinell MINT 1 mg lozenge:
Consult with your doctor or pharmacist if:
- Cardiovascular disease (myocardial infarction, heart failure, angina, variant angina, heart rhythm disorder)
- History of stroke,
- Circulatory problems,
- Thyroid disease (hyperthyroidism)
- Pheochromocytoma (adrenal disease causing severe hypertension)
- Liver or kidney failure,
- Inflammation of the mouth or throat, esophagitis, gastritis, stomach ulcer or duodenum.
Nicotine in small amounts is dangerous in children and can cause severe symptoms or death. This is why it is imperative to take Nicotinell MINT 1 mg lozenge out of the reach and sight of children.
Introducing Nicotinell Mint 1mg 144 lozenges
Box 144 lozenges
Our expert advice on pharmacy
Your motivation and determination are the keys to successful treatment. If you use Nicotinell lozenges to suck through a cessation of treatment, you should stop smoking completely, because if you do not reduce your consumption, there is a risk of side effects, including heart and circulatory because of higher than when you smoke as usual nicotine levels. It is therefore important that you are highly motivated to quit smoking before starting treatment with Nicotinell. Professional advice increase your chances of successfully quitting smoking. Nicotinell sucking lozenges are not a product approval. It may be necessary for several days before you get used to the taste of Nicotinell lozenges to suck. All Nicotinell lozenges are sugar. In place of the sugar they contain aspartame as sweetening. Nicotinell sucking lozenges can therefore also be used by diabetics, provided you follow the precautions. Nicotinell sucking lozenges do not contain lactose or galactose. If you take lozenges in order to reduce your smoking, do so only during periods when you do not smoke. In long-term use, there is a risk of injury to the oral mucosa. Nicotinell 1 mg and 2 mg tablets sucking should not be used in patients with known hypersensitivity to nicotine or other constituents of lozenges. Should not either consume during pregnancy and lactation. Nicotinell sucking lozenges should not be used by non-smokers and children under 12 years! For ages 12 to 18 years young, the drug should only be used in cases of high nicotine dependence and only after consultation with a doctor, pharmacist or druggist.
Warnings on drugs
Attention drug Nicorette Mint 1mg is not a product like any other. Read the package leaflet before ordering. Do not leave medicines out of reach of children. If symptoms persist, seek the advice of your doctor or pharmacist. Beware of incompatibilities on your products in.
Tell your pharmacist online treatments underway to identify possible incompatibilities. The checkout form contains a field of customized message provided for that purpose.
Click here to find record of this drug on the website of the National Security Agency of Medicines and Health Products.
Pharmacovigilance : Report or a related side effect (s) (s) (s) the use of a drug
VIDAL OF THE FAMILY
NICOTINELL tablet to suck
Medication for smoking cessation
NICOTINELL MENTHE 1 mg: sucking tablet (white, mint flavoring); box of 36.
NICOTINELL MENTHE 1 mg: sucking tablet (white, mint flavoring); box of 96.
NICOTINELL MENTHE 1 mg: sucking tablet (white, mint flavoring); box of 144.
NICOTINELL MENTHE 2 mg: sucking tablet (white, mint flavoring); box of 36.
NICOTINELL MENTHE 2 mg: sucking tablet (white, mint flavoring); box of 96.
NICOTINELL MENTHE 2 mg: sucking tablet (white, mint flavoring); box of 144.
Laboratory GlaxoSmithKline Consumer Healthcare
|p cp||p cp|
|Nicotine||1 mg||2 mg|
- non smoking,
- phenylketonuria (presence of aspartame).
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 without medical advice, including transdermal patches .
Do not use this medication for children.
If, after 10 days of treatment, you start smoking again: consult your doctor to adopt a new anti-smoking strategy.
overdose may appear. Contact your doctor in case of any doubt.
Absorption of coffee or soft drink within 15 minutes before taking the tablet to be sucked may decrease the absorption of nicotine and therefore the effect of this drug.
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.
Nicotine passes into breast milk, and breast-feeding is not recommended during treatment.
If breastfeeding is nevertheless chosen, take the tablets preferably after the headache.
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.
In order to allow the slow and steady absorption of nicotine through the blood vessels of the tongue, suck the tablet until the taste becomes strong and then place it against the cheek as the taste fades in the mouth . Then repeat the operation. After 30 minutes, dissolution of the tablet must be complete.
