icy white 2 mg and 4 mg gum nicotine chewing gum€¦ · icy white 4 mg gum (4 mg nicotine chewing...

Icy white2 mg and 4 mg Gum

nicotinechewing gum

Personalised support programme

Enrol on the internet or callnow on 0800 244 838.

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618741f_IW_Booklet.qxd 08-11-14 13.07 Sida 1

A guide for usersWhat you should know about

nicorette®

Icy white 2 mg Gum(2 mg nicotine chewing gum)Low strengthnicorette®

Icy white 4 mg Gum(4 mg nicotine chewing gum)Full strength

Please read this leaflet carefullybefore you start using this medicine.It provides useful information onhow to use it safely. Keep the leaflet,you might need it again.If you think you are having sideeffects, have any questions or arenot sure about anything please askyour doctor, nurse or pharmacist.

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In this leaflet1 What this medicine is for page 4

2 Before using this medicine page 6n Do not use Nicorette Gum page 6n Talk to your doctor, nurse or

pharmacist page 7n Some of the ingredients can cause

problems page 8n If you are pregnant or

breast-feeding page 9

3 How and when to use thismedicine page 10n When to use Nicorette Gum page 10n How to chew Nicorette Gum page 13n How to stop smoking: your choice

page 15n Stopping Immediately: page 16

n Adults aged 18 years and overn Children aged 12 years and over

n Stopping Gradually: page 21 n Adults aged 18 years and overn Children aged 12 years and over

n If you have used too many gumspage 25

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Details of Nicorette ActiveStop areshown in Section 8 of this booklet.If you smoke 20 or fewer cigarettesa day, the 2 mg nicotine gum willhelp relieve your cravings. If you smoke more than 20cigarettes a day, the 4 mg nicotinegum may be more appropriate.

What does Nicorette Gum do?When you stop smoking, or cutdown the number of cigarettes yousmoke, your body misses thenicotine that you have beenabsorbing. You may experienceunpleasant feelings and a strongdesire to smoke (craving). Thisindicates that you were dependenton nicotine.When you chew Nicorette Gum,nicotine is released and passes intoyour body through the lining ofyour mouth. The nicotine releasedfrom the gum is sufficient to relievethe unpleasant withdrawalsymptoms. It will also help to stopthe craving to smoke, but NicoretteGum will not give you the “buzz’’

n If a child has used or swallowed thegums page 25

4 Possible side-effects page 26

5 Storing and disposal page 30

6 Further information page 30

7 Helpful tips on giving up page 33

8 Nicorette ActiveStop page 40

1What thismedicine is forNicorette Gum is a nicotinereplacement therapy (NRT). It is used to relieve withdrawalsymptoms and reduce the cravingsfor nicotine that you get when youtry to stop smoking, or when youare cutting down the number ofcigarettes you smoke while tryingto stop smoking.To help cut down or quit smokingyou should also try to use abehavioural support programme toincrease your chances of success.

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Talk to your doctor,nurse or pharmacist…n if you are pregnant or

breast-feeding – you may beable to use nicotinereplacement therapy (NRT) tohelp you give up smoking butyou should try to give upwithout it. See page 9 If youare pregnant or breast-feeding.

n if you are in hospital becauseof heart disease (includingheart attack, disorders of heartrate or rhythm, or stroke). Inother heart conditions notrequiring you to be in hospital,using NRT is better thancontinuing to smoke.

n if you have a stomach ulcer,duodenal ulcer, inflammationof the stomach orinflammation of theoesophagus (passage betweenthe mouth and stomach).

n if you have liver or kidneydisease.

n if you have an overactive

you get from smoking a cigarette.Make sure you chew Nicorette Gumcorrectly to get the best effect. See‘How to chew Nicorette Gum – theNicorette Chewing Technique’. The gum contains a number ofingredients which help removedental staining, chewing NicoretteGum will help improve thewhiteness of your teeth The benefits of stopping smokingfar outweigh any potential riskfrom using nicotine from NRT. It isthe toxins in cigarette smoke suchas tar, lead, cyanide and ammoniathat cause smoking related diseaseand death, not the nicotine.

2 Before using this medicineDo not use NicoretteGum:n if you have an allergy to

nicotine or any of the otheringredients.

