Nicotine Lozenge

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

Advantages of using the nicotine lozenge (e.g. Thrive™ lozenge: 1mg/2mg):

• Easy to use.
• Reduces the symptoms of nicotine withdrawal such as cravings, inability to concentrate or irritability.
• Can be used in combination with the nicotine patch or bupropion  to help reduce nicotine withdrawal.
• You can choose the strength of lozenge to use. This is dependent on the number of cigarettes you smoke per day.

Warnings & Precautions

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

• chest pain
• irregular heartbeat
• palpitations
• leg pain
• persistent stomach pain

Consult your pharmacist or physician prior to using the patch 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.

How to use the nicotine lozenge

• Place one lozenge in your mouth and allow it to dissolve slowly.
• Occasionally move the lozenge from one side of your mouth to the other.
• Do not chew, swallow or suck on the lozenge as you might with a cough drop.
• The lozenge should take about 20 to 30 minutes to dissolve.
• Do not eat or drink during use.

Appropriate dose of lozenge to use

There are two strengths of lozenges so talk to your doctor or pharmacist about which strength is right for you.

Note: Discontinue when dose is reduced to 1-2 pieces per day.

Common side effects of the lozenge

• mouth, throat or tongue irritation
• nausea
• stomach upset
• headaches
• hiccups
• taste change

Things to remember

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

FAQs About Nicotine Lozenges

How much does the nicotine lozenge cost?
A day’s supply of nicotine lozenges 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 lozenge. If the nicotine lozenge is not covered by your employer or health plan, be sure to check the manufacturer website for coupon offers.

I have an upset stomach after using a nicotine lozenge, is that normal?
Yes. Some people will have an upset stomach from using the nicotine lozenge. This is generally a result of using the nicotine lozenge incorrectly.  Sucking, chewing or swallowing the nicotine lozenge may upset your stomach.

Can I smoke and use the nicotine lozenge 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 lozenge for two weeks, stop using the nicotine lozenge and then re-start when you are ready to quit smoking again.

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

I have diabetes. Can I use the nicotine gum or lozenges?
All nicotine gum and lozenges currently available are sucrose-free.