Nicorette Dosage/Direction for Use

How much and how often should the patient use this medicine: Each piece of Nicotine (Nicorette) medicated chewing gum should be chewed slowly for approximately 30 minutes, with pauses. The gum should be chewed until a strong taste or mild burning sensation is experienced, then rested between the cheek and gums until the taste and/or sensation have disappeared, then chew again slowly and repeat.
Adults: The initial dosage should be individualized on the basis of the smoker's nicotine dependence. The 4 mg medicated chewing gum is recommended for smokers who are highly dependent (for example smoking 20 cigarettes or more per day or smoking the first cigarette in the morning 30 minutes or less after waking up). Other smokers should begin treatment with the 2 mg dosage strength.
Combination therapy: Highly dependent smokers, smokers who experience 'breakthrough' cravings or those who have failed with single Nicotine Replacement Therapy (NRT) treatment, can use a flexible smoking cessation format, in combination with the patch for fast relief of cravings. (See Table 1.)

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To help stay smoke free after treatment, some smokers may need to use the medicated chewing gum in situations when they are strongly tempted to smoke.
Nicotine replacement therapy should be used when cigarettes normally would have been smoked or if cravings emerge.
Sufficient medicated chewing gum should be used each day. In order to maximize the chances of success it is important not to under dose. The dosage should be individualized on the basis of the smoker's nicotine dependence. (See Table 2.)

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What should the patient do if they miss a dose: Continue medication based on dosage and/or consult the doctor.