This medicine is a smoking deterrent used to help you stop smoking.
Follow the directions for using this medicine provided by your doctor. WHENEVER YOU HAVE THE URGE TO SMOKE, chew 1 piece of gum. Chew the gum slowly. Bite 1 or 2 times until the gum tingles, then park the gum between your cheek and gum. Wait until the tingle is gone, then repeat by chewing until the tingle returns and placing it between your cheek and gum. Continue to repeat the above instructions until you cannot feel the tingle anymore, which is usually when you have used the same piece of gum for about 30 minutes. DO NOT SWALLOW this medicine. DO NOT EAT OR DRINK for 15 minutes before and while chewing this medicine. CARRY THE GUM with you at all times. Continue using the gum until your urge to smoke fades or until 1 to 2 pieces of gum per day satisfies your craving. TO IMPROVE YOUR CHANCES OF QUITTING SMOKING, use at least 9 pieces of gum per day for the first 6 weeks unless your doctor tells you otherwise. STORE THIS MEDICINE at room temperature in the original blister, away from heat and light. Once removed from the blister, it should be used promptly. KEEP THIS MEDICINE out of the reach of children and away from pets. IF YOU MISS A DOSE OF THIS MEDICINE, use it as soon as you remember. Continue to use it as directed by your doctor or on the package label.
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking acetaminophen, adrenergic antagonists (eg, prazosin), asthma medicines (eg, theophylline), beta-blockers (eg, labetalol, propranolol), caffeine, insulin, oxazepam, pentazocine, adrenergic agonists (eg, isoproterenol, phenylephrine), or tricyclic antidepressants (eg, imipramine). Tell your doctor if you take medicine for depression or if you are using another medicine to stop smoking. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions, including chest pain (eg, angina), heart problems (eg, coronary artery disease, irregular heartbeat), high blood pressure, an overactive thyroid, an ulcer, a tumor on your adrenal gland (pheochromocytoma), diabetes, a jaw problem (temporomandibular joint disorder / TMJ), blood vessel problems (eg, Buerger disease, Raynaud phenomena), a history of heart attack, allergies, pregnancy, or breast-feeding. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have severe or worsening chest pain, a severely irregular heartbeat, or have had a recent heart attack. USE OF THIS MEDICINE IS NOT RECOMMENDED if you continue to smoke, chew tobacco, or use snuff or any other nicotine-containing products. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.
SIDE EFFECTS that may occur while using this medicine include abnormal dreams; diarrhea; difficulty sleeping; dry mouth; joint pain; muscle pain; nervousness; sweating; weakness. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience fast or irregular heartbeat; mouth, teeth, or jaw problems; pounding in the chest; severe diarrhea, dizziness, nausea, vomiting, or weakness. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; difficulty breathing; tightness in the chest; or swelling of the mouth, face, lips, or tongue. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include cold and clammy skin; confusion; diarrhea; difficulty breathing; dizziness; excessive saliva; fainting; headache; hearing and vision problems; nausea; rapid, weak, or irregular heartbeat; seizures; stomach pain; sweating; tremor; vomiting; weakness.
This medicine should be used as part of a larger program to help you stop smoking. If you need help choosing a program, talk with your healthcare provider. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. CHECK WITH YOUR PHARMACIST about how to dispose of unused medicine.