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If you are pregnant orbreast-feeding If you are pregnant: ideally, youshould try to give up smokingwithout NRT. If you can’tmanage this, you can use NRT asthe risks to your baby are far lessthan smoking, however youshould talk to your doctor, nurseor pharmacist for advice. Products that are usedintermittently may be preferableto nicotine patches. However,patches may be more suitable ifyou have nausea or sickness.

If you do use patches take themoff before going to bed at night.If you are breast-feeding: ideally,you should try to give upsmoking without NRT. If you can’t manage this you are best touse NRT products that are takenintermittently (not patches),however you should talk to your doctor, nurse or pharmacistfor advice.

thyroid gland or have aphaeochromocytoma (a tumourof the adrenal gland that canaffect blood pressure), yourdoctor will have told you this.

n if you have diabetes – monitoryour blood sugar levels moreoften when starting to useNicorette Gum as you may findyour insulin or medication requirements alter.

n if you are taking othermedicines such as theophylline,clozapine or ropinirole.Stopping smoking or cuttingdown may require the dose ofthese medicines to be adjusted.

ä If any of these applies, talk toyour doctor, nurse or pharmacist.

Some of the ingredientscan cause problemsNicorette Icy white gums containbutylated hydroxy toluene(E321), an anti-oxidant, whichmay irritate your mouth.

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Nicotine Replacement Therapy(NRT) for.

Please read this informationcarefully and then go to the “Howto stop smoking: your choice”section on page 15, which will helpyou decide which method to useto give up smoking.

n Use the “How to chewNicorette Gum – the NicoretteChewing Technique”instructions which follow. Themethod of chewing is NOT thesame as that for ordinarychewing gum. This way ofchewing ensures that thenicotine is correctly releasedfrom the gum.

n The number of Nicorette Gumsyou use each day will dependon how many cigarettes yousmoked and how strong theyare. See the dosing table to findout the dose you should use.

n The 2 mg gums should be usedby people who smoke 20 or

Breast-feed just before you useNicorette Gum to ensure that thebaby gets the smallest amount ofnicotine possible. If you do need to use NRT to helpyou quit, the amount of nicotinethat the baby may receive isconsiderably smaller and lessharmful than the second-handsmoke they would inhale if yousmoked. Tobacco smoke producesbreathing and other problems inbabies and children.

3 How and when touse this medicineWhen to use theNicorette GumPages 12 and 13 contain thedosage information for theNicorette Gums. This shows thenumber of gums you should beusing, when you should takethem, how you should take themand the maximum amount oftime you should be using10 11

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How to chew NicoretteGum – the NicoretteChewing Technique

The method of chewingNicorette Gum is not the same asfor ordinary chewing gum.Nicorette Gum is chewed torelease nicotine then rested sothat nicotine can be taken inthrough the lining of the mouth.If Nicorette Gum is chewed

fewer cigarettes each day orby heavier smokers when theyare cutting down the numberand strength of the nicorettegums they are using.

n The 4 mg gums should be usedby people who smoke morethan 20 cigarettes each day.

Children aged under 12 yearsDo not give this product tochildren under 12 years.

Adults and Children 12years and over

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• Use only one piece of gum at a time.• Most people use between 8 to 12

gums per day.• Do not use more than 15 gums per day.• Children aged 12 up to 18 years should

not use for longer than 12 weekswithout asking for help and advicefrom a doctor, nurse or pharmacist.

• Adults aged 18 years and over shouldnot use for longer than 9 monthswithout asking for help and advicefrom a doctor, nurse or pharmacist.

Number of Cigarettesyou smoke per day Dose of Gums

20 cigarettesor fewer

One 2 mg gumas required torelieve cravings.

More than20 cigarettes

One 4 mg gumas required torelieve cravings.

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and you should dispose of itcarefully.

How to stop smoking:your choice Because smoking is an addiction,you may find it difficult to giveup. From time to time you maystill have strong urges to smokebut if you follow theserecommendations, you have agood chance of quitting.Some people may find it easier toset a quit date and stop smokingimmediately.Others who are unable or notready to stop smoking abruptly,may benefit from graduallyreducing the number ofcigarettes they smoke each dayuntil they feel able to stopcompletely. If you are an adult you canfollow either one of theseoptions. However childrenshould follow the guide tostopping immediately as the

continuously, the nicotine isreleased too quickly and isswallowed. This may irritate yourthroat, upset your stomach orgive you hiccups.If you have false teeth you mayhave difficulty chewing the gumas Nicorette Gum could stick tothem and on rare occasions,damage dentures. If youexperience a problem, othertypes of nicotine replacementtherapy such as a skin patch,inhalator or microtab may bemore suitable for you.

