How to Use the Nicotine Oral Inhaler

How to Use the Nicotine Oral Inhaler
Nicotine Oral Inhaler icon

Nicotine Oral Inhaler icon
  • You’ll need a prescription from a prescribing healthcare provider for the nicotine oral inhaler.
  • The nicotine oral inhaler may look similar to a cigarette, but you need to use it differently. You do not need to inhale as deeply for the medicine to work. Do not inhale into the lungs like a cigarette, and do not use it like a traditional asthma inhaler. Instead, take frequent, short, and shallow puffs from the inhaler, similar to how you might sip from a straw. Use the inhaler for four 5-minute sessions, or continually for about 20 minutes (which is about how long one cartridge will last).
  • Use the nicotine oral inhaler often enough, as directed by your doctor or other healthcare provider, to help control cravings for cigarettes. To ensure that your body gets enough nicotine to ease your withdrawal symptoms, use at least 6 cartridges per day for the first 3 to 6 weeks. Do not consume more than 16 cartridges each day. Your doctor can help you set and adjust your dose and can talk about gradually reducing your dose when you are ready.
  • Do not eat or drink for 15 minutes before using the inhaler, or during use.
  • Keep out of reach of children and pets. Nicotine oral inhaler cartridges may have enough nicotine to make children and pets sick. When you are done using the inhaler, be sure to leave it in the locked position and store it out of reach of children and pets. When the cartridge is empty, immediately throw it in a secured trashcan that cannot be accessed by children and/or pets. In case of accidental use or ingestion, contact a Poison Control Center right away (1-800-222-1222).
  • Learn more about the nicotine oral inhalerexternal icon, including side effects and precautions.
Quick inhaler tips
nicotine inhaler
Photo from mayoclinic.org used with permission of Mayo Clinic; no product endorsement implied.
  • Consider combining the nicotine oral inhaler with nicotine patches if you continue to have withdrawal symptoms. Patches can provide a steady level of nicotine in the body to help lessen withdrawal, while the inhaler can be used to more quickly relieve cravings as they occur. You may need to use the inhaler less often if you are also using a patch.
  • If you have strong cravings while using the nicotine oral inhaler, make sure you are using it often enough. If you smoke regularly, it’s best to use at least 6 cartridges a day for the first 3 to 6 weeks, and you can use up to 16 cartridges per day. You can also consider adding the nicotine patch, as discussed above.
  • What if I slip up and smoke while using the nicotine oral inhaler? You do not need to stop using the nicotine oral inhaler if you slip up and smoke. Throw away your cigarettes and get back on track with your quit attempt. Keep using the nicotine inhaler as directed.
  • How is the nicotine oral inhaler different than an e-cigarette? While the nicotine inhaler might seem a bit like an e-cigarette, there are some important differences. The nicotine inhaler has been an FDA-approved quit-smoking medicine for more than 20 years. The nicotine oral inhaler is regulated, and science has shown it is both safe and effective. Also, nicotine inhaled through the nicotine oral inhaler is not intended to be inhaled into the lungs—it is designed to be delivered into the mouth and throat area where it is absorbed. In contrast, e-cigarettes are tobacco products that are not FDA-approved as quit-smoking medicines and the long-term health effects of e-cigarette use are unknown. Learn more about e-cigarettes.
  • For best results, use the nicotine oral inhaler as part of a program that includes coaching support. Talk with your healthcare provider and connect with your state tobacco quitline (1-800-QUIT-NOW) for help.

The quit-smoking medicines talked about on this website are approved by the FDA for adults to use to quit cigarettes. If you are pregnant, breastfeeding, or younger than 18, you should not use these medicines without talking to your doctor. If you use tobacco products other than cigarettes (like cigars, chew, snuff, hookah, or e-cigarettes), talk to your doctor or other healthcare provider or call the quitline (1-800-QUIT-NOW) to get help with quitting. All the ways to use medicines presented here are reviewed in Smoking Cessation: A Report of the Surgeon General (Chapter 6)pdf icon. Some of the ways have not been evaluated or approved by the FDA.