HEALTHY CHOICES -
NICOTINE LOLLIPOPS FAQ

What is the Nicotine Lollipop and how might it help me quit smoking?
The Nicotine Lollipop can help control cravings by delivering nicotine in a non-tobacco form. The nicotine is absorbed directly through the lining in the mouth, and continues working after you stop using the lollipop. The Nicotine Lollipop also offers the hand-to-mouth action that seems to be an important part of the smoking habit.

Does the Nicotine Lollipop work like the gum?
Like Nicorette® gum, the Nicotine Lollipop provides an alternative source of nicotine when you are quitting - without exposing the user to the harmful tars and carbon monoxide in cigarette smoke. But the actual usage is different. Each lollipop is meant to be sucked on and moved from side to side until it the craving for a cigarette subsides. With Nicorette®, the chewer uses a specific technique ("bite and park") instead.

How do nicotine replacement Quit Aids like the Nicotine Lollipop help me quit smoking?
Nicotine replacement therapies give your body lower levels of nicotine. When you start your smoke-free program, you’re already addicted to nicotine from cigarettes. The Nicotine Lollipop contains nicotine, so as you suck on it, small amounts of nicotine are released and absorbed through your mouth tissues. But because the Nicotine Lollipops don’t contain the tar or carbon monoxide found in cigarette smoke, you don’t run the same health risks as smoking. Then, as you begin to step down your usage, you gradually wean your body off nicotine until you use no nicotine at all.

Is the Nicotine Lollipop stronger than other stop-smoking Quit Aids, like the gum or patch?
Studies comparing the lozenge with the gum or patch haven’t been conducted, though each can be effective.

When you’re choosing among Nicorette®, NicoDerm® CQ® or a Nicotine Lollipop, the best thing you can do is think about your lifestyle and your habit. For instance, the patch is low-maintenance because you only have to apply it once a day, but the Nicotine Lollipop lets you have more control over your nicotine intake because you choose when to take it - and the lollipop gives you "something to do with your hands."

What does the the Nicotine Lollipop taste like?
Let’s be honest, the Nicotine Lollipop is medicine, not candy. But it does have a flavor. The lollipop also gives off a warming tingle as it starts to dissolve and begins releasing medicine.
 

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Where can I buy the Nicotine Lollipop?
You can buy Nicotine Lollipop from a compounding pharmacy.

Can people who chew tobacco or dip snuff use Nicotine Lollipop?
No. The Nicotine Lollipop is probably not a good choice for treating chewing tobacco or snuff dependence. Also, tobacco products of any kind should not be used in conjunction with Nicotine Lollipop.

Are there any side effects to taking the Nicotine Lollipop?
Nicotine Lollipop is not candy. If you consume it too fast or chew and swallow all or part of it, you may experience heartburn or indigestion. If you experience any side effects, you should discontinue use and consult your doctor.

The side effects seen in users are generally moderate and transient. The most common side effects are insomnia (reported in less than 5% of users), nausea, hiccups, coughing, heartburn, headache and flatulence.

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What happens if you accidentally break or bite the Nicotine Lollipop?
Nothing harmful happens if you accidentally break or bite the lollipop. You should continue allowing the bits to dissolve and avoid chewing it any further. Chewing and/or biting followed by swallowing the lozenge will decrease the uptake absorption of medicine and may reduce the effectiveness/overall efficacy of the lollipop - AND you will loose the hand-to-mouth benefit.

What happens if you accidentally swallow the Nicotine Lollipop? Does the liver deactivate the nicotine if the Nicotine Lollipop is swallowed whole?
The effect of swallowing the lollipop whole has not been studied. However, less nicotine may be absorbed than if the lollipop was allowed to dissolve normally, and some individuals may experience stomach disturbances, including nausea, hiccups and heartburn and/or other side effects.

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What do you mean by "minimize swallowing"?
The Nicotine Lollipop is designed so that as it dissolves, the nicotine is absorbed in the lining of your mouth. By minimizing swallowing as the lollipop dissolves, you can be assured that you are getting the proper dose. Swallowing saliva when there is a natural urge is expected and not harmful.

How long after my last cigarette can I begin using the Nicotine Lollipop?
We recommend choosing a start date for your quit attempt and beginning use of the Nicotine Lollipop first thing that day, before having any cigarettes. However, if you choose to wait and start your quit attempt later in the day, you should wait 30 minutes or longer after smoking your last cigarette before using your first Nicotine Lollipop.

After you stop using the lollipop, how long will it stay in your blood and urine?
Trace amounts of nicotine can be detected in blood and urine for several hours but should not be detectable in blood or urine after 48 hours. However, cotinine, which is a metabolite of nicotine, can be detected in blood or urine for up to 7-10 days.

I’m worried about gaining weight. Will the Nicotine Lollipop add calories?
Nicotine Lollipop is  sugar-free and the amount of calories is negligible. So, if you worry about gaining weight, try to be conscious about what you eat, choose healthy snacks to satisfy/occupy your mouth, and exercise regularly.

Is there gluten in the Nicotine Lollipop lozenges?
There is no gluten in Nicotine Lollipop.

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Can I use Nicotine Lollipop in combination with other stop-smoking aids like gum, or the patch?
No.

Is the Nicotine Lollipop safe for pregnant women?
Smoking can seriously harm a child. If you are pregnant or breast-feeding, you should consult your doctor before using any nicotine product, even the Nicotine Lollipop. Optimally, you should try and stop smoking without any form of nicotine replacement therapy. Risks to children from nicotine replacement aids are not known at this time.

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Can I get addicted to Nicotine Lollipop?
If you’re a smoker, you’re already addicted to nicotine before you start using the nicotine lozenge. Using the Nicotine Lollipop as directed and continuing to step down your use.

If you exceed the recommended dose of Nicotine Lollipop in a 24-hour period, symptoms of nicotine overdose may occur. Overdose symptoms include: nausea, vomiting, dizziness, diarrhea, weakness and rapid heartbeat. If any of these symptoms occur, stop use immediately and call your doctor.

Warnings:

If you are pregnant or breast-feeding, only use this medicine on the advice of your doctor. Smoking can seriously harm your child. Try to stop smoking without using any nicotine replacement medicine. The nicotine lollipop is probably safer than smoking. However, the risks to your child from this medicine are not fully known.

Talk to your doctor if you have heart disease, recent heart attack, or irregular heartbeat, high blood pressure not controlled with medication, stomach ulcer or diabetes.

Nicotine can increase your heart rate.

Nicotine can increase your blood pressure

Talk to your doctor if you are if you are using a non-nicotine stop-smoking drug or taking prescription medication for depression or asthma. Your prescription dose may need to be adjusted.

Stop using nicotine lollipops and talk to your doctor if
  any mouth problems occur,
  you get persistent indigestion
  you experience severe sore throat
  you have an irregular heartbeat or palpitations
  you get symptoms of nicotine overdose such as nausea, vomiting, dizziness, diarrhea, weakness and rapid heartbeat

Keep out of the reach of children and pets. Nicotine lollipops may have enough nicotine to make children and pets sick.

In case of overdose, get medical help or contact the Poison Control Center at 1-800-222-1222 immediately.

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