The Nicorette ChewingTechnique

1 Chew slowly until taste becomes strong.

2 Rest between gum and cheek.3 Chew again when the taste

has faded.ä Keep chewing like this for about

half an hour. After this time thegum will have lost its strength

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After achieving this you thenstop using the gums.There is a difference in how youstop depending on whether youare aged 12 – 18 years or are 18 years or over. Make sure thatyou follow the instructions forthe age range applicable for you.

Adults aged 18 yearsand overSee the following diagram whichshows the basic step by stepprocess. The times given beloware the longest amount of timethey should take, and you should try to achieve your moveto the next step in the shortesttime possible.Make sure that you read theinstructions for each step in theinformation which follows.

recommended duration ofnicotine replacement therapy inchildren is 12 weeks maximum.The only time children shouldstop gradually is if they arehaving a problem stoppingimmediately and they should talkto their doctor, nurse orpharmacist beforehand.If you find it hard to stopsmoking using Nicorette Gums,you are worried that you will startsmoking again without them oryou find it difficult to reduce thenumber of Nicorette Gums youare using, talk to your doctor,nurse or pharmacist. RememberNicorette Gums are not intendedas a substitute for smoking, theyare an aid to give up.Use one of the two optionswhich follow.

Stopping ImmediatelyThe idea is to stop smokingimmediately and use the gum torelieve the cravings to smoke.

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Preparation

Step 1

12 weeks

(3 months)

Step 2

Gradually

reduce usage

Step 3

Time for

each step


Step 1: Set a date to quit andstop smoking cigarettes.

Step 2: Use the gum for up to 12 weeks (3 months) torelieve your cravings tosmoke. See the dosingtable in “When to usenicorette gum” on pages12 and 13 to decidewhich strength of gumto use and how oftenyou can use it.

Step 3: Start to reduce thenumber of gums youuse. You should try touse fewer pieces of gumeach day. When you areusing only one or twopieces per day, youshould stop completely.

ä For those using the 4 mgNicorette gum, the use of 2 mggums may be helpful whenwithdrawing from treatment.

ä If you need to use the productfor longer than 9 months, ask

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your doctor, nurse or pharmacistfor advice.

ä You might feel a sudden cravingto smoke long after you havegiven up smoking and stoppedusing Nicorette Gum. Rememberyou can use nicotine replacementtherapy again if this shouldhappen.

Children aged 12 yearsand overSee the following diagram whichshows the basic step by stepprocess. The times given beloware the longest amount of timethey should take, and you should try to achieve your moveto the next step in the shortesttime possible.Make sure that you read theinstructions for each step in theinformation which follows.

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Step 1: Set a date to quit andstop smoking cigarettes.

Step 2: Use the gum for 8 weeks(2 months) to relieve yourcravings to smoke. Seethe dosing table in“When to use nicorettegum” on pages 12 and 13to decide which strengthof gum to use and howoften you can use it.

Step 3: Reduce the number ofgums you use over aperiod of 4 weeks. Youshould try to use fewerpieces of gum each day.When you are using onlyone or two pieces perday, you should stopcompletely.

ä For those using the 4 mgNicorette Gum, the use of 2 mg

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gums may be helpful whenwithdrawing from treatment.

ä Do not use for longer than 12weeks in total without askingfor help and advice from yourdoctor, nurse or pharmacist.

Stopping GraduallyThe idea is to start by graduallyreplacing some of your cigaretteswith the gum. After achievingthis you then give up cigarettescompletely while using the gum. Finally, you give up usingthe gum.There is a difference in how youstop depending on whether youare aged 12 – 18 years or are 18 years or over. Make sure thatyou follow the instructions forthe age range applicable for you.

