University of Wisconsin–Madison

Nicotine Gum

nicotine gum

What is Nicotine Gum

Nicotine gum is an aid to quit smoking.

  • Chew and “park” it between your cheek and gums.
  • This delivers nicotine to the body through the lining of the mouth.

How to Get Started

  • Talk with your doctor before using the gum, especially if you are pregnant or breastfeeding, or have heart issues.
  • The gum is available over-the-counter.
  • Some health plans may cover the cost.

Dose and Schedule

  • The gum comes in two does: 4 mg and 2mg.
  • If you smoke your first cigarette within 30 minutes of wake-up, start with 4 mg.
  • If you smoke your first cigarette more than 30 minutes after wake-up, start with 2 mg.
  • Use gum on a schedule, not just when you have a craving. Here is an example:
    • Weeks 1-6 >> every 1-2 hours
    • Weeks 7-9 >> every 2-4 hours
    • Weeks 10-12 >> every 4-8 hours

Side Effects
If you use the gum, you may get:

  • Mouth sores
  • Nausea
  • Hiccups
  • Jaw pain

Tips for Use

  • Do not chew like bubble gum.
    • Chew it until you can taste the nicotine or feel a tingle in your mouth
    • Park it between your cheeks and gums
    • After about a minute, when the tingling is almost gone, chew it again
    • Repeat this process until the tingle is all gone (about 30 minutes)
      • Do not use more than 24 pieces per day
      • Do not eat or drink 15 minutes before and during use
        • Avoid acidic foods and drinks
          (like oranges, coffee, and soda)
        • These can make the gum less effective

See Your Doctor
There’s no magic medication to cure addiction to nicotine. However, these medications can increase your chances of quitting two- or three-fold. It’s important to discuss any medication with your doctor to be sure you’re using it safely, at the correct dosage and for the appropriate duration.