36.7 Handout-Nicotine Lozenge

Diabetes Planned Visit Notebook

Summa Health System developed this fact sheet for patients who smoke tobacco. Care providers give it to patients during diabetes planned visits, and it is part of the Diabetes Planned Visit Notebook. 

Information from Your Family Doctor

Family Medicine Center of Akron Summa Health System

Nicotine Lozenge

Congratulations on your decision to quit smoking. The nicotine lozenge your doctor has recommended will help make it easier to quit. The instructions in this handout will help you use the lozenge the right way. Be sure to stop smoking on the day you start using the lozenge. Smoking or using other forms of tobacco while you're using the patch may lead to health problems.

Nicotine lozenge (Commit®) acts as a substitute oral activity and provides a source of nicotine that reduces the withdrawal symptoms experienced when smoking is stopped. Recommended for smokers who have tried to quit previously.

Community Resources:

Consider taking a free quit smoking class: call 330-861-7179 for list of free local classes or call the Ohio Quit line at 1-800-Quit-Now (1-800-784-8669) for support along with your nicotine replacement. These programs can help you with the habit part of smoking.  Quitting may take practice, not everyone can quit the first time.

People who choose to call the Ohio Quit Line or take a quit smoking class are 5 times more likely to succeed than those who try to quit on their own.

Which strength is right for you?

Use 2 mg: If you smoke your first cigarette more than 30 minutes after waking up.

Use 4 mg: If you smoke your first cigarette within 30 minutes of waking up.

How to use the Commit properly:

  • Avoid food and beverages 15 minutes before and during use of the Commit Lozenge.
  • Place the Commit in your mouth and allow the lozenge to dissolve slowly (from about 20-30 minutes). Move the lozenge from one side of the mouth to the other until dissolved.
  • Use no more than 20 lozenges per day.

How to step down gradually with the Commit Lozenge:

  • During the first 6 weeks, take 1 lozenge every 1-2 hours. Use at least 9 per day.
  • In weeks 7 to 9, take one lozenge every 2-4 hours.
  • In weeks 10 to 12, take one lozenge every 4 to 8 hours, gradually reducing using less and less.
  • Stop using the Commit® at the end of 12 weeks. If you still feel the need to use Commit®, talk to your doctor.
What special precautions should I follow?

Before using nicotine lozenges;

  • Tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially acetaminophen (Tylenol), caffeine, diuretics ('water pills'), imipramine (Tofranil), insulin, medications for high blood pressure, oxazepam (Serax), pentazocine (Talwin, Talwin NX, Talacen), propoxyphene (Darvon, E-Lor), propranolol (Inderal), theophylline (Theo-Dur), and vitamins.
  • Tell your doctor if you have or have ever had a heart attack, irregular heart rate, angina, ulcers, uncontrolled high blood pressure, overactive thyroid, pheochromocytoma, or a dental condition or disorder.
  • Tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using nicotine lozenge, stop using it and call your doctor immediately. Nicotine and nicotine lozenge may cause harm to the fetus.

Do not smoke cigarettes or use other nicotine products while using nicotine lozenges because nicotine overdose can occur. Use as directed. Read and follow the package directions. Ask your doctor or pharmacist if you have any questions.

The MedMaster™ Patient Drug Information database provides information copyrighted by the American Society of Health-System Pharmacists, Inc., Bethesda, Maryland Copyright© 2004. All Rights Reserved.

Page last reviewed January 2008
Internet Citation: 36.7 Handout-Nicotine Lozenge: Diabetes Planned Visit Notebook. January 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/education/curriculum-tools/diabnotebk/diabnotebk367.html