Nicorette 4Mg Freshmint 30S

Overview & Mechanism of Action

• Nicorette 4mg Freshmint (30-piece pack) delivers therapeutic nicotine via transmucosal absorption to treat tobacco dependence without exposing the lungs to carcinogenic tars or carbon monoxide:
• Transmucosal Nicotine Absorption: Releases nicotine polacrilex slowly into the oral cavity as it is chewed, allowing rapid absorption across the buccal mucosa directly into systemic circulation to blunt craving spikes.
• Central Neuroreceptor Stimulation: Binds selectively to nicotinic acetylcholine receptors ($\text{nAChRs}$) in the central nervous system, reducing irritability, anxiety, restlessness, and difficulty concentrating during acute smoking withdrawal.
• Behavioral Fixation & Masticatory Control: Provides oral tactile stimulation and physical chewing action, helping to substitute for the hand-to-mouth behavioral routines associated with smoking habits.

Clinical Indications & Uses

• Nicorette 4mg Freshmint 30s is indicated for:
• Smoking cessation support for heavy smokers (individuals who smoke their first cigarette within 30 minutes of waking or smoke more than 20 cigarettes daily)
• Relief of sudden nicotine cravings during abrupt quitting or structured smoke-reduction regimens
• Temporary abstinence management in smoke-free environments (e.g., long-haul travel, healthcare facilities, workplaces)

Usage Guidance & Safety Precautions

Administration (Chew and Park Technique):

• Chew 1 piece slowly until a distinct nicotine taste or mild tingling sensation occurs (approx. 10–15 chews). Park the gum between the cheek and gums to allow mucosal absorption. Resume chewing when the sensation fades, repeating the cycle for roughly 30 minutes.

Recommended Dosage:

• Adult Heavy Smokers: Chew 1 piece every 1 to 2 hours as cravings arise during weeks 1 to 6 (maximum 15 pieces per day). Taper dosage gradually over weeks 7 to 12 as directed in the cessation schedule.

Precautions & Warnings:

• For oral buccal use only; do not swallow whole. Avoid eating or drinking acidic beverages (such as coffee, fruit juice, or carbonated soda) 15 minutes before or during chewing, as low oral pH severely impairs nicotine mucosal absorption. Contraindicated in non-smokers, children, or patients within $2\text{ weeks}$ post-myocardial infarction, unstable angina, or severe cardiac arrhythmias. Use caution in uncontrolled hypertension, active peptic ulcer disease, hyperthyroidism, or severe temporomandibular joint (TMJ) disorders. Store below $25^\circ\text{C}$ in a cool, dry place. Keep out of reach of children.