Many people use nicotine chewing gum to stop smoking. It not only provides a source of nicotine to reduce withdrawal symptoms, but also provides the psychological benefit of acting as a substitute oral activity. Although nicotine gums are commonly available over the counter at drugstores or supermarkets, individuals should talk to a doctor or pharmacist if they have any questions about taking the product.
Use
Most smokers begin treatment by using the 2 mg gum, but people who typically smoke more than 25 cigarettes a day may start by using the 4 mg gum instead. Those taking the 2 mg gum should not chew more than 24 pieces a day unless a doctor gives permission to chew more. Those taking the 4 mg gum should never chew more than 24 pieces a day. People may choose to chew one piece of gum every one to two hours, or only chew a piece when they feel the urge to smoke. After a couple months, gradually begin reducing the amount of gum used until the gum is no longer necessary.
Effectiveness
Nicotine replacement therapies, like the nicotine gum, have proven to be effective in helping people stop smoking. The National Cancer Institute notes that nicotine gum has approximately the same effectiveness as other nicotine replacement products, including the nicotine patch and the nicotine lozenges. However, the American Heart Association notes that behavioral change and support are also essential to increase the likelihood of smoking cessation success.
Instructions
Do not eat or drink for approximately 15 minutes before using nicotine gum. Chew the gum slowly until there is a slight tingling in the mouth, then stop chewing and hold the gum between the cheek and gum for approximately one minute. When the tingling stops, start chewing again and repeat the process continuously for approximately 30 minutes.
Side Effects
Some individuals who use nicotine gum experience side effects, including mouth ulcers, jaw muscle aches, dizziness, headaches, or nausea. If these side effects are severe or persistent, call a doctor. Serious side effects of the nicotine gum include seizures, heart rhythm disturbances and difficult breathing. Those experiencing any serious side effects should obtain prompt medical attention.
Considerations
People who regularly take acetaminophen, caffeine, diuretics, imipramine, insulin, oxazepam, propoxyphene, pentazocine, propranolol, theophylline, high blood pressure medications, tricyclic antidepressants, asthma medicines, or vitamins should discuss possible drug interactions with a doctor before using nicotine gum. Those with a history of heart problems, high blood pressure, ulcers, overactive thyroid, pheochromocytoma or a dental disorder should also talk to a doctor about the medical condition before using these products.
Warning
Smokers should not use nicotine gum for longer than six months without talking to a doctor. People using the gum should never chew more than one piece at a time, chew the gum too quickly, swallow the gum, or chew one piece too soon after another. Pregnant women should seek alternative smoking cessation methods as the use of nicotine gum may harm the unborn baby. Smoking cigarettes or using other nicotine replacement products while using nicotine gum can result in a nicotine overdose.
