Brand name:

Nicotrol

Why is Nicotrol Inhaler prescribed?

A quit-smoking aid, the Nicotrol Inhaler provides a substitute source of nicotine when you first give up cigarettes. A sudden decline in nicotine levels can cause such withdrawal symptoms as nervousness, restlessness, irritability, anxiety, depression, dizziness, drowsiness, concentration problems, sleep disturbances, increased appetite, weight gain, headache, constipation, fatigue, muscle aches, and a craving for tobacco. Nicotrol Inhaler prevents these symptoms and, through a familiar hand-to-mouth ritual, acts as a replacement for cigarettes. (Most of the nicotine in the product is, however, deposited in the mouth instead of the lungs.)

Most important fact about Nicotrol Inhaler

To get the most from this system, you must be genuinely committed to quitting, and should give up smoking completely before you begin using the inhaler. It should be employed as part of an overall stop-smoking program that includes behavior modification, counseling, and support. The goal is to become a total non-smoker. If you find that you are still smoking after 4 weeks with the inhaler, you should probably stop treatment and try again when you are really ready to quit.

How should you take Nicotrol Inhaler?

Each Nicotrol Inhaler package includes a mouthpiece and 42 cartridges of nicotine. Treatment takes place in two stages. During the first stage (up to 12 weeks) you should use as many Nicotrol cartridges as needed (at least 6, but no more than 16 daily) to quell the craving for cigarettes. During the second stage (6 to 12 weeks) you should gradually reduce your daily consumption until you are nicotine-free.

For best effect, puff frequently on each cartridge for about 20 minutes. Remember to clean the mouthpiece regularly with soap and water.

--If you miss a dose...

Use the inhaler no more than needed to control the urge to smoke.

--Storage instructions...

Store at room temperature away from light. Keep the mouthpiece in its plastic storage case.

Nicotrol Inhaler side effects

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue using the Nicotrol Inhaler.

• Side effects may include:
  Acid indigestion, allergies, back pain, coughing, diarrhea, fever, flu-like symptoms, gas, headache, hiccups, jaw and neck pain, mouth and throat irritation, nasal inflammation, nausea, pain, sinus inflammation, taste disturbances, tingling skin sensation, tooth disorders

Why should Nicotrol Inhaler not be prescribed?

Nicotrol Inhaler should not be used by anyone allergic to nicotine or menthol.

Special warnings about Nicotrol Inhaler

Nicotine from any source can be toxic and addictive, and you can become dependent on the Nicotrol Inhaler. To minimize this risk, it's important to gradually cut back on use of the inhaler after the first 3 months. Its use for more than 6 months is not recommended.

Do not smoke while using the inhaler. The added nicotine will increase your risk of developing nicotine toxicity.

Nicotrol Inhaler may not be your best quit-smoking option if you have angina, heartbeat irregularities, Raynaud's phenomenon (periodic loss of circulation in the fingers), Buerger's disease (a dangerous decline in circulation in the hands and feet) or a history of heart attack. If you develop an irregular heartbeat or palpitations, stop using the product and call your doctor immediately.

Nicotrol Inhaler should also be used with caution if you have a respiratory disease, an overactive thyroid, pheochromocytoma (adrenal tumors), insulin-dependent diabetes, an ulcer, severe high blood pressure, or advanced kidney disease.

The nicotine in Nicotrol cartridges can be fatal if inhaled or swallowed by children or pets. Keep used and unused cartridges in a safe place.

Possible food and drug interactions when taking Nicotrol Inhaler

If you have been taking certain medications regularly, their effects may increase, decrease, or change when you stop smoking. It is especially important to check with your doctor if you have been taking the following drugs:

Antidepressants such as Anafranil
Elavil
Norpramin
Pamelor
Sinequan, and Tofranil
Theophylline (Theo-Dur, Theo-24, Slo-bid)

Special information if you are pregnant or breastfeeding

Cigarette smoking during pregnancy is associated with low birth weight, an increased risk of stillbirth, and a greater chance of miscarriage, so it's extremely important to quit. The Nicotrol Inhaler system may be less harmful than cigarettes, since it does not contain the hydrogen cyanide and carbon monoxide present in cigarette smoke. Nevertheless, nicotine alone can cause fetal harm in lab animals, and your best course is to avoid nicotine in any form. Quitting with the aid of a nicotine-replacement system such as Nicotrol Inhaler should be considered only if all other quit-smoking strategies fail. Discuss the problem thoroughly with your doctor.

Nicotine passes into breast milk and ideally should not be taken in any form during breastfeeding. However, use of the Nicotrol Inhaler system could be preferable to smoking, since it may reduce the level of nicotine in your system. If you are breastfeeding, discuss with your doctor the relative pros and cons of quitting with the Nicotrol Inhaler.

Recommended dosage for Nicotrol Inhaler

ADULTS

Overdosage

Excessive doses of nicotine can cause severe symptoms, and may even be fatal. If you suspect an overdose, seek medical attention immediately.

• Symptoms of nicotine overdose may include:
  Abdominal pain, breathing abnormalities, cold sweat, confusion, diarrhea, dizziness, exhaustion, headaches, hearing difficulties, increased salivation, low blood pressure, nausea, pallor, tremor, vision problems, vomiting, weakness

Why is Nicotrol NS prescribed?

Nicotrol NS is used to relieve withdrawal symptoms in people who are attempting to give up smoking. It should be used as part of a comprehensive smoking cessation program.

