• Regular strength
• Sugar free

Nicotinell Lozenge contains nicotine. When you suck the lozenge, the nicotine is slowly released and absorbed through the lining of the mouth.

This nicotine replacement alleviates some of the unpleasant withdrawal effects that frequently occur when giving up smoking, such as feeling ill or irritable.

Nicotinell Lozenge can also reduce your desire to smoke by providing some of the nicotine previously inhaled from cigarettes and therefore helps your willpower to resist cigarettes.

• Nicotinell 1mg Lozenge is for those smoking less than 20 cigarettes per day
• It can also be used by those smoking between 20 and 30 cigarettes per day depending on your preference.

If you smoke more than 30 cigarettes per day you should use Nicotinell 2mg lozenge

• Stop smoking completely when you star using Nicotinell Lozenge
• Coffee, juices and fizzy drinks may reduce the absorption of nicotine and should not be taken for 15 minutes before using a lozenge

Suck one lozenge when you feel the urge to smoke but initially try to use only 1 lozenge every 1 - 2 hours

Nicotinell Lozenge should not be sucked like ordinary lozenges. It is important to suck the lozenge correctly so follow the sucking instructions below and do not chew or swallow the lozenge.

Nicotinell sucking technique:

1. Suck one lozenge slowly until the taste becomes strong
2. Rest the lozenge between your gum and the cheek
3. Suck again when the taste has faded
4. Repeat the sucking routine for about 30 minutes

• Most people suck 8 -12 of the 1mg lozenge a day

Do not use more than 1 lozenge at a time and do not use more than 30 of the 1 mg lozenge a day

After about 3 months, you must gradually cut down the number of lozenges you suck each day. You should stop using when he dose has been reduced to 1- 2 lozenges a day

• You should not use the lozenges for longer than 6 months

Some ex-smokers may need longer to avoid returning to smoking. If you are still using the lozenge after 9 months you should talk to your doctor, nurse or pharmacist.

In the event of accidental overdose, or if a child has eaten any contact your doctor or nearest Hospital Casualty Department and show them the pack or leaflet if possible.

Nicotinell Lozenge is not suitable for children who may develop signs of nicotine overdose, including headache, sickness, stomach pains and diarrhoea.

Each Nicotinell Lozenge contains: nicotine 1 mg (as nicotine bitartrate 3.072mg).

Other ingredients are: maltitol (E965, 0.9g per lozenge. Calorific value 2.3kcal/g maltitol), sodium carbonate anhydrous, sodium hydrogen carbonate, polyacrylate dispersion, xanthan gum, colloidal anhydrous silica, levomenthol, peppermint oil, aspartame (E951, 0.01g per lozenge), magnesium stearate.

You should not use Nicotinell Lozenge if:

• You are a non smoker or occasional smoker
• You are sensitive to any of the ingredients
• You are under 18 years of age except on the advice of a doctor

Consult your doctor, nurse or pharmacist before starting to use Nicotinell Lozenge if:

• You have you any serious heart disease
• You have high blood pressure, angina, or circulatory problems
• You have had a stroke
• You have serious liver or kidney disease
• You have or have ever had a stomach ulcer
• You have persistent indigestion or severe sore throat or inflammation of the mouth
• You have an overactive thyroid gland
• You have a tumour of the adrenal gland (pheochromocytoma)
• You are on a low sodium diet - sodium content 9.8mg per lozenge

If you are diabetic: You should monitor your blood sugar levels more often than usual when starting to use Nicotinell Lozenge because you may find your insulin/medication requirements alter.

If you have fructose or phenylalanine intolerances: Aspartame contains a source of phenylalanine equivalent to 5mg/lozenge, which may be harmful to people with phenylketonuria.

If you are taking other medicines: The effect of some medicines can be altered when you stop smoking. If you are already taking regular medication, you should tell your doctor, nurse or pharmacist.

If you are pregnant : Pregnant women are advised to give up smoking without the use of nicotine products. If this is not successful then, within the first six months the lozenge can be used as the prospect of a non-smoking lifestyle is of benefit to the unborn child. After the first six months, nicotine has an effect on the unborn child and therefore the lozenge should only be used under medical supervision.

If you are breast feeding: Nicotine from smoking or from the lozenge passes into the breast milk. Only use whilst breast-feeding if your doctor advises you to. If it is recommended that you use the lozenge it should be used just after breast feeding and not during the two hours before breast-feeding to make sure the baby gets the smallest amount of nicotine possible.

Nicotinell Lozenge may cause side effects in some people: Most of the side effects occur within the first 3 - 4 weeks after you start using the lozenges.

Serious side effects rare but can include disturbances in the heart rhythm and allergic reactions. In some very rare cases these allergic reactions include selling inside the mouth or on the face or skin, difficulty in breathing and low blood pressure. If any of these effects occur stop using immediately and contact your doctor or nearest Hospital Casualty Department.

Less serious side effects are usually mild and may include palpitations, dizziness, headache and sleep disturbance. Some of these symptoms may also be withdrawal symptoms directly caused by giving up smoking.

Excessive consumption of Nicotinell Lozenge may cause nausea, faintness and headache in those who smoked but did not inhale.

Dryness of the mouth, hiccups, stomach trouble such as nausea, vomiting, flatulence, irritation of the mouth may occur. If you find these effects or any other effects occur, consult your doctor, nurse or pharmacist.

Nicotinell Lozenge may cause slight irritation of the throat and increased saliva production at the start of treatment. Excessive swallowing of saliva containing nicotine, may at first, cause hiccups, indigestion or heartburn. If you find any of these effect occur re-check that you are following the Nicotinell sucking technique correctly.

Gentler swallowing usually resolves these problems, however if symptoms persist, consult your doctor, nurse or pharmacist.

• Cold sores have also been reported but it is unclear whether this is due to the lozenge
• Maltitol may have a mild laxative effect in some users