nicotine (generic name)

ProStep (brand name)

The lozenges replace the nicotine found in cigarettes and help to decrease withdrawal effects
(NIK oh teen)
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What is this medicine?

NICOTINE (NIK oh teen) helps people stop smoking. The lozenges replace the nicotine found in cigarettes and help to decrease withdrawal effects. It is most effective when used in combination with a stop-smoking program.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
  • diabetes
  • heart disease, angina, irregular heartbeat or previous heart attack
  • lung disease, including asthma
  • overactive thyroid
  • pheochromocytoma
  • stomach problems or ulcers
  • an unusual or allergic reaction to nicotine, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding

How should I use this medicine?

Place the lozenge in the mouth. Suck on the lozenge until it is completely dissolved. Do not swallow the lozenge. Follow the directions carefully that come with the lozenge. Use exactly as directed. Do not use the lozenges more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

This does not apply.

What may interact with this medicine?

  • medicines for asthma
  • medicines for blood pressure
  • medicines for mental depression

What should I watch for while using this medicine?

Always carry the nicotine lozenges with you. Do not smoke, chew nicotine gum, 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.

Brush your teeth regularly to reduce mouth irritation.

What side effects may I notice from receiving this medicine?

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
  • breathing problems
  • changes in hearing
  • changes in vision
  • chest pain
  • cold sweats
  • confusion
  • fast, irregular heartbeat
  • feeling faint or lightheaded, falls
  • headache
  • increased saliva
  • nausea, vomiting
  • stomach pain
  • weakness

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • diarrhea
  • dry mouth
  • hiccups
  • irritability
  • nervousness or restlessness
  • trouble sleeping or vivid dreams

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from heat and light. Throw away unused medicine after the expiration date.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Last Updated: February 21, 2012
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