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Stomach and jaw discomfort are usually caused by improper use of the gum, such as swallowing the nicotine or chewing too fast. No one has all of the side effects, and some people have none. If your heart is racing or beating irregularly, stop using the gum and talk to your health care provider. You could also have nicotine withdrawal symptoms if your NRT dose is too low.
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In 1984, the first ever nicotine chewing gum was invented from Nicorette. Then followed patches and lozenges. Alongside that, the CDC was making moves to create tobacco education programs as more science was being presented on the dangers of smoking.
Nicotine chewing gum is used to help people stop smoking cigarettes. Nicotine chewing gum should be used together with a smoking cessation program, which may include support groups, counseling, or specific behavioral change techniques. Nicotine gum is in a class of medications called smoking cessation aids. It works by providing nicotine to your body to decrease the withdrawal symptoms experienced when smoking is stopped and as a substitute oral activity to reduce the urge to smoke.
Nicotine gum is used by mouth as a chewing gum and should not be swallowed. Follow the directions on your package label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use nicotine gum exactly as directed. Do not use more or less of it or use it more often than directed on the package label or as recommended by your doctor.
If you smoke your first cigarette more than 30 minutes after waking up, use the 2-mg gum. People who smoke their first cigarette within 30 minutes of waking up should use the 4-mg gum. Nicotine gum may be used regularly by chewing one piece of gum every 1 to 2 hours for the first 6 weeks, followed by one piece every 2 to 4 hours for 3 weeks, and then one piece every 4 to 8 hours for 3 weeks. If you have strong or frequent cravings, you may chew a second piece within one hour. To improve your chances of quitting smoking, chew at least 9 pieces of nicotine gum each day for the first 6 weeks.
Chew nicotine gum slowly until you can taste the nicotine or feel a slight tingling in your mouth. Then stop chewing and place (park) 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. Avoid eating and drinking for 15 minutes before and during chewing of nicotine gum.
When you feel an urge to use tobacco, keep in mind that even though the urge may be strong, it will likely pass within 5 to 10 minutes whether or not you smoke a cigarette or take a dip of chewing tobacco. Each time you resist a tobacco craving, you're one step closer to stopping tobacco use for good.
There is interest in whether nicotine could enhance attention in sporting performance, but evidence on the acute effect of nicotine on physical response and sports performance in baseball players remains scant. This was an observational study to examine whether nicotine gum chewed before exercise could provide acute effects on physiological responses and sport performance. Accordingly, heart rate variability (HRV), saliva cotinine concentration and α-amylase activity, cognitive function, muscle strength, and baseball-hitting performance were measured. Thirteen healthy male non-smoker baseball players were recruited. Conducting two sequences with 7-day intervals, they chewed nicotine gum (nicotine group) or flavor-matched placebo gum (placebo group) for 30 min. HRV and saliva analyses were conducted before gum consumption (S1), after gum consumption (S2), and after test completion (S3). Cognitive, muscle strength, and baseball-hitting performance tests were performed after nicotine or placebo gum chewing. The outcomes of all assessed variables were compared within and between the groups. Significant changes in HRV, α-amylase, testosterone, and cortisol were observed in the nicotine group at S2 and S3 (p
People can smoke, chew, or sniff tobacco. Smoked tobacco products include cigarettes, cigars, bidis, and kreteks. Some people also smoke loose tobacco in a pipe or hookah (water pipe). Chewed tobacco products include chewing tobacco, snuff, dip, and snus; snuff can also be sniffed.
Current FDA-approved NRT products include chewing gum, transdermal patch, nasal sprays, inhalers, and lozenges. NRTs deliver a controlled dose of nicotine to relieve withdrawal symptoms while the person tries to quit.
Questions included: Have you ever used nicotine replacement products (i.e. nicotine gums, patches, tablets or inhalers)? (Yes, no); Do you currently use nicotine replacement products? (Every day, occasionally, used in the past, never used); Currently, on how many days per week do you use nicotine chewing gums?; How long did your current episode of nicotine gum use last?; Currently, how many nicotine chewing gums do you use per day? Questions also covered intention to stop using the gum, serious attempts to stop using nicotine gum in the past year, duration of the last attempt to stop using the gum and urges to use nicotine gum during the last quit attempt. We defined never smokers as people who answered "No" to: "Have you ever smoked 100 cigarettes or more in your lifetime?" and: "No, I never was a smoker" to: "Do you currently smoke tobacco?". Use of smokeless tobacco was assessed by email, in never smokers who reported using nicotine gum daily in the online questionnaire.
Both answered "extremely true" to: "I use nicotine gums because I am addicted to them" and: "I use nicotine gum because I a cannot stop using them" and: "I use nicotine gum to deal with stress". Both reported that stopping using all NRT products would be "very difficult". Both "fully agreed" with: "after a few hours without chewing a nicotine gum, I feel an irresistible urge to chew one", "I am a prisoner of nicotine gum" and: "after chewing a nicotine gum, I am able to concentrate better". Both "seriously considered" stopping NRT in the next 6 months. One had made a serious attempt to stop using the gums during the previous year, during which she felt a "very strong" urge to use nicotine gum. This failed quit attempt lasted 30 days.
People who were addicted to the nicotine gum could easily find our questionnaire, because it was listed on top of the list in Google. In spite of this effective enrolment strategy, we identified only two never-users of tobacco among daily gum users, which suggests that NRT use in never-users of tobacco is a rare phenomenon. Similarly, a previous survey in people who responded to a newspaper ad that read: "Are you addicted to nicotine gum?" could not enrol any never smoker . Furthermore, there was no report of subsequent nicotine dependence in never smokers who were treated with nicotine for ulcerative colitis, aphtous ulcers and sleep-disordered breathing [18-21]. The short-tem effect of the nasal spray was also tested in never smokers, with no report of never smokers getting addicted to this fast delivery product [22-24]. In a previous survey, 0.3% of adolescent never smokers reported past daily use of NRT, but none was reported as being addicted to NRT . However, some adolescents will endorse using any product when a list is presented to them, e.g. 0.4% said they used a fictitious nicotine "Nic-T" product . In two surveys in the USA, 2.7% and 4.6% of school drug counsellors indicated that nicotine patches and gums were abused by adolescents, but these "NRT abusers" were mainly smokers who used NRT while smoking, and only 7% to 16% of these "NRT abusers" were never smokers . The latter study did not report any case of NRT dependence in adolescent never smokers . Similarly, studies in representative samples of the UK and Swedish general populations found no never-user of tobacco among users of NRT . A review of post-marketing surveillance data in the USA found no report of primary dependence to the nicotine gum and patch, and only 39 cases of dependence on the nicotine gum were reported per million prescriptions to smokers, in surveillance data . Therefore, addiction to nicotine gum in never smokers is probably very rare. Furthermore, there may be few adverse consequences of being addicted to the nicotine gum, except for the financial cost and the inconvenience of permanent chewing. In particular, NRT products are safe even in patients with heart disease, [31,32] and there was no untoward effect of 5 years of nicotine gum use in the Lung Health Study . Thus, long-term use of NRT is not known to be harmful.
Step two: Pop the gum into your mouth and start chewing.When you feel a tingling sensation, park the gum under the tongue or betweenyour gum and cheek. Park it until the tingling stops and then start chewingagain.
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Nicotine poisoning or overdose can also result from taking more than the recommended amount of nicotine replacement products (for example, chewing too much gum or dissolving lozenges) or taking too high of a dose of patches, inhalers or nasal sprays. 041b061a72