Generic Name: NICOTINE SPRAY - NASAL
Pronounced: (NICK-oh-teen)

Nicotrol NS Nasl Precautions

Before using this product, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have:

• breathing problems (e.g., asthma, emphysema)
• uncontrolled/worsening chest pain
• recent heart attack
• irregular heartbeat (serious arrhythmias)
• chronic nasal disorders (e.g., nasal allergies, nasal polyps, sinusitis)

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

• blood vessel disease (e.g., Raynaud's disease, stroke)
• diabetes
• heart disease (e.g., chest pain, heart attack)
• high blood pressure
• liver disease
• severe kidney disease
• stomach/intestinal sores (peptic ulcers)
• certain adrenal problem (pheochromocytoma)
• overactive thyroid (hyperthyroidism)

Nicotine and smoking may harm an unborn baby. If you are pregnant, try to stop smoking without using a nicotine replacement product if possible. During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

Nicotine from smoking and from this medication passes into breast milk and could have undesirable effects on a nursing infant. Smoking near an infant can also harm the infant. Consult your doctor before breast-feeding.

Nicotrol NS Nasl Side Effects

Nasal irritation/blistering/tingling, runny or bloody nose, throat irritation, watering eyes, sneezing, cough, or a change in taste or smell may occur. Common nicotine withdrawal symptoms can occur when you stop smoking and include: dizziness, anxiety, depression, or trouble sleeping, among others. If any of these withdrawal symptoms or side effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Serious side effects are more likely if you continue to smoke while using this product. Do not smoke while you are using this medication.

Stop using this medication and tell your doctor immediately if any of these unlikely but serious side effects occur:

• dizziness
• mental/mood changes (e.g., irritability, trouble sleeping, vivid dreams)
• numbness/tingling in hands/feet
• swelling hands/ankles/feet

Stop using this medication and seek immediate medical attention if any of these rare but very serious side effects occur:

• chest pain
• confusion
• severe headache
• fast/irregular/pounding heartbeat
• slurred speech
• weakness on one side of the body

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including:

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