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NICOTINE (NIK oh teen) helps people stop smoking. This medicine replaces the nicotine found in cigarettes and helps to decrease withdrawal effects. It is most effective when used in combination with a stop-smoking program.
You should stop smoking completely before using this nasal spray. Follow the directions carefully. Use exactly as directed. Blow nose gently to clear nasal passages. Tilt head back slightly and administer the prescribed amount of nasal spray. Do not sniff, swallow, or inhale through the nose as the spray is being given.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
changes in hearing
changes in vision
fast, irregular heartbeat
feeling faint or lightheaded, falls
skin redness that lasts more than 4 days
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
nervousness or restlessness
trouble sleeping or vivid dreams
ergot alkaloids like dihydroergotamine, ergonovine, ergotamine, methylergonovine
medicines for asthma
medicines for blood pressure
medicines for depression
some other nasal sprays like oxymetazoline
If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.
Keep out of the reach of children.
Store at room temperature below 30 degrees C (86 degrees F). Protect from heat. Throw away unused medicine after the expiration date. When the bottle is empty, put the cap back on and throw away in a place out of the reach of children and pets.
They need to know if you have any of these conditions:
chronic nasal problems, like allergies or sinusitis
heart disease, angina, irregular heartbeat or previous heart attack
high blood pressure
lung or breathing disease, like asthma
seizures or history of seizures
stomach problems or ulcers
an unusual or allergic reaction to nicotine, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
Do not smoke, chew nicotine gum, use other forms of nicotine, or use snuff while you are using this medicine. This reduces the chance of a nicotine overdose.
If you are a diabetic and you quit smoking, the effects of insulin may be increased and you may need to reduce your insulin dose. Check with your doctor or health care professional about how you should adjust your insulin dose.