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Precautions and Warnings With Nicotine Nasal Spray

Specific Nicotine Nasal Spray Warnings and Precautions

Some warnings and precautions to be aware of prior to using this medication include the following:
  • You should not smoke cigarettes, chew tobacco, or use any other nicotine-containing product while using nicotine nasal spray. Doing so could increase your risk for a nicotine overdose.
  • Stop using nicotine nasal spray and contact your healthcare provider immediately if you experience symptoms of a nicotine overdose, such as:
    • Nausea and vomiting
    • Extreme headaches
    • Dizziness
    • Cold sweats
    • Blurred vision
    • Confusion
    • Weakness
    • A rapid heartbeat.
  • Do not let this medication come in contact with your skin, eyes, or mouth. If it does, rinse the area with plain water only. Do not use soap, because soap may increase the amount of medication absorbed into your body, increasing your risk for a nicotine overdose.
  • There have been reports of breathing problems with nicotine nasal spray use in people with asthma. This medication is not recommended for people with certain severe breathing problems.
  • Because it contains nicotine, nicotine nasal spray can increase your heart rate and blood pressure. Stop using it and contact your healthcare provider if you experience an increase in blood pressure or a fast, irregular, or forcefully beating heart. Nicotine nasal spray should be used with caution, or not at all, in people with certain types of heart problems, such as serious arrhythmias (abnormal heartbeat) or severe chest pain (angina).
  • Nicotine nasal spray contains nicotine, a highly addictive drug. Do not use this medication for longer than six months. You could become dependent on it. Talk to your healthcare provider if you still need this medication after six months of treatment.
  • In general, this medication is not recommended for use in people with certain nasal problems, such as chronic allergies or nasal polyps (growths in the nose). The nasal spray may not work as well in people with these problems.
  • Nicotine, the active ingredient in nicotine nasal spray, may delay healing of peptic ulcers (sores in the stomach or upper intestines). Talk to your healthcare provider before using this medication if you have peptic ulcer disease.
  • If you have diabetes, nicotine nasal spray may affect your blood sugar levels. Monitor your blood sugar levels closely while you use this medication. Talk to your healthcare provider if you believe you need a different dose of your diabetes medications.
  • Nicotine nasal spray contains enough nicotine to potentially harm a child or pet. Even used bottles will still contain some nicotine. Keep and discard this medication out of the reach of children and pets.
  • This medication comes with an instruction sheet that describes the correct way to use it. Be sure to read this medication information each time you get your prescription filled.
  • Nicotine nasal spray can react with a few other medications (see Drug Interactions With Nicotine Nasal Spray).
  • Nicotine nasal spray is considered a pregnancy Category D medication, which means it may harm an unborn child. Talk to your healthcare provider about the risks and benefits of using this product when pregnant (see Nicotrol NS and Pregnancy).
  • Nicotine nasal spray passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking the drug (see Nicotrol NS and Breastfeeding).
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Nicotine Nasal Spray Drug Information

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