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Nicotine Nasal Spray

Nicotine Nasal Spray is another Nicotine Replacement Therapy that can be bought only with the prescription of a doctor. In this NRT, nicotine is absorbed into the blood stream through the nose. It is a perfect way of matching the rapid nicotine levels that occur when you smoke. Nicotine spray is a great relief for sudden and immediate surges of nicotine cravings. Certain side effects like nose and throat irritation, coughing, and watery eyes may occur in every third nicotine spray user.

How is Nicotine Nasal Spray used?
Nicotine nasal spray comes in the form of a liquid spray for the nose. You need to follow the directions written on the prescription label carefully, and ask your doctor or pharmacist to comprehend any parts that you fail to understand. You should always use the nicotine nasal spray exactly as directed; don't ever use more or less of it or use it more often than as is prescribed by your doctor. It would be for the best if you can procure a copy of the instructions on the usage of the medication given by the manufacturer.
Here are some directions for the use of nicotine nasal spray:

  • Always wash your hands first
  • You need to gently and slowly blow your nose in order to clear the nasal passages.
  • You can remove the cap of the nicotine spray by pressing the circles on the side of the bottle.
  • You should hold the bottle in front of a tissue or paper towel to prime and pump before the first use. Pump the spray bottle six to eight times until a fine spray appears; you can then dispose off the tissue or towel.
  • Remember to tilt your head back slightly.
  • You can insert the tip of the bottle into one nostril, pointing the tip toward the back of your nose, as far as you are comfortable.
  • You must breathe through your mouth, not your nose.
  • Pump the spray tightly and swiftly one time. Never sniff, swallow, or inhale while spraying.
  • Sniff slowly to keep the nasal spray in your nose, in case of a runny nose, and wait 2 or 3 minutes before you blow your nose.
  • Repeat the process for the second nostril.
  • Replace the cover on the spray bottle.
  • If you have not used the nasal spray for a day, remember to prime the pump in a tissue one or two times, but don't overdo it as it will decrease the amount of medication in the container.


  • Follow the directions of the physician for the number of nicotine nasal spray doses, you can best use, per day
  • You can start off with one or two doses per hour, with each dose consisting of two sprays, one in each nostril
  • You should never use more than five doses an hour or 40 doses in a day
  • You can gradually start decreasing your dose gradually over the next 4 to 6 weeks after completing the first 8 weeks of medication
  • Do not use a larger dose, or use it more often, as the nicotine nasal spray is habit forming
  • Inform your doctor if you haven't stopped smoking even at the end of 4 weeks

Special Precautions & Warnings:
Before using nicotine nasal spray to aid in quit smoking, you need to talk to your doctor;

  • If you are allergic to nicotine or any other medications.
  • If you are using, vitamins, nutritional supplements, and herbal products
  • If you are taking or are planning to take prescription and nonprescription medications, like acetaminophen, alpha blockers, beta blockers, caffeine-containing medications, cough and cold medications; imipramine, insulin, isoproterenol, oxazepam, pentazocine and theophylline.
  • If you have a history of heart attack, nasal problems, asthma, heart disease, angina, irregular heartbeat, Buerger's disease or Raynaud's phenomena, an overactive thyroid, pheochromocytoma, insulin-dependent diabetes, ulcers, high blood pressure, and kidney or liver disease.
  • If you are pregnant, plan to become pregnant, or are a breast-feeding mother. Nicotine may harm the fetus.
  • If you are prone to continue smoking while using nicotine nasal spray
  • If you experience any of the nicotine withdrawal symptoms like, dizziness, anxiety, sleeping problems, depression, tiredness, and muscle pain even after you start taking the nasal spray talk.
  • Be sure to wait 5 minutes after using this medication before you drive a car or operate a motor vehicle.
  • Learn the safe use of caffeinated beverages while using this medication.

Side Effects:
Nicotine nasal spray may cause side effects, both severe as well as moderate. You can inform your doctor if any of these symptoms are serious or do not go away:

  • coughing
  • hot, peppery feeling in the back of the nose or throat
  • gooey or runny nose
  • throat irritation
  • watery eyes
  • sneezing
  • Some side effects of nicotine nasal spray can be serious. You can immediately call a doctor if a symptom like rapid heart beat occurs.


  • Store nicotine nasal spray in room temperature away from excessive heat, light and moisture
  • Always keep used as well as unused nicotine nasal spray out of the reach of children and pets
  • Dispose the outdated and used spray bottles with the child resistant cover intact
  • Learn the proper disposal methods of the nicotine nasal spray bottles from your local pharmacist

Call a doctor if the following symptoms occur when you use nicotine nasal spray for smoking cessation:

  • shaking of the body
  • confusion
  • fits
  • weakness
  • dizziness
  • vomiting
  • cold sweat
  • headache
  • problems with hearing and vision
  • nausea
  • stomach ache
  • drooling
  • paleness
  • diarrhea

Miscellaneous Information:

  • Always keep up the appointments with your doctor
  • Handle nicotine spray with great care, they are brittle ands easily breakable
  • Immediately clean up the spill with a cloth or a paper towel by wearing rubber gloves if the nicotine nasal spray breaks
  • Avoid touching the liquid with your bare skin, and throw the towel off in the trash
  • Wash off the area of the spill till it is spotlessly clean
  • Immediately wash off any part of your body with plain water if they come in contact with the solution of the nicotine nasal spray
  • The nasal spray is for you alone; don't let anyone use it

Brand Names:

Nicotrol® NS


Chantix (Varenicline) Champix Zyban (Bupropion) Nicotine Replacement Thrapies
Smoking Cessation Aids