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Nicotrol 10mg Inhaler
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Indications & Clinical Uses
- Nicotrol (nicotine) Inhaler 10 mg cartridges, each delivering about 4 mg of nicotine, are a prescription-only nicotine replacement therapy used as an aid to smoking cessation in adults who want to quit smoking.
- Puffing on the mouthpiece releases a nicotine vapor absorbed through the lining of the mouth and throat, relieving cravings and nicotine withdrawal symptoms such as irritability, restlessness and difficulty concentrating.
- It is intended for short-term use as part of a structured quit-smoking programme that includes behavioural support and counselling, and is approved for adults only.
- Unlike some other nicotine replacement products sold over the counter, Nicotrol Inhaler requires a prescription in the United States.
- It is not intended for people who do not currently smoke.
Side Effects
- The most common Nicotrol Inhaler side effects are local irritation of the mouth and throat, reported by around 4 in 10 users, along with cough, a runny or stuffy nose, headache and indigestion - all more frequent than with placebo.
- These local effects are usually mild and tend to lessen with continued use.
- Because Nicotrol Inhaler delivers nicotine, it can cause the same effects as smoking, including a fast heartbeat, dizziness or nausea, especially if used incorrectly or combined with continued smoking.
- Seek urgent medical help for chest pain, irregular heartbeat, severe dizziness, or signs of an allergic reaction such as swelling or difficulty breathing.
- Nicotine is poisonous to children and pets even in used cartridges, so store and dispose of every cartridge safely and out of reach.
Precautions & Warnings
- Nicotrol Inhaler must not be used by anyone with a known allergy to nicotine or menthol, and you must stop smoking completely before starting it, since continuing to smoke while using nicotine replacement increases nicotine exposure.
- Use it with caution if you have heart disease, a recent heart attack, irregular heartbeat, high blood pressure, asthma or another bronchospastic airway disease, peptic ulcer disease, diabetes, or liver or kidney impairment, and discuss these conditions with your healthcare provider first.
- Nicotrol Inhaler is not recommended during pregnancy or labour, and caution is needed while breastfeeding because nicotine passes into breast milk.
- Treatment is generally limited to 12 weeks of regular use (6 to 16 cartridges daily), tapering afterward, and total use beyond 6 months is not recommended.
- Keep cartridges, used or unused, safely away from children and pets - accidental swallowing can be fatal.
Avoid Interactions
- Stopping smoking itself, whether or not you use Nicotrol Inhaler, changes how your body processes certain medicines, because tobacco smoke - not nicotine - induces liver enzymes; theophylline and tricyclic antidepressants such as imipramine, as well as propranolol and insulin, may need dose adjustment once you quit, so tell your healthcare provider you are stopping smoking.
- Using Nicotrol Inhaler together with other nicotine-containing products, including cigarettes, other nicotine replacement therapy, or e-cigarettes, can lead to excessive nicotine exposure and should be avoided unless a healthcare provider directs otherwise.
- Tell your healthcare provider and pharmacist about all prescription medicines, over-the-counter drugs and supplements you take before starting Nicotrol Inhaler, especially heart or asthma medicines.
References
Frequently Asked Questions
Nicotrol Inhaler (nicotine) is a prescription stop-smoking aid used to relieve nicotine withdrawal symptoms and cravings in adults quitting smoking. Puffing on the mouthpiece releases a nicotine vapor absorbed through the mouth and throat. It works best combined with a behavioural support or counselling programme.
Puff on the Nicotrol Inhaler mouthpiece for about 20 minutes whenever you feel a craving, using 6 to 16 cartridges a day for up to 12 weeks, then gradually reducing use. Each 10 mg cartridge delivers about 4 mg of nicotine. Do not use for longer than 6 months.
The most common Nicotrol Inhaler side effects are mouth and throat irritation (about 4 in 10 users), cough, a runny nose and headache. These are usually mild and ease with continued use. Get urgent help for chest pain, irregular heartbeat, severe dizziness, or signs of an allergic reaction.
Do not smoke while using Nicotrol Inhaler, and avoid combining it with other nicotine products such as patches, gum or e-cigarettes unless your healthcare provider says otherwise, since this can cause excessive nicotine exposure. Keep all cartridges, used or unused, away from children and pets.
Store Nicotrol Inhaler cartridges at room temperature, up to 25C (77F), and protect them from light. Keep every cartridge, even a used one, safely out of reach of children and pets, since swallowed nicotine can be fatal to a small child.
Nicotrol Inhaler is not recommended during pregnancy or labour, since nicotine can harm the developing baby; try behavioural support first and discuss this with your healthcare provider. Caution is also needed while breastfeeding, because nicotine passes into breast milk and may affect a nursing infant.
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