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  1. Tools & Tips
  2. Nicotine Replacement Therapy: Nicotine Gum

Nicotine Replacement Therapy: Nicotine Gum

DOSAGE 2 MG, 4 MG

What Does This Medication Do?

Use the nicotine gum as needed to manage breakthrough cravings and urges to use tobacco. Participating in behavioral counseling while using this medication will increase your likelihood of staying tobacco-free.

How Do I Use It? 

  • Unlike what you do with regular gum, bite down slowly a few times until you feel a slight tingling in your mouth.
  • Park the gum between your cheek and gum. Leave it there for about one minute so you can absorb the nicotine.
  • Repeat biting and parking until the taste or tingle is gone. One piece of gum lasts 20–30 minutes.
  • Do not bite down too quickly on the gum or swallow the nicotine.
  • Avoid eating or drinking anything acidic 15 minutes before using the gum or during use.
  • You may start with up to 24 pieces of gum per day and then reduce over time.

What Are The Possible Side Effects? 

  • May cause mouth soreness, oral irritation, hiccups, jaw aches, nausea and vomiting. Proper gum use can help to avoid these side effects.
  • If you have any intolerable side effects, stop using the gum and contact your healthcare provider.

If you are in crisis, call: 988 or 1-800-273-TALK and press 1 to talk to someone now.

Use These Tools For Additional Support

If you use tobacco occasionally while taking the medicine, don’t give up. Continue to take the medicine and try not to use tobacco. 

Sign Up For SmokefreeVET Text

Call the Quitline to Speak with a Quit VET coach Monday - Friday 

Using medication together with behavioral counseling gives you the best chance of stopping tobacco use. Talk with your health care provider about the best medication for you.

What NRT Can You Combine?

Nicotine Patch and Gum

The patch and gum release nicotine throughout the day to help decrease withdrawal symptoms and control cravings while you quit tobacco.

Nicotine Patch, Gum, and Counseling

The patch and gum release nicotine to help decrease withdrawal symptoms and control cravings. Combine with counseling for your best chance of quitting tobacco.