Nicotrol NS

Generic Name: Nicotine nasal spray

  • What is Nicotrol NS?

    Nicotrol helps you quit smoking by providing low levels of nicotine, which may help you to quit by lessening physical signs of withdrawal symptoms.
  • What is the most important information I should know about Nicotrol NS?

    It is possible to become dependent to Nicotrol . 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% of patients use the product for longer than the recommended period. Nicotrol has not been studied for more than 6 months. Long-term use is not recommended.

    For Nicotrol work effectively, you must be firmly committed to quitting smoking. Stop smoking as soon as you start using Nicotrol . Do not smoke or use any other tobacco product at any time while under treatment with Nicotrol ; nicotine overdose can occur. (Symptoms include: bad headaches, dizziness, upset stomach, drooling, vomiting, diarrhea, cold sweat, blurred vision, hearing difficulties, mental confusion, weakness, and fainting.) If you experience any symptoms of nicotine overdose, call your doctor.

    Nicotrol may cause dizziness, lightheadedness, or blurred vision. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Nicotrol . Using Nicotrol alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.

    Before you have any medical or dental treatments, emergency care, or surgery, tell your healthcare provider that you are using Nicotrol .

    Be careful while opening and closing the container of medicine. The container may break if it is dropped. If this happens, clean the spill up immediately with an absorbent cloth or paper towel. Avoid contact with the skin. Pick up broken glass carefully, using a broom. Wash the area several times. The absorbent material may be thrown away as household waste. If even a small amount of Nicotrol contacts your skin, lips, eyes, ears, or the affected area, immediately rinse the area with water only.

    Nicotrol may affect your blood sugar. Check blood sugar levels closely and ask your doctor before adjusting the dose of your diabetes medicine.

    Do not suddenly stop taking Nicotrol without your doctor's approval. Stopping Nicotrol suddenly may cause serious withdrawal symptoms including: anxiety, craving, impaired concentration, increased appetite, irritability, nervousness, sleep disturbances, and weight gain. If you experience any of these symptoms, contact your doctor.

  • Who should not take Nicotrol NS?

    Do not use Nicotrol NS Spray if you have had a recent heart attack, you have severe chest pain or a severely irregular heartbeat, you continue to smoke, chew tobacco, use snuff or any other nicotine containing products (nicotine overdose may occur); or if you are allergic to any ingredient in Nicotrol NS Spray,

    Contact your doctor or health care provider right away if any of these apply to you.

  • What should I tell my doctor before I take the first dose of Nicotrol NS?

    Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Nicotrol . Also, talk to your doctor about your complete medical history, especially if you have blood vessel problems; chronic nasal problems such as nasal allergies, inflammation, sinusitis, or nasal polyps (growths); diabetes requiring insulin; drug allergies; heart problems (recent heart attack, irregular heartbeat, severe or worsening heart pain); high blood pressure; kidney or liver disease; overactive thyroid; stomach ulcers; or wheezing or asthma.
  • What is the usual dosage?

    The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

    Adults: The usual starting dose is 1 spray in each nostril (a total of 2 sprays). One or 2 doses per hour is recommended. Take no more than 5 doses per hour or 40 doses per day. During the treatment period, a minimum of 8 doses per day is usually needed for the drug to be effective.

    The dose of Nicotrol should be individualized on the basis of your nicotine dependence and the occurrence of symptoms associated with nicotine excess. The success or failure of smoking cessation is influenced by the quality, intensity and frequency of supportive care. You are more likely to quit smoking if you frequently participate in formal smoking cessation programs. The goal of Nicotrol therapy is complete abstinence from smoking. If you are unable to stop smoking by the fourth week of therapy, treatment should probably be discontinued.

    Recommended strategies for discontinuation of Nicotrol NS include: use only 1/2 a dose (1 spray) at a time, use the spray less frequently, keep a tally of daily usage, try to meet a steadily reducing usage target, skip a dose by not medicating every hour, or set a planned "quit date" for stopping use of the spray.

  • How should I take Nicotrol NS?

    Nicotrol NS Spray comes with an additional patient leaflet. Read it carefully and reread it each time you get Nicotrol refilled.