- Adults over 18 years of age: Suck one tablet each time the need for smoking is felt, which is usually 8 to 12 tablets per day. Do not exceed 30 tablets at 1 mg or 15 tablets at 2 mg daily.
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.
Nausea, heartburn, digestive disorders, hiccups, headache, dizziness, rash , palpitations .
Rarely: heart rhythm disorder , allergic reaction .
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.
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.
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.
A part of the intestine into which food from the stomach penetrates.
Appearance of pimples or plaques on the skin. These lesions can be due to a food, a drug, and translate an allergy or a toxic effect. Many viruses can also cause pimple eruptions: rubella, roseola and measles are the most common.
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 sense of incurability, guilt, and a suicidal risk.
Inflammation of the stomach favored by stress, tobacco, alcohol and certain drugs such as aspirin or anti-inflammatory drugs.
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.
Excessive thyroid hormones, including heart failure, poor heat tolerance, weight loss and chronic fatigue.
Destruction of part of the cardiac muscle (myocardium), deprived of blood by obstruction of its arteries.
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.).
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.
Abnormal perception of irregular heartbeat.
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.
Very rare tumor of the adrenal glands, manifested mainly by seizures of hypertension.
Quantity and distribution of the dose of a drug according to the age, weight and general condition of the patient.
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.
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.
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.
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.).
- 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
ANSM - Updated on: 12/08/2016
NICOTINELL MENTHE 1 mg tablet to suck
Read this leaflet carefully before you start taking this medicine. It contains important information for your treatment.
If you have any further questions, ask your doctor or pharmacist.
· Keep this leaflet, you may need to read it again.
· If you need more information and advice, ask your pharmacist.
· If you are still using NICOTINELL MENTHE 1 mg, tablet to suck after 9 months, consult a doctor.
· If you notice any side effects not listed in this leaflet, or if you experience any of the effects listed as serious, please tell your doctor or pharmacist.
In this notice :
1. WHAT IS NICOTINELL MENTHE 1 mg, sucked tablet AND WHAT IT IS USED FOR?
2. BEFORE YOU TAKE NICOTINELL MENTHE 1 mg, tablet to suck?
3. HOW TO TAKE NICOTINELL MENTHE 1 mg, tablet to suck?
4. WHAT ARE POSSIBLE SIDE EFFECTS?
5. HOW TO STORE NICOTINELL MENTHE 1 mg, sucked tablet?
6. ADDITIONAL INFORMATION
NICOTINELL MENTHE 1 mg, sucked tablet belongs to the range of medications intended to help you to quit smoking.
Nicotine is released slowly and then absorbed through the oral mucosa whenever a tablet is sucked.
This medicinal product is indicated in the aid for stopping smoking. The nicotine contained in NICOTINELL MENTHE 1 mg, sucked tablet, relieves the symptoms of nicotine withdrawal when you stop smoking or temporarily reduce, in order to facilitate total cessation. By relieving symptoms of withdrawal and irresistible cravings for smoking, NICOTINELL MENTHE 1 mg, a tablet to suck, prevents relapses in smokers motivated to quit.
Tailored management increases the chances of success when stopping smoking.
NICOTINELL is indicated for smokers aged over 18 years.
Never take NICOTINELL MENTHE 1 mg, tablet to suck:
· If you are not usually a smoker,
· In case of allergy to nicotine or to any of the excipients,
If in doubt, it is essential to seek the advice of your doctor or pharmacist.
Consult your doctor or pharmacist if you:
· cardiovascular disease (myocardial infarction, heart failure, angina pectoris, Prinzmetal angina, heart rhythm disorder),
· history of stroke,
· high blood pressure,
· circulatory problems,
· thyroid disease (hyperthyroidism),
· pheochromocytoma (disease of the adrenal glands causing severe hypertension),
· hepatic or renal insufficiency,
· inflammation of the mouth or throat, esophagitis, gastritis, ulcer of the stomach or duodenum.
Nicotine in small amounts is dangerous in children and can cause severe symptoms or death. This is why it is imperative to keep NICOTINELL MENTHE 1 mg, sucked tablet out of the reach and sight of children.
Children and adolescents under 18 years of age
This medication should not be used without medical advice in subjects younger than 18 years of age.
