Children or adults who have accidentally ingested less than 0.2 mg/kg nicotine and who have no new symptoms since the time of ingestion do not need to be referred for medical assessment. Patients should be advised to seek medical attention if symptoms develop.

However, oral forms of nicotine replacement therapy should only be used if the expected benefits to the nursing mother outweigh the potential risks to the infant. The relatively small amounts of nicotine found in breast milk during NRT use are less hazardous to the infant than second-hand smoke.Doses of nicotine tolerated by adult and adolescent smokers can produce severe toxicity in small children that may be fatal (please see section 4.9). Products containing nicotine should not be left where they may be misused, handled or ingested by children. Nicotinell gum should be disposed of with care. Nicotine products should be kept out of sight and reach of children. For a number of years you will have become accustomed to smoking at certain times, with particular people or in certain situations. Think about the times you will miss smoking the most and plan how you will cope on these occasions. Also contains: Gum Base, Calcium Carbonate, Sorbitol (E420), Sodium Carbonate, Sodium Hydrogen Carbonate, Glycerol Levomenthol, Fruit Flavouring, Butylhydroxytoluene, Saccharin, Saccharin Sodium, Acesulfame Potassium, Xylitol, Mannitol (E421) Gelatin, Titanium Dioxide (E171), Carnauba Wax, Talc and Water These events may also be due to withdrawal symptoms following smoking cessation. The patient may still experience nicotine dependence after smoking cessation. Children and adults who have ingested 0.2 mg/kg or more nicotine, or those who are symptomatic, should be referred for medical assessment.

Everyday Health. Nicotine Withdrawal: How to Cope. https://www.everydayhealth.com/quit-smoking/guide/nicotine/withdrawal/ . Accessed on 26/6/23.You may have tried to stop smoking before and you know from bitter experience that it’s not easy to give up cigarettes. Treatment of overdose should be immediate as symptoms may develop rapidly (particularly in children). All nicotine intake should stop immediately. Emesis is usually spontaneous.

Polycyclic aromatic hydrocarbons in tobacco smoke induce the metabolism of drugs catalysed by CYP 1A2 (and possibly CYP 1A1). When a smoker stops, this may result in slower metabolism and a consequential rise in blood levels of drugs such as theophylline, tacrine, olanzaprine and clozaprine.To help cut down or quit smoking you should also try to use a behavioural support programme to increase your chances of success. How does Nicotinell Gum help stop smoking?

All symptomatic children and adults following accidental transdermal patch application should be referred for medical assessment. NRT products can be used to relieve withdrawal symptoms and reduce the cravings for nicotine that you get when you try to stop smoking, or when you are cutting down the number of cigarettes you smoke while trying to stop smoking. Any risks that may be associated with nicotine replacement therapy are substantially outweighed by the well-established dangers of continued smoking. Nicotine from gums may sometimes cause a slight irritation of the throat and increase salivation at the start of the treatment. It is indicated to aid smokers wishing to quit or reduce prior to quitting as well as to assist smokers who are unwilling or unable to smoke, and as a safer alternative to smoking for smokers and those around them.Nicotinell Fruit Gum is a medicinal product used to help people stop smoking by providing relief of nicotine withdrawal symptoms.