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Nicotine Inhaler

The Nicotine Inhaler is NOT covered under the B.C. Smoking Cessation Program.

The inhaler is an option for people who miss the hand-to-mouth ritual of smoking. It is a non-prescription (over-the-counter) nicotine replacement therapy product you can get from your local pharmacy. The inhaler uses cartridges that have nicotine in them, which is released when you puff, allowing you to receive nicotine when you have a craving for a cigarette.

For information on quitting smoking, check out our QuitPlan for tips and tools on how to quit.

Advantages of using a nicotine inhaler (e.g. Nicorette® cartridge delivers 4mg nicotine)

  • It mimics the hand-to-mouth action of smoking.
  • You decide how often to use the inhaler.
  • Reduces the symptoms of nicotine withdrawal cravings and irritability.

Warnings & Precautions

Consult your pharmacist or physician prior to using the inhaler if the following apply to you:

  • pregnant or breastfeeding
  • being treated for any serious heart condition
  • heart attack or stroke within the last 2 weeks
  • require kidney dialysis
  • use any prescribed medication regularly. Smoking alters the effects of some medications, and when you quit smoking it may be necessary for your doctor to adjust the doses, especially if you are diabetic, taking medications for high blood pressure or heart disease, or taking antidepressants, tranquilizers or sleeping pills.

Stop using the inhaler immediately and see your doctor if you have:

  • chest pain
  • irregular heartbeat
  • palpitations
  • leg pain
  • persistent stomach pain
  • rash or hives

How to use the nicotine inhaler

  • Take the mouthpiece out of its plastic wrapper. Line-up the markings on the mouthpiece and separate the two pieces.
  • Remove one cartridge from the foil wrapped tray. Press the cartridge firmly down into the bottom of the mouthpiece until the seal breaks.
  • Replace the top of the mouthpiece. Line up the markings. Press the cartridge firmly down to break the upper seal of the cartridge. Twist the mouthpiece to misalign the markings.
  • With the tapered end of the mouthpiece in your mouth, either take in long deep breaths or short puffs.
  • Each cartridge will last for about 20 minutes of continuous frequent puffing.
  • When the cartridge is empty, remove the cartridge from the mouthpiece and dispose of the cartridge out of reach from children and pets.

Recommended schedule for using the nicotine inhaler

  • Stop smoking completely before starting the inhaler.
  • Use at least 6  to 12 cartridges per day initially.
  • Do not use more than twelve cartridges a day.
  • As your body adjusts to not smoking, you can choose to stop using the inhaler or slowly reduce the number of cartridges you use a day.
  • Do not use the inhaler for more than six months.

Common side effects of using the inhaler

  • nausea
  • headaches
  • mouth or throat irritation
  • stomach upset

Things to remember

  • Clean the mouthpiece regularly with soap and water.
  • Don't have any acidic beverages like coffee, tea, juice, and soda while using the inhaler. The acid in these drinks can prevent your mouth from absorbing the nicotine from the inhaler.
  • It is important to carry the inhaler with you at all times so that you can respond to your cravings when they occur.

FAQs About Nicotine Inhaler

How much does the nicotine inhaler cost?
The nicotine inhaler is more expensive that the nicotine patch, gum or lozenge but still costs less per day than a pack of cigarettes.  Depending on the brand you choose to use the price will vary. Be sure to check with your employer or health plan to see if they pay for all or part of the cost of the inhaler. If the nicotine inhaler is not covered by your employer or health plan, be sure to check the manufacturer website for coupon offers.

Can I smoke and use the nicotine inhaler at the same time?
Do not smoke or receive nicotine through snuff or other sources at the same time as using nicotine lozenges as you may get too much nicotine and experience side effects.  If you are unable to quit smoking after using the nicotine inhaler for two weeks, stop using the nicotine inhaler and then re-start when you are ready to quit smoking again.

Can I use both the nicotine inhaler and the nicotine patch?
Yes, if you are using the patch and continue to have cravings, it is reasonable to use nicotine gum, lozenges or inhalers in addition. Speak with your doctor or pharmacist to determine what method is best for you.

My throat is irritated after using the inhaler. Is that normal?
Yes. The nicotine inhaler may irritate your throat. This should decrease as you continue to use the inhaler. If it persists, contact your doctor.