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Nicorette Lozenge and Pregnancy

It may not be safe for women to use the Nicorette Lozenge (nicotine lozenge) during pregnancy. When high doses of nicotine, the active ingredient in the lozenges, was given to pregnant animals, it caused several problems in the offspring, including bone problems, breathing problems, and low blood pressure. However, some pregnant women may decide to use this product if the benefits outweigh the risks.

Can Pregnant Women Use the Nicorette Lozenge?

The Nicorette® Lozenge (nicotine lozenge) is an over-the-counter (OTC) medication used to help people stop smoking cigarettes. It works by reducing the symptoms of nicotine withdrawal, such as nicotine cravings. This medication is a pregnancy Category C medicine, which means it may not be safe for use during pregnancy.
 

What Is Pregnancy Category C?

The U.S. Food and Drug Administration (FDA) uses a category system to classify the possible risks to a fetus when a specific medicine is taken during pregnancy. Pregnancy Category C is given to medicines that have not been adequately studied in pregnant humans but did appear to cause harm to the fetus in animal studies.
 
In addition, medicines that have not been studied in any pregnant women or animals are automatically given a pregnancy Category C rating.
 
When given to pregnant mice in high doses, nicotine (the active ingredient in the Nicorette Lozenge) caused bone problems in the offspring. When given in high doses to pregnant monkeys and sheep, it caused breathing problems in the offspring, as well as low blood pressure in the monkeys. The Nicorette Lozenge has not been studied in pregnant women.
 
However, pregnancy Category C medicines, including the Nicorette Lozenge, may be prescribed if a woman's healthcare provider believes that the benefits to the woman outweigh any possible risks to her unborn child.
 
Nicorette Lozenge use is believed to be safer than smoking cigarettes during pregnancy. Smoking is harmful to both the pregnant woman and the developing baby. It increases the risk for miscarriage, premature delivery, and low birth weight.
 
The manufacturer of this product recommends that women first try to stop smoking without using nicotine replacement products, including Nicorette Lozenges. Because of the addictive nature of nicotine, this is often difficult to do. If you are having problems quitting smoking, your healthcare provider may recommend a product like the Nicorette Lozenge to help you.
 
Pregnancy and Pain

Nicorette Lozenge Medication Information

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