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Nicotinell Patch is recommended as a support when trying to quit smoking. Nicotinell Patch is a nicotine patch that slowly releases nicotine and absorbs it through the skin.
Nicotine is the addictive component in tobacco smoke and is responsible for the various withdrawal symptoms associated with smoking cessation. The controlled delivery of nicotine through the skin using the patch reduces these withdrawal symptoms and makes it easier for the smoker to abstain from cigarette nicotine.
Once you have acquired new habits (substitute actions for smoking) over a period of time, experience has shown that you will find it easier to gradually reduce the amount of nicotine from Nicotinell patches and later to give up completely.
Health damage caused by the tar and carbon monoxide content in tobacco smoke is avoided.
Swissmedic-approved patient information
Nicotinell PatchGSK Consumer Healthcare Schweiz AGNicotinell Patch is recommended as a support if you want to quit smoking. Nicotinell Patch is a nicotine patch that slowly releases nicotine and absorbs it through the skin.
Nicotine is the addictive component in tobacco smoke and is responsible for the various withdrawal symptoms associated with smoking cessation. The controlled delivery of nicotine through the skin using the patch reduces these withdrawal symptoms and makes it easier for the smoker to abstain from cigarette nicotine.
Once you have acquired new habits (substitute actions for smoking) over a period of time, experience has shown that you will find it easier to gradually reduce the amount of nicotine from Nicotinell patches and later to give up completely.
Health damage caused by the tar and carbon monoxide content in tobacco smoke is avoided.
Your motivation and willpower are decisive for the success of the treatment. If you use Nicotinell patches, you must give up smoking altogether, otherwise there is a risk of nicotine overdose. It is therefore important that you are strongly motivated to quit smoking before starting Nicotinell treatment. Professional smoking advice increases the chances of quitting successfully.
Nicotinell Patch should not be used in the following cases:
If you have any health problems, skin conditions or any of the following conditions, you should discuss the benefits and risks with your doctor before starting treatment with Nicotinell. Discuss carefully with your health care professional:
The use of the preparation should only be considered in these cases if smoking cessation is being attempted is not possible without medical support. If new cardiovascular symptoms develop or existing symptoms worsen (chest pain, irregular pulse, shortness of breath), a doctor should be consulted.
Stopping smoking with or without a nicotine replacement such as Nicotinell patches may change the response to concomitant medicines for asthma, cardiac arrhythmia, severe pain, mood disorders, Alzheimer's disease, stomach and intestinal ulcers or diabetes (insulin). If necessary, your doctor will prescribe a dose adjustment of the medicines concerned.
The patch should be removed during MRI, electrical defibrillation and diathermy treatment.
Inform your doctor, pharmacist or druggist if you suffer from other illnesses, have allergies or use other medicines (even those you bought yourself!).
There is no evidence of any risk to driving or using machines as long as the recommended dosage is followed. However, be aware that behavioral changes may occur when you quit smoking.
It is very important that you completely stop smoking during pregnancy, as this will lead to a reduction in smoking growth of your child.
If you are pregnant, you should try to quit smoking without using any medication. Nicotine in any form can harm the unborn child.
No form of nicotine should be administered during pregnancy or breastfeeding, including through the Nicotinell patch. Nicotine passes into breast milk.
Talk to your doctor about how to quit smoking during this time.
Once you start treatment with Nicotinell patches, you should stop smoking completely.
Young people under the age of 18 and over the age of 12 should only use the preparation if they are heavily dependent on nicotine and only after consulting a doctor (See also «When shouldn't Nicotinell patch be used?».
Nicotinell patch 1 strong (21 mg/24h, 52.5 mg nicotine)
Nicotinell Patch 2 medium (14 mg/24h, 35 mg nicotine)
Nicotinell Patch 3 light (7 mg/24h, 17.5 mg nicotine)
The strength that applies to you is determined by the number of cigarettes you smoke per day or by the Fagerstrom test. This test measures the level of your nicotine dependency. Based on your score on this test, you will be able to choose the most suitable patch strength for you.
In order to assess the degree of your nicotine dependency, please use the Fagerstrom test.
Your score
- up to 5 minutes
= 3
- 6 to 30 minutes
= 2
- 31 to 60 minutes
= 1
- after 60 minutes
= 0
- yes
= 1
- no
= 0
– the first
= 1
- another
= 0
- 10 or less
= 0
- 11 to 20
= 1
- 21 to 30
= 2
- 31 or more
= 3
- yes
= 1
- no
= 0
- yes
= 1
- no
= 0
Total points
The degree of nicotine dependence must be estimated by the number of cigarettes smoked per day or by the Fagerstrom test for nicotine dependence.
1. month
2. month
3. month
More than 20 cigarettes a day
(5 or more points on the Fagerstrom test)
Strength 1 (strong)
Strength 2 (medium)
Strength 3 (light)
Less than 20 cigarettes a day
(less than 5 points on the Fagerstrom test)
Strength 2 (medium)
Strength 2 (medium)
Strength 3 (light)
The overall treatment with Nicotinell patches should last a maximum of 3 months!
Each Nicotinell patch is individually sealed in an airtight child-resistant sachet. Use scissors to cut open the child-resistant pouch along the outer edge and remove the patch (Fig. 1). After removing the cut edge of the aluminium-colored protective film (Fig. 2), hold the patch by the protruding edge and slowly peel off the aluminium-colored protective film from the cut point without touching the adhesive layer (Fig. 3).
Apply a Nicotinell patch daily, preferably when you get up, and leave it on the skin for 24 hours.