Most important fact about Nicotrol NS

If you continue to smoke and take Nicotrol NS at the same time, you may experience side effects due to high nicotine levels in your body.

How should you take Nicotrol NS?

You should stop smoking completely before you begin using Nicotrol NS. Tilt your head back slightly when administering the spray and be careful not to sniff, swallow, or inhale through the nose.

The amount of Nicotrol NS you require depends on your individual needs. One dose is made up of 1 spray in each nostril. The recommended starting regimen is 1 or 2 doses per hour. This may be increased to a maximum of 40 doses (80 sprays) per day if you've been a heavy smoker. Take at least 8 doses (16 sprays) per day; anything less is unlikely to be effective.

--If you miss a dose...

Take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Never take 2 doses at the same time.

--Storage instructions...

Store at room temperature, away from children and pets.

Nicotrol NS side effects

Problems experienced by people using Nicotrol NS include nicotine withdrawal symptoms, common complaints of smokers, and local effects of the spray. Most people report some nasal irritation, which usually diminishes with continued use of the product. Other side effects are unpredictable. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Nicotrol NS.

• Side effects may include:
  Abdominal pain, acne, back pain, confusion, cough, dental problems, difficulty breathing, gas, gum problems, headache, itching, joint pain, menstrual pain or disorders, muscle aches, nasal irritation, nausea, palpitations, runny nose, sneezing, throat irritation, watering eyes

• Rare side effects may include:
  Abnormal vision, allergy, amnesia, asthma, bronchitis, bruises, burning of the nose or eyes, change in sense of smell, diarrhea, dry mouth, earache, eye irritation, facial flushing, hiccups, hoarseness, inability to comprehend words, increased sputum, migraine, nasal congestion, nasal ulcer or blister, nosebleeds, numbness, numbness of the nose or mouth, pain, rash, sinus irritation, sore throat, swelling due to fluid retention, taste alteration

Why should Nicotrol NS not be prescribed?

Do not use Nicotrol NS if you are allergic to nicotine or if you have ever had a hypersensitivity reaction to it.

Special warnings about Nicotrol NS

Stop smoking completely when you start using Nicotrol NS. The extra nicotine it delivers could lead to a toxic overdose. If you're still smoking after 4 weeks of Nicotrol NS therapy, check with your doctor. You should probably stop using the product.

It is possible to become dependent on Nicotrol NS. The product is less addictive than cigarettes, but nearly a third of the people using it report some feelings of dependence, and 15 to 20 percent use the product for longer than the recommended period. Remember, though, that Nicotrol NS has not been studied for more than 6 months and long-term use is not recommended.

Use Nicotrol NS with caution if you have a heart condition or a circulation problem. Avoid it completely if you're recovering from a heart attack or have severe angina or serious heartbeat irregularities.

Nicotrol NS is not recommended for people with asthma. It can make the condition worse. You should also avoid Nicotrol NS if you have a chronic nasal disorder such as allergy, nasal polyps, nasal inflammation, or sinusitis. Use Nicotrol NS with caution if you have a glandular problem such as hyperthyroidism, pheochromocytoma, or insulin-dependent diabetes. Nicotine affects the glands. Caution is also warranted if you have an ulcer. Nicotine delays healing of ulcers.

Use Nicotrol NS cautiously, too, if you have serious high blood pressure. The product can make this condition worse.

Possible food and drug interactions when taking Nicotrol NS

When you quit smoking, the dosage of certain drugs may have to be changed. It is especially important to check with your doctor if you are taking one of the following:

Acetaminophen-containing products such as Tylenol
Drugs classified as beta blockers, such as Inderal, Sectral, and Tenormin
Caffeine-containing products such as No Doz
Certain airway-opening products such as Isuprel, Afrin, and Neo-Synephrine
Imipramine (Tofranil)
Insulin
Labetalol (Normodyne, Trandate)
Oxazepam (Serax)
Pentazocine (Talwin)
Prazosin (Minipress)
Theophylline (Theo-Dur)

Special information if you are pregnant or breastfeeding

Nicotine from any source can harm a developing baby. If you're pregnant, it's best to quit without a nicotine replacement product. Use Nicotrol NS only if you think it will speed the moment that you're nicotine free.

Nicotine makes its way into breast milk. A nursing infant may be exposed to less nicotine from Nicotrol NS than from cigarette smoking, but the best course is to avoid nicotine entirely.

Recommended dosage for Nicotrol NS

ADULTS

Overdosage

Nicotine can be especially toxic to children and pets. Even the residual nicotine in a used container of Nicotrol NS can be harmful. Keep all bottles of Nicotrol NS, used and unused, out of the reach of children.

If a bottle of Nicotrol NS breaks, the spill should be cleaned up immediately with an absorbent cloth or paper towel. Avoid contact with the skin. The area of the spill should be washed several times. If even a small amount of Nicotrol NS comes in contact with the skin, lips, mouth, eyes, or ears, rinse the affected area with water. Keep pets and children away from the area of the spill.

• Symptoms of Nicotrol NS overdose may include:
  Abdominal pain, cold sweats, convulsions, diarreha, disturbed hearing and vision, dizziness, headache, heart failure, nausea, pallor, prostration, hypotension, respiratory failure, salivation, tremor, mental confusion, vomiting, weakness

If you suspect an overdose, seek medical attention immediately.