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, even medicines obtained without a prescription. If you stop smoking and are taking other medications, your doctor may want to adjust the dosage.
There are no data on possible interactions between NICOTINELL MENTHE 1 mg, tablet to suck and other medicines. However, substances in cigarettes, other than nicotine, may have an effect on certain drugs.
Stopping tobacco can affect the action of certain drugs, for example:
· theophylline (a drug used in the treatment of asthma),
· tacrine (a drug used in the treatment of Alzheimer's disease),
· olanzapine and clozapine (drugs used in the treatment of schizophrenia),
· doses of insulin (a drug used in the treatment of diabetes) may require dose adjustment.
It is very important to stop smoking during your pregnancy as this can lead to a delayed growth of your baby or even prematurity or fetal death. Ideally, you should try to stop smoking without taking medication. In case of failure, NICOTINELL MENTHE 1 mg, sucked tablet may be advised to help you. Indeed, the risk to the fetus is probably lower than that related to smoking. Nicotine in all its forms can harm your baby. NICOTINELL MENTHE 1 mg, sucked tablet can be taken only after consulting the doctor who is following your pregnancy or a doctor specializing in smoking cessation help.
NICOTINELL MENTHE 1 mg, tablet to be sucked as smoking, should be avoided during lactation because nicotine passes into breast milk.
If your doctor recommends the use of NICOTINELL MENTHE 1 mg tablet to suck during breastfeeding, the tablet should be sucked immediately after breastfeeding and not within two hours before the next breastfeeding.
Ask your doctor or pharmacist for advice before taking any medicine.
Driving and using machines:
Stopping smoking can cause behavioral changes. At the recommended doses, there is no particular risk associated with NICOTINELL MENTHE 1 mg, tablet to suck.
Important information about some of the ingredients of NICOTINELL MENTHE 1 mg, sucked tablet:
The sucking tablet NICOTINELL MENTHE contains sweeteners, namely aspartame and maltitol.
Each tablet of NICOTINELL MENTHE 1 mg contains aspartame (E951) source of phenylalanine in an amount equivalent to 5 mg per tablet; which can be dangerous in subjects suffering from phenylketonuria.
NICOTINELL MENTHE 1 mg, sucking tablet contains maltitol (E965), source of fructose:
· if you know you are intolerant to certain sugars, consult your doctor before taking this medicine,
· a slight laxative effect is sometimes observed.
The caloric value of maltitol is 2.3 kcal / g. The constituents of NICOTINELL MENTHE 1 mg sucked tablet may be suitable for diabetics.
Each sucking tablet of NICOTINELL MENTHE 1 mg contains 9.8 mg of sodium, to be taken into account in people on a diet low in salt.
NICOTINELL MENTHE 1 mg tablets are available in 2 strengths (1 mg and 2 mg).
NICOTINELL MENTHE 1 mg, sucked tablet is recommended for smokers with low to moderately dependent nicotine. This medication is not recommended for smokers who are highly or highly dependent on nicotine.
NICOTINELL MENTHE 1 mg, sucked tablet can be used alone or in combination with NICOTINELL TTS, transdermal patch.
Adults over 18 years of age:
Treatment with NICOTINELL MENTHE 1 mg, tablet to suck.
The table below shows the dosage that is suitable for you:
If side effects occur with the use of 2 mg tablets, use 1 mg tablets.
Do not swallow the tablet.
· Suck one tablet until the taste becomes strong.
· Then place the tablet between the gum and cheek.
· Repeat sucking the tablet when the taste has faded
· Continue this process until the tablet is completely dissolved (about 30 minutes)
Frequency of Administration
Suck one tablet every time you feel the need to smoke. The initial dose should be 1 tablet every 1 to 2 hours. The usual dose is 8 to 12 tablets per day. If you still feel an urge to smoke, you can take an extra tablet. The maximum dose is 30 tablets per day (this applies both to complete cessation and to reduction in tobacco consumption).
NICOTINELL MENTHE 1 mg tablet should be used as a priority for the complete cessation of smoking.
Duration of treatment
Complete cessation of smoking
At the beginning and throughout the treatment, complete cessation of tobacco is necessary to increase your chances of success.