Adults aged 18 yearsand overSee the following diagram whichshows the basic step by stepprocess. The times given for steps

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Preparation

Step 1

8 weeks

(2 months)

Step 2

4 weeks

(1 month)

Step 3

Time for

each step

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pages 12 and 13 todecide which strength of gum to use and howoften you can use it.

ä If after 6 weeks youhave not reduced thenumber of cigarettes yousmoke, ask your doctor,nurse or pharmacist foradvice.

ä You should aim to stopsmoking completely bysix months from thebeginning of treatment.

Step 3: Stop smoking. Cut out allcigarettes and continueusing the gum for up to3 months to relieve yourcravings to smoke.

Step 4: Start reducing the use ofthe gum. You should tryto use fewer pieces ofgum each day. When youare using only one ortwo pieces per day, youshould stop completely.

2 and 3 are the longest theyshould take, and you should tryto achieve your move to the nextstep in the shortest time possible.Make sure that you read theinstructions for each step in theinformation which follows.

Step 1: Work out how manycigarettes you smoke perday. Set a date to startreducing the number ofcigarettes you smoke.

Step 2: Start reducing. Over thenext few months, reducethe number of cigarettesyou smoke by usingNicorette gum when youfeel the urge to smoke,until you feel ready tostop completely. See thedosing table in “When touse Nicorette Gum” on22 23

24 weeks (6 months)

Step 2

Preparation

Step 1

Time for each step

12 weeks (3 months)

Step 3

Graduallyreduce usage

Step 4


If you have used toomany gums If you have used more than therecommended dosage you mayexperience nausea (feeling sick),salivation, pain in yourabdomen, diarrhoea, sweating,headache, dizziness, hearingdisturbance or weakness.

ä If you do get any of these effectscontact a doctor or your nearesthospital Accident and Emergencydepartment immediately. Takethis leaflet and the pack with you.

If a child has used orswallowed the gums

ä Contact a doctor or your nearesthospital Accident and Emergencydepartment immediately if a childunder 12 years uses, chews orswallows this medicine. Take thisleaflet and the pack with you.Nicotine ingestion by a childmay result in severe poisoning.

ä For those using the 4 mgNicorette Gum, the use of 2 mggums may be helpful whenwithdrawing from treatment.

ä If you need to use the productfor longer than 9 months, askyour doctor, nurse or pharmacistfor advice.

Children aged 12 yearsand overChildren should follow the guideto stopping immediately. Therecommended duration ofnicotine replacement therapy inchildren is 12 weeks maximum.The only time children shouldstop gradually is if they arehaving a problem stoppingimmediately.Talk to your doctor, nurse orpharmacist before attempting tostop gradually.

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n poor concentrationn increased appetite or

weight gainn urges to smoke (craving)n night time awakening or

sleep disturbancen lowering of heart rate

Effects of too much nicotineYou may also get these effects ifyou are not used to inhalingtobacco smoke.These effects include:n feeling faintn feeling sick (nausea)n headachen hiccuping (due to excessive

swallowing of nicotine)

Side-effects of NicoretteGum

Nicorette Gum can sometimescause a slight irritation of thethroat at the start of thetreatment. It may also causeincreased salivation.

4 Possible side-effectsLike all medicines, Nicorette Gumcan have side-effects. As many ofthe effects are due to nicotine,they can also occur whennicotine is obtained by smoking.

Effects related to stopping smoking(nicotine withdrawal)

You may experience unwantedeffects because by stoppingsmoking you have reduced theamount of nicotine you are taking.You may also experience theseeffects if you under use NicoretteGum before you are ready toreduce your nicotine intake.These effects include:n irritability or aggressionn feeling lown anxietyn restlessness

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Uncommon side-effects:(less than 1 in every 100 peopleare affected)n hives (urticaria)n redness or itching of the skinn chest palpitations

Rare side-effects:(less than 1 in every 1,000 peopleare affected)n allergic reactions (swelling of the

mouth, lips, throat and tongue,itching of the skin, swelling ofskin, ulceration and inflammationof the lining of the mouth).

Very rare side-effects:(less than 1 in 10,000 people areaffected)n abnormal beating of the heart

ä If you notice these or any otherunwanted effects not listed in thisleaflet tell your doctor, nurse orpharmacist.

ä When you stop smoking you may alsodevelop mouth ulcers. The reasonwhy this happens is unknown.