Place the patch on a healthy, hairless, dry and clean area of skin (no lotion, alcohol, ointment residue, etc.), preferably on the trunk or upper arm (inside or outside) (Fig. 4-6). The plaster should be pressed with the heel of the hand for about 10-20 seconds over its entire surface. It should not be applied to a red, bruised or irritated area of skin. Wash your hands carefully afterwards so that no nicotine can get from your fingers into your eyes.
The Nicotinell patch will now stay on the skin for 24 hours.
Then peel off the patch and fold it with the sticky side inwards. Since the plasters still contain nicotine after use, they must be disposed of in such a way that they cannot get into the hands of children.
Now stick a new patch on a different area of skin. To avoid local skin irritation, the same area of skin should be used again after 7 days at the earliest. Nicotinell Patch adheres well to the skin and remains functional even when bathing, showering or exercising.
If you ever forget to change Nicotinell patches at the allotted time, don't worry. Make up for the patch change as soon as possible and apply the next patch at the usual time.
If you start smoking again while you are being treated with Nicotinell patches, the treatment should be interrupted. You can try to stop using Nicotinell patches at a later time.
Dosage adjustment cannot be made by cutting a patch. Never use more than one Nicotinell patch at a time.
Follow the dosage given in this leaflet or as prescribed by your doctor. If you think the medicine is too weak or too strong, talk to your doctor, pharmacist or druggist.
Stop using Nicotinell (remove the patch) and tell your doctor immediately if one or more you experience the following symptoms, which may be signs of a rare serious allergic reaction:
Certain symptoms such as irritability, nervousness, restlessness, mood swings, depressive mood, anxiety, drowsiness, difficulty concentrating, insomnia and sleep disorders can be attributed to withdrawal symptoms associated with smoking cessation. Individuals who quit smoking by any means may experience headaches, drowsiness, coughing, or flu-like symptoms.
Reactions at the application site, such as itching, redness, edema and burning sensation. If you experience a serious skin reaction that does not go away, you should stop use and consult your doctor, pharmacist or druggist to find you another form of nicotine replacement therapy.
Application site reactions are partly caused by not changing the patch application site every day. Rotating the application site daily allows for a natural decrease in irritation and should cause less discomfort.
Headache, nausea, dizziness, trouble sleeping including abnormal dreams, insomnia, nervousness, cough , sore throat, abdominal pain, upset stomach, muscle pain.
These side effects are usually mild and resolve quickly on their own once you remove the patch.
Tingling sensation, palpitations, vomiting, constipation, diarrhoea , flatulence, dry mouth, excessive sweating, joint pain, weakness, pain at the application site, malaise, flu-like symptoms.
tremor, shortness of breath, abnormal heart rhythm.
Allergic inflammatory skin disease, contact dermatitis, photosensitivity.
Aphthous ulcers can occur when smoking cessation, the reason is unknown.
If you get any side effects, talk to your doctor, pharmacist or druggist. This also applies in particular to side effects that are not listed in this leaflet.
An overdose and thus nicotine poisoning can also occur in adults if, for example, several patches are used together or if nicotine from tobacco is consumed at the same time. In the event of an overdose, the signs correspond to those of acute nicotine poisoning. The following occur: nausea, salivation, abdominal pain, low temperature, diarrhea, sweating, headache, dizziness, hearing disorders, confusion, paleness and pronounced weakness. In extreme cases, the following can follow: cramps, drop in blood pressure, weak, irregular pulse, respiratory failure and fainting, circulatory collapse.
In the event of an overdose or suspected overdose, the nicotine patch must be removed immediately and the application site rinsed with water and dried (do not use soap). Consult a doctor immediately. Even small amounts of nicotine are dangerous for children and can lead to severe symptoms of poisoning, which can be fatal. If you suspect nicotine poisoning in children, you must seek emergency medical help.
Keep medicines out of the reach of children. Nicotine is a highly toxic substance. Even the dose tolerated by adults in the treatment can lead to severe poisoning in small children, i. Sticking on Nicotinell patches while playing can be fatal to children if not noticed in time. Therefore, the Nicotinell patches must be kept out of the reach of children at all times.
The patches still contain nicotine after use! Therefore, fold the removed plasters together with the adhesive layer on the inside and dispose of them in such a way that they cannot get into the hands of children.
Store at 15-30 °C.
Keep out of the reach of children.
The medicinal product may only be used up to the date marked «EXP» on the container.
Your doctor, pharmacist or druggist can provide you with further information. These people have the detailed information for specialists.
Nicotine.
Nicotinell patch is a Ttransdermal Ttherapeutic S >system (TTS).
Average active ingredient release on the skin 21 mg/24 hours.
Round, yellow-ochre transdermal patch, protective liner marked with the code «EME».
Average active ingredient release on the skin 14 mg/24 hours.
Round, yellow-ochre transdermal patch, protective liner marked with the code «FEF».
Average active ingredient release on the skin 7 mg/24 hours.
Circular, yellow-ochre transdermal patch, protective liner marked with the code «CWC».
50582 (Swissmedic).
In pharmacies and drugstores, without a doctor's prescription.
Nicotinell Patch 1 (strong) 21 mg/24h: 7 and 21 depot patches.
Nicotinell Patch 2 (medium) 14 mg/24h: 7 and 21 depot patches.
Nicotinell patch 3 (light) 7 mg/24h: 7 and 21 depot patch.
GSK Consumer Healthcare Schweiz AG, Risch.
This package leaflet was last checked by the Medicines Agency (Swissmedic) in June 2019.