​Nicotine Gum: Your Solution to Quit Smoking

MARIA GERNIE BALBIN     27th Feb 2024

​Nicotine Gum: Your Solution to Quit Smoking

Quitting smoking is a challenging journey. As someone who has witnessed loved ones go through it, I could say that it requires determination, support, and often multiple attempts before successfully overcoming the addiction physically and psychologically. Nicotine dependency can make the process daunting. With the difficulties involved in quitting smoking, let's explore the role of nicotine gum as a potential aid in this challenging journey.

What is a Nicotine Gum?

Nicotine gum is a form of nicotine replacement therapy (NRT) designed to help smokers gradually reduce their nicotine dependency and eventually quit smoking. Nicotine gum delivers a controlled dose of nicotine to the body, curbing withdrawal symptoms and cravings associated with quitting smoking.

How does a Nicotine Gum Works?

When a smoker chews nicotine gum, nicotine is released and absorbed through the lining of the mouth. This mimics the nicotine delivery of smoking cigarettes but without the harmful toxins found in tobacco smoke. By providing a controlled dose of nicotine, the gum helps reduce withdrawal symptoms such as irritability, anxiety, and cravings, making it easier for individuals to gradually reduce their tobacco consumption.


Is Nicotine Gum Effective?

According to the Centers for Disease Control and Prevention (CDC), using nicotine gum can double a person's chances of quitting smoking compared to attempting to quit without any assistance. Numerous studies have examined the effectiveness of nicotine gum in smoking cessation. While results vary, overall evidence suggests that nicotine gum can significantly increase the likelihood of successfully quitting smoking when used as directed.

Benefits of Nicotine Gum

1. Reduced Withdrawal Symptoms: Nicotine gum helps alleviate withdrawal symptoms associated with quitting smoking, such as cravings, irritability, and difficulty concentrating.

2. Gradual Nicotine Reduction: By providing a controlled dose of nicotine, nicotine gum allows smokers to gradually reduce their nicotine intake, making it easier to overcome addiction.

3. Convenience: Nicotine gum is readily available over-the-counter and can be used discreetly in various situations where smoking is prohibited.

4. Personalised Dosage: Nicotine gum comes in different strengths, allowing individuals to tailor their dosage based on their level of nicotine dependence and quitting goals.



How to use Nicotine Gums

1. For best results with nicotine gum, start with the right dose based on your smoking habits. There are two strengths available: 2 mg and 4 mg. If you usually have your first cigarette within 30 minutes of waking up, consider using the 4 mg gum. Over 8 to 12 weeks, gradually decrease the dose until you stop using the gum completely.

2. During the first 6 weeks of quitting, use one piece of gum every 1-2 hours, anticipating cravings and using gum beforehand to manage withdrawal symptoms. Aim for at least 9 pieces per day initially. If using nicotine gum alongside a patch, adjust gum use based on cravings, but do not exceed 24 pieces per day.

3. After 6 weeks, reduce gum use to one piece every 2-4 hours, then every 4-8 hours. If you smoke fewer than 10 cigarettes a day or infrequently, consult a healthcare provider for personalised dosing guidance.

4.Avoid eating or drinking for 15 minutes before or during gum use, as acidic foods and drinks like soda or coffee can affect its effectiveness. Nicotine gum requires a specific chewing technique: bite down slowly until you feel a tingling sensation, then "park" the gum between your cheek and gums for about a minute to allow nicotine absorption. Repeat this process until the tingling subsides, occasionally changing the placement of the gum in your mouth.


NOTE: Keep nicotine gum away from children and pets as it contains enough nicotine to cause illness. Store it out of their reach, and after chewing a piece, wrap it in paper and promptly dispose of it in the trash.

Pros:

  • Can be used regularly or when feeling withdrawal symptoms.
  • Faster than patches or pills.
  • Can combine with a patch for breakthrough urges.
  • Control usage frequency to avoid excess nicotine.
  • May help delay weight gain from quitting.
  • Available in two strengths.
  • May substitute for a cigarette by placing it in the mouth.
  • No prescription needed.

Cons:

  • Requires consistent use.
  • Avoid eating or drinking before or during use.
  • Some dislike taste or sensation.
  • Hard to use with dentures or dental work.
  • Learning proper usage is necessary.
  • Can cause stomach upset.


While nicotine gum can be an effective aid for smoking cessation, it is not without its challenges and considerations. Some individuals may experience side effects such

  • Jaw discomfort
  • Upset stomach
  • Hiccups
  • Too much saliva
  • Light-headedness
  • Nausea/vomiting
  • Throat and mouth irritation

Do not chew, suck or swallow; try a lower dose or wait longer between doses. Do not chew it like a gum..

Risk Factor

  • Heart conditions (heart attack, heart rhythm problem, heart pains)
  • TMJ disease
  • Pregnant or breastfeeding

If any of the above applies to you, you should not use nicotine gum without talking to your doctor or other healthcare provider.

Additionally, long-term use of nicotine gum without proper supervision or guidance can lead to nicotine dependence. Nicotine gum is most effective when used as part of a comprehensive smoking cessation program and under the guidance of a healthcare professional to maximise its effectiveness and minimise potential risks. Quitting smoking is a challenging journey, but with the right support and resources, it is achievable, and nicotine gum can be a helpful ally along the way.

Quit smoking for good with our effective range of smoking cessation products. Explore nicotine replacement therapies, supportive resources, and expert advice to help you overcome cravings and embark on a healthier, smoke-free lifestyle.

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