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WHAT A NICORET IS AND WHAT IT IS USED
NICORET belongs to the group of medicines used to stop smoking as nicotine replacement therapy (NRT).
NICORET is used to treat tobacco dependence in smokers motivated to quit smoking, minimizing the need for cigarette smoking and reducing the difficulties experienced by smokers when trying to quit smoking (eg, headache, insomnia, anxiety).
When you stop smoking, your body does not receive nicotine from tobacco and therefore may experience unpleasant sensations called withdrawal syndrome. With the help of pure (therapeutic) nicotine from NIKORET you can avoid these unpleasant syndromes.
NICORET transdermal patch does not contain life-threatening substances such as tar and carbon monoxide, which are present in cigarette smoke. NICORET contains nicotine in its pure form, absorbed by the skin for a long time. 16 hours, and replaces the nicotine the smoker would absorb from the cigarette smoke.
Advice and support usually increase success.
If possible, use NIKORET as part of a smoking cessation program.
2. BEFORE YOU START NICORET TREATMENT
Do not use NICORET
if you are allergic (hypersensitive) to nicotine or to any of the other ingredients of NIKORET
Take special precautions when administering NICORET
if you have had a serious cardiovascular event or have been admitted to a hospital with cardiovascular complaints in the previous 4 weeks (obstruction of peripheral arteries, diseases of the cerebral blood vessels, unstable angina or heart failure, bypass);
if you have severe liver or kidney disease;
if you have an acute stomach or duodenal ulcer;
if you have diabetes, because in diabetic patients, stopping smoking may lead to lower insulin levels;
if you have untreated hyperthyroidism (increased thyroid function or pheochromocytoma);
if you have psoriasis, chronic dermatitis or urticaria, do not apply NICORET INVISIBE on the affected areas.
Pure nicotine in the form of transdermal patches is less harmful than smoking.
Young people under the age of 18 should use NIKORET only on medical advice.
NIKORET should not be used by non-smokers.
Use of other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines not prescribed.
This is especially important when using theophylline, tacrine, clozapine, ropinirole, flecainide or pentazocine.
Pregnancy and breastfeeding
Ask your doctor or pharmacist for advice before taking any medicine.
Nicotine passes into the fetus and affects its respiratory movements and blood circulation. The effect on blood circulation is dose dependent.
Pregnant smokers should always be advised to stop smoking without the use of nicotine replacement therapy. In the event of failure of highly dependent pregnant pawns, NIKORET should only be used after consultation with health care professionals.
Nicotine passes into breast milk in small amounts, which can affect the infant even at therapeutic doses. NIKORET should not be used in nursing smokers. If you need NTC to help you quit smoking, the amount your baby can get is significantly less and the harm less. It is best to use NTC products that are taken immediately (ie, not patches, but Nicorette Gums or Microtabs), trying to get them immediately after breastfeeding, rather than two hours before breastfeeding.
Driving and using machines
No effects on ability to drive or use machines have been observed.
3. HOW TO TAKE NIKORET
Children and adolescents
NICORET should not be used in people below 18 years of age without the advice of a healthcare professional. There is limited experience with the treatment of this age group with NICORET .
Adults and the elderly
Treatment with NICORET usually lasts for 12 weeks.
On the day you start treatment, you should stop smoking completely so that the last cigarette is the day before the patch is applied to the skin. Do not smoke during treatment.
Treatment is started with higher-dose patches and then gradually switched to patches with smaller amounts of nicotine.
The patch treatment mimics the fluctuations of nicotine in smokers during the day and does not enter nicotine during sleep. The daily treatment with the nicotine patch does not lead to the sleep disorders observed with the use of nicotine during sleep.
High-dependency smokers (Fagerstrom Nicotine Dependency Test> 6 or Smoking> 20 Cigarettes a Day) should start Step 1 treatment with a 25 mg / 16 patch, applying one patch for one
How to apply NIKORET ?
The patch should be applied once a day to a clean, dry, intact area of the skin of the thigh, armpit or chest. In order to avoid skin irritation, these areas should be changed daily, and one site should not be used on consecutive days.
NIKORET should be pressed against the skin in the morning and removed before bedtime. The absorption period is 16 hours so that the need for smoking is covered and sleep is not disturbed.
You do not need to remove the patch when taking a bath or shower.
