Nicotine Lozenge

The nicotine lozenge (Commit) is a nicotine replacement medicine. It gives you nicotine in a lozenge that dissolves in your mouth. Like other nicotine replacement medicines, it has been found to double quit rates! One nice thing about the lozenge is that it can be used any time you have tough cravings. Some people prefer the taste of the lozenge over the gum.

How to Use

The nicotine lozenge should be used when you are having strong cravings or by following the recommended use:

  • Weeks 1- 6: 1 lozenge every 1- 2 hours
  • Weeks 7- 9: 1 lozenge every 2 - 4 hours
  • Weeks 10-12: 1 lozenge every 4 - 8 hours

On average, people use nine or more lozenges per day for the first six weeks.

There are two dose strengths of lozenge: the 2mg and 4mg. Many users start with the 2 mg lozenges. Heavy smokers (who smoke more than 20 cigarettes or those who smoke within 30 minutes of waking) may start with the 4 mg lozenges.

Use lozenges exactly as directed. Place the lozenge in your mouth and let it slowly dissolve. Move the lozenge from one side of your mouth to the other. It is normal to feel a warm or tingling sensation. Do not eat or drink 15 minutes before using or while the lozenge is in your mouth, this may make them less effective. Do not chew or swallow lozenges.

Warnings

Tell your doctor if you have or have ever had:

  • a heart attack, irregular heart rate, angina or uncontrolled high blood pressure
  • ulcers
  • pheochromocytoma
  • an overactive thyroid
  • diabetes
  • kidney or liver disease
  • a dental condition or disorder

IMPORTANT NOTE: Tell your doctor if you are pregnant, plan to become pregnant, or are breast feeding. If you become pregnant while using nicotine replacement, stop using it and call your doctor immediately. Nicotine may cause harm to the fetus or baby.

Ask a doctor or pharmacist before use if you are:

  • using a non-nicotine stop smoking drug
  • taking prescription medicine for depression or asthma; your prescription dose may need to be adjusted.
  • using prescription and/or nonprescription medication(s), especially acetaminophen (Tylenol), caffeine, diuretics ('water pills'), imipramine (Tofranil), insulin, medications for high blood pressure, oxazepam (Serax), pentazocine (Talwin, Talwin NX, Talacen), propoxyphene (Darvon, E-Lor), propranolol (Inderal), theophylline (Theo-Dur, Slo-bid), and vitamins.

IMPORTANT NOTE: Do not use more than one lozenge at a time or continuously use one lozenge after another since this may give you hiccups, heartburn, nausea or other side effects. Stop using the nicotine lozenge at the end of 12 weeks. If you still feel the need to use nicotine lozenges, talk to your doctor.

Stop use and ask a doctor if you develop:

Talk to your doctor or Quitline coach.

Effectiveness

Nicotine lozenges have been found to be safe and effective as a stop smoking aid. Using the lozenges as directed can prevent side effects or nicotine overdose symptoms.

Need More Information?

Talk to your doctor or Quitline coach.

References

Fiore MC, Jaén CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. May 2008.

US Department of Health and Human Services. (2000). Reducing Tobacco Use: A report of the surgeon general. Atlanta, Georgia: USDHHS, Center for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health, Office on Smoking and Health.