Nicotine gum delivers nicotine in either 2 or 4 mg doses through buccal (mouth) absorption. There is a specific 30-minute chewing regimen, which differs from the ordinary way of chewing gum in the rate of chewing and the need to "park" the gum between your cheek and gums for periods of time to maximize absorption.
An acidic environment decreases absorption of nicotine, so coffee, juice, sodas, etc. should not be used immediately before, during, or after nicotine gum use. For those who smoke 1-24 cigarettes per day, the 2 mg gum is recommended. For those who smoke 25 or more cigarettes daily, the 4 mg gum is recommended. Scheduled dosing, e.g. 1 piece of 2 mg gum per hour, is considered more effective than irregular use.
The following dosages are available.
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Potential Side Effects
Some people develop mild side effects such as hiccups, upset stomach, or jaw ache. Most of these side effects go away if the gum is used correctly.
Who Should Not Use Nicotine Gum?
- Pregnant or nursing women
- Those who are allergic to the nicotine patch
- People who have other health problems should check with their doctor before using nicotine gum