Here is a complete overview of Nicotine 4 mg (Oral Dosage Forms) — continuing in the same no-brand, medical-standard format:
💊 Nicotine 4 mg (Oral Dosage Forms)
(Typically in the form of gum, lozenges, or oral dissolvable films)
✅ DESCRIPTION
Nicotine 4 mg oral forms are used in Nicotine Replacement Therapy (NRT) for individuals who are heavily dependent on nicotine, usually those who smoke more than 20 cigarettes per day. It provides controlled nicotine doses to reduce withdrawal symptoms during smoking cessation.
🧪 FORMULATION
- Each unit contains 4 mg of nicotine, often as nicotine polacrilex
- Common forms:
- Chewing gum
- Lozenges
- Oral dissolving strips or mini-tablets
🌿 NATURE
- Class: Smoking cessation aid
- Mechanism: Activates nicotinic acetylcholine receptors → reduces withdrawal symptoms and cigarette cravings
- Type: Central and peripheral stimulant (partial agonist)
📌 USES
- Support in quitting smoking or tobacco withdrawal
- Reduces intensity of nicotine cravings and anxiety
- Typically advised when lighter doses (2 mg) are insufficient
🌟 ADVANTAGES
- Higher dose suitable for heavy smokers
- Avoids harmful components of tobacco smoke
- Available in discreet, convenient forms
- Helps in step-wise nicotine tapering plan
⚠️ PRECAUTIONS
Common Side Effects:
- Mouth/throat irritation
- Nausea, heartburn
- Hiccups, jaw discomfort (gum)
- Dizziness, insomnia, headache
Cautions:
- Cardiac conditions: recent MI, angina, arrhythmias
- Avoid simultaneous intake of acidic food/drinks before and after use
- Not recommended for non-smokers or intermittent smokers
❌ CONTRAINDICATIONS
- Allergy to nicotine or formulation components
- Children and adolescents (unless specifically prescribed)
- Pregnant or breastfeeding women without medical guidance
⚕️ DIRECTIONS FOR USE
For Nicotine Gum:
- Chew until a peppery taste emerges
- Park between cheek and gum
- Chew again after the taste fades; repeat for 30 minutes
- Do not exceed 24 gums/day
For Lozenges:
- Place in mouth; allow to dissolve slowly over 20–30 minutes
- Occasionally move side to side
- Do not chew or swallow
🕒 DOSAGE SCHEDULE
- For high-dependence users (>20 cigarettes/day):
- 1 gum or lozenge every 1–2 hours
- Maximum: 20 lozenges/day or 24 gums/day
- Reduce frequency gradually over 12 weeks
🤝 INTERACTIONS
- Stopping smoking can increase levels of:
- Theophylline
- Caffeine
- Clozapine
- Some antidepressants and beta-blockers
- Monitor drug levels closely during cessation
🧊 STORAGE
- Store at 15–30°C, away from heat and moisture
- Keep in original packaging until use
- Keep away from children and pets