Give instructions for a male patient aged 30years who has been prescribed nicotine
chewing gum for smoking cessation/quitting
1 It is appreciable that you have resolved to stop smoking.
2 I am prescribing this nicotine gum at the dose of 2 mg to reduce the desire/craving for
smoking. It works by providing low amounts of nicotine to your body to decrease the
withdrawal symptoms and helps to reduce the urge to smoke.
3 It should be chewed and not to be swallowed. Chew one piece of gum (2 mg) every 1 to 2
hours for the first 6 weeks, followed by one piece every 2 to 4 hours for the next 3 weeks
and then one piece every 4 to 8 hours for 3 weeks. Do not chew more than 24 pieces a day.
4 Chew the gum slowly until you can taste the nicotine or feel a slight tingling in your
mouth. Then stop chewing and place the chewing gum between your cheek and gum. When
the tingling is almost gone (about 1 minute), start chewing again; repeat this procedure for
about 30 minutes.
5 Avoid eating and drinking for 15 minutes before and during chewing of nicotine gum.
6 If you have strong or frequent cravings, you may chew a second piece within one hour.
7 Do not chew nicotine gum too fast, do not chew more than one piece of gum at a time,
and do not chew one piece too soon after another.
8 Chewing one piece of gum after another continuously may cause hiccups, heartburn,
nausea, or other side effects
9 You should stop using nicotine gum after 12 weeks of use. If there are any undesirable side
effects, you can opt for other alternatives like nicotine skin patch or lozenges if you are not
comfortable with chewing gum.
10 Review after 12 weeks.