1. Wash your hands before applying the patch.
2. Open the side of the scissors bag as shown. Choose a clean, dry, intact area of hairless skin, such as your thigh, armpit, or chest.
3. Remove one piece of silver aluminum backing as much as possible. Avoid touching the adhesive surface of the patch with your fingers as much as possible.
4. Carefully apply the adhesive part of the patch to the skin and remove the rest of the silver aluminum backing.
5. Press the patch firmly against your skin with your palm or fingertips.
6. Rub the edges firmly with your fingers so that the patch can adhere firmly.
The use of skin oils or talc can prevent the patch from sticking properly.
After removal, used patches should be discarded carefully. The patch should not remain on the skin during nighttime sleep.
If you forget to peel off the patch at night, you can continue the treatment in the morning by removing the old patch and applying the new one without interruption.
If you administer more than the required dose of nicotine
An overdose may occur if you are a low-smoking smoker and may be caused by using a NIKORET patch and smoking at the same time, or by using additional smoking cessation agents.
Symptoms of overdose are symptoms of acute nicotine poisoning and include nausea, salivation, abdominal pain, diarrhea, sweating, headache, dizziness, impaired hearing, and pronounced weakness. At high doses, these symptoms may be followed by hypotension (low blood pressure), sudden weakness, arrhythmias, difficulty breathing, depression, circulatory collapse and generalized seizures.
Doses of nicotine, normally administered by adult smokers during treatment, can cause severe symptoms of poisoning in young children and can even lead to their death.
Please note that used patches may still contain residues of nicotine that may be harmful to children. Therefore, store used patches in a place where children cannot reach them.
What to do in case of overdose:
If you use more than the recommended dose of NIKORET , leave the patch for too long or smoke while using NIKORET , or if a child has been in contact with the patch, nausea, salivation, abdominal pain, diarrhea, diarrhea, diarrhea, diarrhea may occur. , headache, dizziness, hearing loss or weakness. Contact your doctor immediately or contact the nearest hospital emergency department.
If you have any further questions on the use of this product, please ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, NIKORET can cause side effects, although not everybody gets them.
NICORET can cause side effects similar to those associated with nicotine otherwise administered, and they are dose dependent.
Mild skin reactions occur mainly during the first weeks of treatment.
The other side effects are described below.
Headache, dizziness, nausea and vomiting, erythema, itching, swelling.
Very rare cases
Reversible atrial fibrillation.
Some symptoms (dizziness, headache and insomnia) may be related to the symptoms of withdrawal.
An increased incidence of aphthous ulcers may be observed after smoking abstinence, but the relationship with nicotine treatment is unclear.
If any of the side effects get serious, or if you notice any side effects not mentioned in this leaflet, please tell your doctor or pharmacist.
5. HOW TO STORE NIKORET
Keep the medicine out of the reach of children and cannot see it.
Store below 25 ° C.
Do not use NIKORET after the expiry date which is stated on the patch bag and the carton. The expiry date refers to the last day of that month.
6. ADDITIONAL INFORMATION
What NIKORET contains
The active substance is: nicotine.
NIKORET 25 mg / 16 hours
One patch contains 39.37 mg of nicotine, from which 25 mg of nicotine is released over 16 hours.
NICORET 15 mg / 16 hours
One patch contains 23.62 mg of nicotine, which releases 15 mg of nicotine for 16 hours.
More about NIKORET transderm
NICORET 10 mg / 16 hours
One patch contains 15.75 mg of nicotine, from which 10 mg of nicotine is released over 16 hours.
The other ingredients are: medium chain triglycerides, basic butylated methacrylate copolymer, polyethylene terephthalate (PET) film, acrylic adhesive solution, potassium hydroxide, croscarmellose sodium, aluminum acetylacetonate, siliconized release side, PET.
NICORET I (all active substance quantities) does not contain any product of animal origin.
What NIKORET looks like and contents of the pack
NIKORET is a beige, translucent rectangular transdermal patch with light beige ink. It consists of an upper layer, a middle layer containing nicotine and a sticky layer that comes in contact with the skin, this layer also contains an aluminized pad.
Each patch is packed in laminated film consisting of paper, PET film and an aluminum acrylonitrile copolymer.
The foil patches are packed in a cardboard box along with a leaflet for the patient.
Cardboard boxes with 7, 14 or 28 transdermal patches.
Not all packaging may be on the market.
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