The Nicotine Lozenge
What Is It?
The nicotine lozenge is an oral variety of NRT. The lozenge comes in the form of a
hard candy, and releases nicotine as it slowly dissolves in the mouth. Studies show
that the nicotine lozenge is as effective as other NRT's when used as directed.
Like the nicotine gum, the nicotine lozenge delivers nicotine to the brain more
quickly than the patch, making it easier to tailor dosage according to need.
Warnings, Cautions and Various Nasty Possibilities
The most common side effects of lozenge use are soreness of the teeth and gums, indigestion,
and irritated throat. These side effects are usually short-lived and are less likely with
use as directed. Do not bite into or chew the lozenge, as this will cause more nicotine
to be swallowed quickly and result in indigestion and/or heartburn.
As always, you should seek the advice of a doctor to determine whether this product
is appropriate for you. Also, because the lozenge itself is small and resembles candy,
take care to keep it out of the sight and reach of small children. NOTE: Phenylketonurics
should be aware that each nicotine lozenge contains 3.4mg of phenylalanine.
Using Nicotine Lozenge
One lozenge is a "dose." Simply place the lozenge in your mouth and let it dissolve,
moving it back and forth from time to time. Each lozenge will last about 20-30 minutes,
and nicotine will continue to leach through the lining of the mouth for a short time
after the lozenge has disappeared. The manufacturer recommends you use at least 9
lozenges per day for the first 6 weeks, and that you not use the lozenge for more
than 12 weeks in all. Take care not to eat or drink 15 minutes before using the
lozenge or while it is in your mouth.
Why Choose the Lozenge?
Since the lozenge requires such little effort to use, and is completely consumed,
it may be a good choice for those quitters who, for employment or social reasons,
feel the need to be inconspicuous about their quitting. Since nicotine from the
lozenge enters the brain in minutes, rather than hours (as with the patch), it
can be easier to modify daily dosage to meet your specific needs.
More medically specific information ...
Content author:
Alan S. Peters, CTTS-M
Reviewed by:
Andy Perez, MD, MBA, FACEP, February 2009
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