Those who suffer from indigestionmay suffer from heartburn orindigestion and may benefit fromslower chewing and use of the 2 mg gum.The gum may occasionally stick to dentures and in rare casesdamage them.

Very common side-effects:(more than 1 in every 10 peopleare affected)n headachen sore mouth or throatn jaw-muscle achen stomach discomfortn feeling sick (nausea)n hiccups

Common side-effects:(less than 1 in every 10 peopleare affected)n dizzinessn sickness (vomiting)

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hydrogen carbonate, acesulfamepotassium, levomenthol,magnesium oxide, talc, winterfresh,hypromellose, sucralose, polysorbate80, starch, titanium dioxide (E171)and carnauba wax. The chewinggum base contains butylatedhydroxy toluene (E321), an anti-oxidant.The active ingredient in NicoretteIcy white 4 mg Gum is 4 mgNicotine.Other ingredients in Nicorette Icywhite 4 mg gum are: Chewing gumbase, xylitol, peppermint oil,anhydrous sodium carbonate,acesulfame potassium, levomenthol,magnesium oxide, quinoline yellowal-lake (E104), talc, winterfresh,hypromellose, sucralose, polysorbate80, starch, titanium dioxide (E171)and carnauba wax. The chewinggum base contains butylatedhydroxy toluene (E321), an anti-oxidant.None of the gums contain sugar(sucrose) or animal products.

5 Storing anddisposaln Keep Nicorette Gum out of reach

and sight of children and animals.Nicotine in high doses can be verydangerous and sometimes fatal iftaken by small children.

n Do not store Nicorette Gumabove 25°C.

n Do not use the gum after the‘Use before’ date on the box orblister strip.

n Dispose of Nicorette Gum sensibly.

6 Furtherinformation

What’s in this medicine?The active ingredient in Nicorette Icywhite 2 mg Gum is 2 mg Nicotine.Other ingredients in Nicorette Icywhite 2 mg gum are: Chewing gumbase, xylitol, peppermint oil,anhydrous sodium carbonate, sodium30 31


7 Helpful tips on giving upYou may have tried to stopsmoking before and you knowfrom bitter experience that it’s noteasy to give up cigarettes.However, you have now taken thefirst constructive step towardsbecoming a non-smoker. Inovercoming your tobaccodependence you will have totackle two problems:1 Your smoking habit.2 Your addiction to nicotine.

What the medicine looks likeNicorette Icy white 2 mg gum is awhitish square coated piece ofgum.Nicorette Icy white 4 mg gum is acreme square coated piece of gum.The gums are blister packed insheets of 6, 10 or 15 and suppliedin packs of 10, 12, 15, 30, 105 or210 pieces. Not all pack sizes maybe marketed.

Who makes Nicorette Gum?The Product Licence holder isMcNeil Products Ltd,Maidenhead, Berkshire, SL6 3UG,UK.The manufacturer is McNeil AB,Helsingborg, Sweden.This leaflet was prepared inNovember 2008. ©

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2 Break your routineFor a number of years you will havebecome accustomed to smoking atcertain times, with particularpeople or in certain situations.Think about the times you will misssmoking the most and plan howyou will cope on these occasions.Changing your routine will helpyou break the habit of smoking.

3 Quit with a friendQuitting with a fellow smoker is agood idea. It will strengthen yourresolve and build on yourdetermination.Encourage a friend or familymember to quit with you. It willgive your morale a boost sincethere will be another personknowing exactly what you’refeeling and with whom you canshare your resolve to quit smoking.

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WillpowerThe overriding success factor inquitting is how determined youare. The first few weeks ofquitting or reducing the numberof cigarettes you smoke willprobably be the most difficultbecause your smoking ritual is stillfresh in your mind.However, you will find that as timegoes by, your willpower becomesstronger. Telling friends, family andwork colleagues that you have quitsmoking and that you envisage atough time ahead will encouragethem to support you.

1 Pick the right dayThere is never a perfect time togive up smoking, but you shouldplan ahead by choosing a date inthe not too distant future onwhich you are going to give upcigarettes completely, or startreducing the number of cigarettesyou smoke. Try to pick a daywhen you will not be too stressed.

