Utilizing Nicotine Gum: Guidelines on Use, Dosage, and Safety Measures
Nicotine gum is a popular nicotine replacement therapy (NRT) used to help people quit smoking. It comes in two strengths: 2 milligrams (mg) and 4 mg. The recommended dosage depends on how much tobacco a person typically uses each day and whether they smoke within 30 minutes of waking in the morning.
For those who smoke their first cigarette within 30 minutes of waking, the recommended starting dose is the 4 mg gum. Over time, they can lower the dose. Those who smoke their first cigarette more than 30 minutes after waking up should start with the 2 mg gum.
The recommended steps for using nicotine gum for smoking cessation are as follows:
- Determine your nicotine gum strength based on your smoking habits.
- Follow a 12-week dosing schedule:
- Weeks 1 to 6: Chew 1 piece every 1 to 2 hours.
- Weeks 7 to 9: Chew 1 piece every 2 to 4 hours.
- Weeks 10 to 12: Chew 1 piece every 4 to 8 hours.
The maximum daily dose is 24 pieces of gum. It's important to note that proper chewing technique is crucial for optimal absorption. Chew the gum slowly until you feel a tingling sensation, then "park" it between your cheek and gums to allow nicotine absorption. When the tingling fades, chew again until the tingling returns. Repeat this cycle for about 30 minutes until the tingle mostly disappears.
To improve quitting success, use at least 9 pieces per day during the first 6 weeks. If cravings are strong or frequent, you may use a second piece within the hour, but avoid continuous chewing of one piece after another.
Nicotine gum does not link with an increased risk of cardiac events. However, it may lead to interactions with certain medications, such as reduced effectiveness of benzodiazepines, increased blood clot risk from birth control pills, and increased chance of opioid addiction. Therefore, anyone taking medication should check with a doctor before trying nicotine gum.
Nicotine gum is not recommended for people under the age of 18, pregnant women, or nursing mothers. It should be stored in a safe location, and after use, it should be immediately wrapped in paper and discarded in the trash.
Using nicotine gum can lead to side effects, including mouth or jaw discomfort, stomach upset, excess saliva, hiccups, nausea, vomiting, lightheadedness, throat and mouth irritation, and possible adverse effects in children and pets. However, it's worth noting that NRT increases the chance of smoking cessation success by an estimated 50-80%.
Sources: [1] Drugs.com [2] Nicorette's official instructions [4] Combining nicotine gum with other nicotine replacement therapies may be recommended to manage cravings more effectively.
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