NIQUITINMINT 2 MG TABLETS 60 (3x20) TABLETS IN PP CONTAINER

Name
Niquitinmint 2 mg tablets
Nicotine


What is it and what is it used for?
Niquitinmint is used to help people quit smoking. This type of treatment is called nicotine replacement therapy, or NRT.

Niquitinmint 2 mg is indicated for smokers of 20 cigarettes or fewer per day.

Niquitinmint can help you quit smoking abruptly or gradually. If you think you can quit smoking abruptly, you should do so because it's the best approach. However, if you think this is too big a step, you should reduce the amount you smoke as a first step and then quit smoking completely. See section 3, "How to use Niquitinmint," for further details.

It is the nicotine in cigarettes that can give you a physical addiction to cigarettes themselves:
• Niquitinmint helps you stop smoking by replacing some of the nicotine you normally absorb from cigarettes;
• Nicotine relieves some unpleasant symptoms that smokers may experience when trying to quit, including feeling unwell or irritable;
• Nicotine can also relieve cigarette cravings and help you resist the urge to smoke.

Niquitinmint doesn't carry the health risks associated with tobacco, as it doesn't contain tar, carbon monoxide, or other toxins found in cigarette smoke. Some people worry that, after quitting smoking, they might become addicted to nicotine lozenges. This is very rare, and if it does occur, it would be less harmful than continuing to smoke. It's also an easier habit to break.
Participating in a support program will increase your chances of quitting smoking. These "smoking cessation programs" are known as behavioral support. For information on smoking cessation programs, talk to your doctor or pharmacist.

Smoking has no health benefits. It's always best to quit smoking. Using nicotine replacement therapy (NRT), such as Niquitinmint, can help. In general, any potential side effects associated with NRT are far less likely than the well-known risks associated with smoking.


What you need to know before taking the medicine
Do not use Niquitinmint:
- if you are allergic (hypersensitive) to nicotine or any of the other ingredients of this medicine (listed in section 6);
- if he is a non-smoker;
- if he is under 12 years old.


Warnings and precautions
Talk to your doctor or pharmacist before using Niquitinmint If you have recently had a heart attack or stroke, or if you suffer from severe heart rhythm problems, unstable or worsening angina (chest pain) or angina at rest, you should try to stop smoking without the help of NRT unless advised by your doctor.
• If you have diabetes when you start using Niquitinmint you should check your blood sugar levels more frequently than usual. It may be necessary to change the amount of insulin or your medicines.
• If you have a history of epilepsy (seizures).
• If you have had allergic reactions with swelling of the lips, face and throat (angioedema) or itchy skin rash (hives). The use of NRT can sometimes trigger these types of reactions.

Do not alternate Niquitinmint with nicotine gum while trying to quit smoking.

If you are pregnant or breastfeeding, it is best to stop smoking without using NRT. However, it is better to stop smoking using NRT than to continue smoking (see the section on pregnancy and breastfeeding for more information).

Ask your doctor for advice and help in the following cases:
• If you have heart or circulation problems or blood pressure problems, including heart failure, stable angina, hypertension or peripheral arterial occlusive disease.
• If you suffer from severe or moderate liver problems or severe kidney problems as you may be more easily exposed to side effects.
• If you have an uncontrolled overactive thyroid or pheochromocytoma (a tumor of the adrenal gland which can affect blood pressure) – your doctor will have already spoken to you about this – as nicotine may make the symptoms worse.
• If you have a gastric or duodenal ulcer or inflammation of the esophagus (the passage between the mouth and stomach), because ingesting nicotine can worsen the symptoms. It can also cause mouth ulcers. If symptoms worsen, contact your doctor. It may be preferable to use a non-oral form of NRT, such as patches.
• If you have had convulsions (fits).
• If you have any concerns about becoming addicted or if you think you may have become addicted to this product.

Children and adolescents
This medicine should not be used by children under 12 years of age as it can cause serious or fatal poisoning. It is therefore essential to always keep Niquitinmint out of the sight and reach of children.


Possible side effects
Like all medicines, Niquitinmint can cause side effects, although not everybody gets them. At recommended doses, Niquitinmint has not caused serious side effects.
Stop using this medicine and see a doctor immediately if you have the following symptoms:
- Allergic reactions, tremor, angioedema (swelling of the skin or mucous membranes, face, tongue and throat causing difficulty breathing), dyspnoea (shortness of breath).

Quitting smoking itself can cause some symptoms such as dizziness, headache, sleep disturbances, cough, and cold-like symptoms.
Symptoms such as depression, irritability, anxiety, restlessness, increased appetite, and insomnia may be associated with withdrawal symptoms following smoking cessation.

Other side effects are listed below, grouped according to how likely they are to occur.

Very common (may affect more than 1 in 10 people)
• Nausea

Common (may affect up to 1 in 10 people)
• Sore throat
• Dry mouth
• Pain or irritation and ulceration of the mouth or tongue
• Vomit
• Stomach problems
• Diarrhea
• Constipation
• Digestive difficulties/heartburn
• Belching
• Flatulence
• Hiccup
• Pharyngitis
• Increased appetite
• Difficulty sleeping, abnormal dreams
• Anxiety
• Irritability
• Restlessness
• Headache (cephalalgia)
• Dizziness
• Cough

Uncommon (may affect up to 1 in 100 people)
• Nervousness
• Depression
• Sleep disorders
• Nocturia (frequent urination at night)
• Mood swings
• Appetite disorders
• Altered taste (dysgeusia)
• Palpitations (you can feel your heart beating)
• Increased heart rate
• Chest pain
• Skin rash
• Pain, leg pain
• Swelling in the legs
• Vascular pathology
• Itching or rash, swelling of the skin or mucous membranes, redness of the skin, increased sweating
• Throat tightness
• Worsening of asthma
• Nose and throat irritation
• Nasal congestion
• Respiratory infections
• Nosebleed
• Dry lips, dry throat
• Toothache and jaw pain
• Oral paresthesia (numbness or tingling of the mouth)
• Bleeding gums
• Indigestion
• Dysphagia (difficulty swallowing)
• Stomach ulcer
• Hiatal hernia
• Acid reflux
• Gastric and esophageal irritation
• Abnormal gastrointestinal sounds
• Symptoms of overdose

Very rare (may affect up to 1 in 10,000 people)
• Symptoms of a serious allergic reaction include sudden shortness of breath or tightness of the chest, rash, and feeling faint.

Not known (frequency cannot be established based on the available data)
• Seizures (convulsions)
• Increased salivation
• Tiredness and feeling of general malaise
• Influenza-like illness (flu-like symptoms)
• Hypersensitivity
• Angioedema (swelling of the skin or mucous membranes, face, tongue and throat causing difficulty breathing)
• Tremor
• Dyspnea (shortness of breath)

Reporting of side effects
If you experience any side effects, including any not listed in this leaflet, talk to your doctor or pharmacist. You can also report side effects directly via the national reporting system at: https://www.aifa.gov.it/content/segnalazionireazioni-avverse .
By reporting side effects you can help provide more information on the safety of this medicine.