    Avoid contact with skin, eyes, and mouth. If the bottle breaks, wear rubber gloves, wipe up with paper towel and wash surfaces thoroughly. Do not let nicotine come in contact with your skin, mouth, or eyes. If it does, rinse with plain water immediately. Nicotine overdose can occur when nicotine is absorbed through the skin. If symptoms of overdose occur call your doctor.

    Use as directed by your doctor. However, do not use more than 5 times an hour or 40 times in 24 hours. Stop smoking completely during Nicotrol treatment program.

    To use Nicotrol, press in circles on the sides of the bottle and pull off the cap. Prime the pump before the first use. Get a tissue or paper towel. Hold the bottle so that your thumb is under the flat part (bottom) of the bottle and your index finger is at the base of the nozzle. (Do not touch the nozzle of the spray.) While holding the bottle, use your thumb to press up from the bottom of the bottle. Pump into at tissue until you see a fine spray (6 to 8 times). Throw the tissue away.

    Blow nose if it is not clear. Tilt head back slightly. Insert tip of bottle into nostril as far as is comfortable. Breathe through mouth. Spray once in each nostril. Do not sniff or inhale while spraying. If nose runs, gently sniff to keep the medicine in nose. Wait 2 or 3 minutes before blowing nose.

    Place cap back on bottle after use. If you don't use the Nasal Spray for 24 hours, prime the pump into a tissue 1 or 2 times.

  • What should I avoid while taking Nicotrol NS?

    Do not sniff, swallow, or inhale through the nose while the spray is being used. Avoid contact with skin, eyes, and mouth. Avoid excessive priming.

    Do not use more than 1 spray in each nostril for a dose without checking with your doctor.

    Do not smoke or use any other tobacco product at any time while under treatment with Nicotrol because nicotine overdose can occur.

    Do not stop taking Nicotrol without speaking to your doctor first; withdrawal symptoms may occur.

    Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Nicotrol . Nicotrol may cause dizziness, lightheadedness, or blurred vision.

  • What are possible food and drug interactions associated with Nicotrol NS?

    If Nicotrol is used with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Nicotrol with the following: airway-opening products such as Isuprel, Afrin, and Neo-Synephrine; acetaminophen-containing products; caffeine-containing products such as No-Doz; heart medications known as beta blockers; imipramine; insulin; labetalol; oxazepam; pentazocine; prazosin; theophylline; and tricyclic antidepressants such as amitriptyline.
  • What are the possible side effects of Nicotrol NS?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Side effects may include: acne; back pain; burning or irritation of the mouth, nose, or eyes; changes in taste and smell; constipation; cough; earache; flushing of the face; gas; headache; hoarseness; indigestion; irritability; joint pain; mouth sores; nasal ulcers or blisters; nausea; nose bleed; numbness of the mouth; painful menstruation; runny nose; sinus irritation; sneezing; sore throat; stuffy nose; tingling; tooth disorder; watery eyes

    Serious side effects may include: Severe allergic reactions (rash, hives, difficulty breathing, tightness in the chest, swelling of the mouth, face, lips, or tongue); fast or irregular heartbeat; lightheadedness; memory loss; severe dizziness or headache; shortness of breath; tightness in the chest; tremor. Seek medical attention right away if any of these occur.

    Symptoms of nicotine overdose include: bad headaches, dizziness, upset stomach, drooling, vomiting, diarrhea, cold sweat, blurred vision, hearing difficulties, mental confusion, weakness, and fainting. Call your doctor if these occur.

    Serious withdrawal symptoms include: anxiety, craving, impaired concentration, increased appetite, irritability, nervousness, sleep disturbances, and weight gain. Call your doctor if these occur.

  • Can I receive Nicotrol NS if I am 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.

    Nicotine is found in breast milk. A nursing infant may be exposed to less nicotine from Nicotrol than from cigarette smoking, but the best course is to avoid nicotine entirely.

  • What should I do if I miss a dose of Nicotrol NS?

    If you miss a dose of this medicine, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.
  • How should I store Nicotrol NS?

    Store at room temperature away from heat, moisture, and light. Do not store in the bathroom.