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6 Distract yourselfWhenever you feel the urge tosmoke coming on, distract yourselfby keeping active. Don’t feel sorryfor yourself. Get up and dosomething. Do that job around thehouse or garden that you’ve beenputting off or take up a hobby.Remember that the craving onlylasts a few minutes.

7 Learn to relaxOnce you have stopped smoking,taking exercise regularly will notonly help you get fitter but willencourage you to relax. Exercisehas the ability to relieve stressand tension. Taken regularly itwill benefit you physically andpsychologically.If you haven’t exercised for sometime, take it slowly to begin withand increase the amount of timespent exercising over the courseof a few weeks. Not only willexercising help you relax but it

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4 Remove any temptationTo help yourself succeed be sure toremove all cigarettes, matches,lighters etc. from your home, carand work. Ask your friends andcolleagues not to offer youcigarettes or smoke close by youbut be careful not to offend them.Explain that you have given up.This type of support from friendsis of greatest benefit for the firstcouple of weeks of quitting, asthis is your most vulnerable time.The last thing you want is acigarette close at hand in amoment of weakness.

5 Take one day at a timeWhen you reach your Quit Day,don’t allow yourself to think thatyou’re quitting for good. That willmake it seem like a superhumantask. Just promise yourself “Iwon’t have a cigarette today” andtake it one day at a time. You’llbe surprised how much that littlethought helps.

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the reasons why you wanted to quitin the first place and don’t let thosecouple of cigarettes get the better of you. Refer back to your plan andstart again. You can beat it!

10 If you don’t succeedGiving up is more difficult forsome people than others.If you fail to stop first time, don’t be disheartened. Try againat a later date – you can do it!Remember the most successfullong term ex-smokers haveusually had to try several times to stop smoking – if you don’tsucceed – quit quit again.

For further information

Read about Nicorette ActiveStop on the next few pages. This is apersonalised support programmewhich works with Nicorette tosupport you, with the aim ofhelping you give up smoking. Allyou need is internet access and amobile telephone.

also helps to keep your weightunder control, which some peoplefind a problem when quitting.

8 Think cash not ashOne of the really noticeablebenefits of ‘stopping’ is the extracash that’s suddenly available. Toemphasise the point put themoney into a pot marked ‘cashnot ash’ and watch it accumulate.But be sure to use the money totreat yourself. You deserve areward for not smoking.

9 Dealing with relapsesYou might find that in times ofstress, reaching for a cigarette is the only thing that will help youthrough. There may also be certainsituations – particularly socialsituations such as a party or in thepub – where temptation just getsthe better of you, so you smokeone or two cigarettes. You mightfeel that your only option is to goback to smoking. Don’t think of itas having failed, just think through

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Personalised support programme

Enrol on the internet or callnow on 0800 244 838.

How can ActiveStop help me?ä Nicorette ActiveStop is an

advanced, interactive onlineprogramme with mobile phonesupport. It has been devised byexperts and is based on provenscientific principles, to help yougive up smoking for good.

ä It has been specially designed tobe used alongside Nicorette and ison hand 24 hours a day throughthe internet and your mobilephone.

ä Nicorette works with your body tohelp you deal with the physicalcraving for nicotine, whilstActiveStop gives you practical dailysupport coaching you all the wayuntil you've stopped smoking.

Call now on 0800 244 838.

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8 Nicorette ActiveStop


What will I get?On your personalised ActiveStop webpages you’ll have access to:

DiaryThrough a series of daily tasks, we’llguide you through managing yourthoughts, feelings and behaviour andhow you can plan each day so that youare ready to face whatever arises.

Progress MonitorThe Progress Monitor brings togetherall of the headway you are making inone easy-to-view place. From howmuch money you’re saving, to healthfacts and fitness levels, it will keep youmotivated throughout the programme.

Today’s ArticlesDaily articles cover a range of topicsfrom the changes your body is under-going to tips to cope with theinevitable cravings.

And the Craving Help-LineIf ever you feel the urge to smoke youcan call anytime day or night and byselecting the kind of problem you areexperiencing, you’ll be able to listen torelevant, on-the-spot advice.

Call now on 0800 244 838.

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icy white 2 mg and 4 mg gum nicotine chewing gum€¦ · icy white 4 mg gum (4 mg nicotine chewing...

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