Nicotine Gum

Nicotine Gum

British Columbia Specific Information

The BC Smoking Cessation Program helps eligible B.C. residents stop smoking or using other tobacco products by assisting with the cost of smoking cessation prescription drugs or nicotine replacement therapy (NRT) products. For more information about the program, including how to get started, visit BC Smoking Cessation Program. For information about the health risks from smoking, tips on how to quit, an overview of smoking cessation aids, and more, see our Quit Smoking health feature. For more tools and resources to help you quit smoking and remain smoke-free, visit Quit Now.

Overview

You chew nicotine gum as a way to help yourself quit using tobacco. The gum has nicotine and feels and looks like chewing gum. When you chew the gum, the nicotine begins to slowly release into your mouth. Then you hold the gum in your mouth between your cheek and gums.

Here's how you use nicotine gum.

  • Read the materials that come with the product.
    • Consider using the other materials provided with the nicotine gum. They can help you change your smoking behaviour.
    • Read about the side effects listed on the package insert.
  • Choose the right strength gum and determine how much you need to use.
    • Nicotine gum comes in several flavours and in two strengths: 2 mg and 4 mg. Start with the 4 mg strength if you smoke within 30 minutes of waking up or if your doctor recommends it.
    • Follow the written instructions that come with the gum for how many pieces you can use in a day. Most people use 10 to 15 pieces a day. (Do not chew more than 30 pieces of the 2 mg gum or 20 pieces of the 4 mg gum in a day.)
  • Chew the gum using the "chew and park" method.
    • Use 1 piece of gum at a time.
    • Put a piece of gum into your mouth, and chew it slowly a few times to break it down. Chewing will release a "peppery" taste. Next, park the gum between your gums and cheek, and leave it there.
    • Repeat the process of chewing and parking for about 15 to 30 minutes, or until there is no more peppery taste released by chewing. The gum is used up at that point. The nicotine from the gum makes its way into your system through the blood vessels that line your mouth.
    • If you chew the gum without parking it, the nicotine will be released directly into the saliva in your mouth and you will swallow it. This may cause a stomach ache, hiccups, or heartburn. Also, it may take longer for the nicotine to get into your bloodstream.
  • Gradually cut back on how much gum you use.

    As the urge to smoke decreases, use fewer pieces of gum each day. When you are using only 1 or 2 pieces a day, stop using the gum completely. But you may want to keep some nicotine gum with you in case you face a strong temptation to smoke, which could cause you to relapse.

  • Watch what you drink.

    Avoid drinking beverages, especially acidic ones (such as coffee, juices, and soda pop), for 15 minutes before and after you chew. Your body may not absorb the nicotine well because of the acid in these drinks.

  • Don't chew too little gum or stop using it too early.

    Using too little of the gum will result in withdrawal symptoms similar to those caused by suddenly stopping smoking.

Credits

Current as of: March 22, 2023

Author: Healthwise Staff
Medical Review:
Adam Husney MD - Family Medicine
Kathleen Romito MD - Family Medicine
Michael F. Bierer MD - Internal Medicine, Addiction Medicine
Andrew Littlefield PhD - Psychology, Behavioral Health