Nicotine Lozenge

Nicotine Lozenge icon

Nicotine lozenges look like small hard candies. You put one in your mouth between your gums and your cheek. You may feel a warm or tingling sensation as it slowly dissolves. Do not chew or swallow the lozenge. The nicotine is absorbed mostly in your mouth.

Pros:

  • Can be used regularly and when you feel withdrawal symptoms or urges coming on.
  • Acts faster than nicotine patch or quit-smoking pills.
  • Can be used with the patch to deal with breakthrough urges.
  • You control how often you use it, so you won’t get more nicotine than you want.
  • May help delay weight gain associated with quitting.
  • Comes in two sizes, regular and mini. Each of these is available in two strengths.
  • May help substitute for a cigarette because you put it in your mouth.
  • May be easier to use than gum.
  • Available without a prescription (over-the-counter).

Cons:

  • You have to remember to use it regularly and often.
  • You should not eat or drink for 15 minutes before using or when it is in your mouth.
  • Some people don’t like the taste of nicotine lozenges (the mini size may work better).
  • Can cause stomach upset.

Possible Side Effects (and what you can do about them):

  • Nausea, hiccups, or heartburn (do not chew, suck or swallow; try lower dose or wait longer between doses).
  • Trouble sleeping (don’t use for several hours before bedtime).
  • Headache or cough (try lower dose or wait longer between doses).

Nicotine Lozenge Precautions (If any of these apply to you, talk to your doctor or other healthcare provider before starting to use the lozenge.):

  • A heart attack in the last two weeks.
  • A serious heart rhythm problem.
  • Pain in your heart (angina) that is serious or getting worse.
  • Could be pregnant or are breastfeeding.
  • Less than 18 years old.

More precautions and general information are available about nicotine lozengesexternal icon.

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.