The duration of the treatment must be adapted individually. Normally, treatment should be continued for at least 3 months. After this time, gradually reduce the number of tablets; stop treatment when the dose is reduced to 1-2 tablets per day. It is generally not recommended to continue treatment beyond 6 months. However, some "ex-smokers" may require longer treatment to avoid relapse.
If you have difficulty in stopping this medication for more than 9 months, seek medical advice.
Advice and follow-up can increase your chances of success.
Reduction in tobacco consumption
NICOTINELL MENTHE 1 mg tablet should be used between 2 cigarettes in order to prolong the periods without smoking and with the intention of reducing as much as possible the consumption of cigarettes. Cigarettes should be replaced as needed by NICOTINELL MENTHE 1 mg, tablet to be sucked.
If after six weeks you have not been able to reduce the number of cigarettes smoked per day to at least half, it is recommended to seek advice from a health care professional.
You should try to stop smoking as soon as you feel ready, but no more than 4 months after the initiation of the treatment. After this period, the number of tablets should be reduced gradually, for example by stopping a tablet every 2-5 days. If after more than 6 months after initiation of treatment, the attempt to stop smoking has failed, it is recommended to seek advice from a health professional. Regular use of NICOTINELL MENTHE 1 mg, tablet to suck, after 6 months is not generally recommended. Some former smokers may require longer treatment to avoid resuming smoking.
Counseling can improve your chances of stopping.
Treatment with NICOTINELL 1 mg, sucking tablet in combination with NICOTINELL TTS, transdermal patch
Complete cessation of smoking
If your treatment has failed with NICOTINELL 1 mg, sucked tablet alone, you can use it in combination with NICOTINELL TTS transdermal patch.
Note: Read the package insert of NICOTINELL TTS, a transdermal patch before use.
In order to increase your chances of quitting smoking, you should stop smoking completely when you start taking these suction pills in combination with NICOTINELL TTS, a transdermal patch, for the duration of the treatment.
The use of NICOTINELL TTS, a transdermal patch with NICOTINELL 1 mg, is recommended for smokers with moderate to severe nicotine use, ie more than 20 cigarettes per day. It is strongly recommended to carry out this therapy in association under the advice and support of a health professional.
Combination therapy should be used only when smoking cessation is complete.
Initial treatment in combination:
Begin treatment with a 21 mg / 24-hour patch in combination with NICOTINELL 1 mg, sucked tablet. Use at least 4 tablets to suck (1 mg) per day. In most cases, 5 to 6 tablets per day are sufficient. Do not use more than 15 tablets to suck a day. In normal situations, treatment should last no more than 6 to 12 weeks. Subsequently, you should reduce the nicotine dose gradually.
Apply the patch on clean, dry, undamaged skin where hair is rare (trunk, upper arms, hips) and press the patch on the skin with your hands for 10 to 20 seconds.
In order to minimize the risk of local irritation, it is advisable to apply NICOTINELL TTS, a transdermal patch, on a different application site from the previous site.
It is advisable to wash your hands thoroughly after handling the transdermal devices to avoid irritation of the eyes by nicotine deposited on the fingers.
Reduction of the nicotine dose after the initial 6 to 12 weeks:
This can be done in 2 ways.
Option 1: Use of the patches at a lower dose, ie NICOTINELL TTS 14 mg / 24 hours, transdermal patch for 3 to 6 weeks followed by NICOTINELL TTS 7 mg / 24 hours, transdermal patch for another 3 to 6 weeks with the initial dose of NICOTINELL 1 mg, sucked tablet. Thereafter, the number of tablets should be reduced gradually. It is generally not recommended to use NICOTINELL 1mg, tablet to suck for more than 6 months. However, some ex-smokers may require treatment for longer periods of time to avoid smoking, but this should not be longer than 9 months.
Option 2: Discontinuous use of patches and progressive decrease in the number of tablets in 1 mg. It is generally not recommended to use NICOTINELL 1 mg tablet to suck for more than 6 months. However, some ex-smokers may require treatment for longer periods of time to avoid smoking, but should not exceed 9 months.
Tablet 1 mg
Initial treatment (followed by option 1 or 2 below)
First 6 to 12 weeks
1 stamp 21 mg / 24 hours
When necessary, 5 to 6 tablets per day are recommended
Reduction in Nicotine Dose - Option 1
First 3 to 6 weeks
1 stamp 14 mg / 24 hours
Continue to use tablets when necessary.
Next 3 to 6 weeks
1 stamp 7 mg / 24 hours
Continue to use tablets when necessary.
Up to 9 months in total
Reduce the number of tablets gradually.
Reduction of nicotine dose - option 2
Up to 9 months in total
Continue to reduce the number of tablets gradually.
If you continue to use the tablets to suck and the stamps after 9 months, it is advisable to consult a doctor or a pharmacist.
If you take more than NICOTINELL MENTHE 1 mg tablet to suck you should:
If you suck too many tablets you will feel the same signs as if you had smoked too much. These general signs of nicotine overdose are: general weakness, sweating, hypersalivation, throat irritation, nausea, vomiting, diarrhea, abdominal pain, hearing and vision disorders, headache, palpitations, shortness of breath and circulatory problems.
In this case, inform your pharmacist or doctor.
If you suspect poisoning in a child, contact a doctor or emergency department. Indeed, nicotine in small amounts is dangerous in children and can cause severe symptoms or death.
If you have any further questions on the use of this medication, ask your doctor or pharmacist.
Some side effects such as dizziness, headaches and insomnia may occur at the start of treatment and may be due to symptoms of withdrawal associated with smoking cessation or nicotine underdosing.
Common side effects (affecting 1 to 10 people out of 100)
· Headache, dizziness.
· Dry mouth, hiccups, digestive upset, nausea, flatulence, heartburn, hypersalivation, irritation of the mouth and throat may occur, especially if you suck too fast the tablets.
These signs can be diminished by sucking the tablet more slowly.
Uncommon side effects (affecting 1 to 10 people in 1000)
Uncommon side effects (affecting 1 to 10 people out of 10,000)
· Heart rhythm disorders and allergic reactions. These reactions can be in very rare cases. You should consult your doctor immediately if you experience any symptoms such as swelling of the face, mouth and / or pharynx and / or difficulty swallowing or if you have an urticaria associated with difficulty breathing (edema of Quincke).
Mouth ulcers can occur when smoking cessation, but their relationship to nicotine therapy is not established.
Declaration of side effects
If you experience any side effects, talk to your doctor, pharmacist or nurse. This applies to any side effects not mentioned in this leaflet. You can also report adverse reactions directly via the national reporting system: National Agency for the Safety of Medicines and Health Products (ANSM) and network of Regional Centers of Pharmacovigilance - Website: www.ansm.sante.fr
By reporting adverse reactions, you are helping to provide more information about the safety of the drug.
Keep out of the reach and sight of children.
Do not use after the expiry date stated on the carton after "EXP".
The expiry date refers to the last day of the month.
Store at a temperature not exceeding 25 ° C.
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.
What does NICOTINELL MENTHE 1 mg contain, sucked tablet?
The active substance is :
Nicotine ................................................. .................................................. ..................................... 1,000 mg
In the form of nicotine bitartrate dihydrate ........................................... ........................... 3,072 mg
For a tablet to suck.
The other components are :
Maltitol (E965), anhydrous sodium carbonate, sodium bicarbonate, 30% polyacrylate dispersion, xanthan gum, anhydrous colloidal silica, levomenthol, peppermint essential oil, aspartame (E951), magnesium stearate.
This medication does not contain sugar.
What is NICOTINELL MENTHE 1 mg, tablet to suck and contents of the pack?
NICOTINELL MENTHE 1 mg, sucked tablet is a white, mint-flavored, round and biconvex tablet.
NICOTINELL MINT, sucking tablet exists in two dosages (1 and 2 mg).
This medication is in the form of a tablet to be sucked in 12, 36, 72, 96, 144 or 204 tablets.
100 ROUTE OF VERSAILLES
78164 MARLY-LE-ROI CEDEX
100 ROUTE OF VERSAILLES
78164 MARLY-LE-ROI CEDEX
This medicinal product is authorized in the Member States of the European Economic Area under the following names:
[to be completed by the holder]
COUNCIL / 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 decrease 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 may 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 anticipate 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.
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 it be the most difficult for you 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
· 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 persistent lack of feeling like especially:
o compelling need to smoke,
o irritability, sleep disturbances,
o agitation or impatience,
o 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.
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.
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