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Commit Lozenges (Glaxosmithkline Consumer) | ||
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DRUG FACTSACTIVE INGREDIENT Purpose (in each lozenge) Nicotine polacrilex, 2mg and 4mgStop smoking aid
USE
WARNINGSIf you are pregnant or breast-feeding, only use this medicine on the advice of your health care provider. Smoking can seriously harm your child. Try to stop smoking without using any nicotine replacement medicine. This medicine is believed to be safer than smoking. However, the risks to your child from this medicine are not fully known. Do not use
Ask a doctor before use if you have
Ask a doctor or pharmacist before use if you are
Stop use and ask a doctor if
Keep out of reach of children and pets. Nicotine lozenges may have enough nicotine to make children and pets sick. If you need to remove the lozenge, wrap it in paper and throw away in the trash. In case of overdose, get medical help or contact a Poison Control Center right away.
DIRECTIONS
For Commit® 2mg
For Commit® 4mg
OTHER INFORMATION
INACTIVE INGREDIENTSaspartame, calcium polycarbophil, flavor, magnesium stearate, mannitol, potassium bicarbonate, sodium alginate, sodium carbonate, xanthan gum Questions or comments? call weekdays 1-888-569-1743 (10:00am - 4:30pm EST) INCREASE YOUR SUCCESS IN QUITTING:
To remove the
Peel off backing
Push lozenge
*The American Cancer Society supports the use of stop smoking aids and counseling as effective tools when quitting smoking but does not endorse any specific product. Glaxosmithkline pays a fee to the American Cancer Society for the use of its logo. COMMIT®, COMMITTED QUITTERS®, NICORETTE®, and associated logo designs and overall trade dress designs are trademarks owned and/or licensed to Glaxosmithkline or its affiliated companies. Distributed By: Glaxosmithkline Consumer Healthcare, L.P. Moon Township, PA 15108, Made in the U.S.A. ©2003 Glaxosmithkline
Commit®nicotine polacrilex lozenge 2mg and 4mg User's Guide HOW TO USE Commit® LOZENGES AND TIPS TO HELP YOU QUIT SMOKING.
WALLET CARD My most important reasons to quit smoking are: ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ WALLET CARD WHERE TO CALL FOR HELP: American Lung Association 1-800-586-4872 American Cancer Society 1-800-227-2345 American Heart Association 1-800-242-8721 Quitting Buddy or Friend who has Quit - - - - - - - - - - - - - - - - - PLANNING YOUR SUCCESS
YES! YOU WANT TO QUIT. Wonderful. You've made the most important decision of all, to stop smoking. And by choosing Commit ® Lozenges to help you, you're starting on the right path. Now remember, using Commit ® doesn't just mean taking a Commit ® Lozenge. It means setting and following a program like the one we suggest in this User's Guide. Your own success depends on your effort, your level of addiction to tobacco, and your commitment to following your program. LET'S FACE IT. Quitting smoking isn't easy! You or someone you know may have tried unsuccessfully. That's okay. It's hard to stop smoking the first time you try. The important part is to learn from your previous attempts, consider what went wrong and keep trying to quit until you succeed. Look to this User's Guide for support as you undergo this terrific task. The guide includes important information on how to use Commit ® Lozenges and also gives you tips to help you stop smoking. Refer back to it often for advice, answers, and encouragement to help you stay on track. GET MOTIVATED. STAY MOTIVATED. Everyone has a reason for quitting--whether you're concerned about your health, your appearance, family or peer pressure, or the effect of secondhand smoke on your loved ones--all of the above, or something else entirely. Whatever your reasons, write them down. There's a wallet card inside the back cover of this User's Guide. Write your reasons on the card and carry it with you. When you have an urge to smoke or experience a difficult moment it can help you focus on your reasons for quitting. Lots of people quit with a co-worker, spouse or friend and use them as a quitting buddy. You can help each other out by providing extra encouragement in tough moments. There may be support groups in your area for people trying to quit. Call your local chapter of the American Lung Association, American Cancer Society or American Heart Association for further information. Toll free phone numbers are printed on the wallet card on the back cover of this User's Guide. UNDERSTANDING THE DOUBLE-EDGED SWORD. Smoking has two addictive components, a physical and a mental need for the nicotine in tobacco. You need to conquer both to succeed. Commit ® Lozenges can ease your physical nicotine addiction. But your readiness and resolve are necessary to help overcome the mental side of your cigarette dependence. So once you're ready, it's time to begin. But first, read and consider the following important warnings. IMPORTANT WARNINGS This product is only for those who want to stop smoking. If you are pregnant or breast-feeding, only use this medicine on the advice of your health care provider. Smoking can seriously harm your child. Try to stop smoking without using any nicotine replacement medicine. This medicine is believed to be safer than smoking. However, the risks to your child from this medicine are not fully known. Do not use
Ask a doctor before use if you have
Ask a doctor or pharmacist before use if you are
Stop use and ask a doctor if
Keep out of reach of children and pets. Nicotine lozenges may have enough nicotine to make children and pets sick. If you need to remove the lozenge, wrap it in paper and throw away in the trash. In case of overdose, get medical help or contact a Poison Control Center right away. YOU'RE READY TO START. Okay, you're ready. To become a non- smoker, start today. Now before you do anything else, you have a bit of planning to do. Read this User's Guide all the way through. You want to make sure you bought the right dose to start. If you typically smoke your first cigarette within 30 minutes of waking up, use the 4mg Commit ® Lozenges. If you smoke your first cigarette more than 30 minutes after waking up, use the 2mg Commit ® Lozenges. Next, plan your quitting schedule. Get a calendar to follow your progress and mark the following four important dates (see the stickers in the middle of this booklet). THE PROGRAM STEP 1. (Weeks 1-6) Starting on your quit date it's best to use at least 9 Commit® Lozenges each day, one every 1-2 hours. First choose the day you plan to quit (make it soon). Place the Step 1 sticker on this date. That's the day you will stop smoking cigarettes completely and start using Commit ® Lozenges to calm your cravings for nicotine and help you stay smoke free. Prior to the quit date, get rid of all your cigarettes to remove temptations and make it more difficult to start smoking again. Use a Commit ® Lozenge every 1 to 2 hours and at least 9 lozenges each day for the first 6 weeks to help prevent unexpected cravings and improve your chances of quitting. These aren't ordinary lozenges. Place the lozenge in your mouth and allow the lozenge to slowly dissolve (about 20-30 minutes). Minimize swallowing. Do not chew or swallow the lozenge. You may feel a warm or tingling sensation. Occasionally move the lozenge from one side of your mouth to the other until completely dissolved (about 20 to 30 minutes). Remember to read the instructions on page 7 before you take your first Commit® Lozenge. STEP 2. (The next three weeks, that is weeks 7-9). At the beginning of week 7 start using fewer Commit® Lozenges, one every 2-4 hours. After six weeks, you should wait a little longer between lozenges, one lozenge every two to four hours. This will help you gradually use fewer Commit ® Lozenges. Put the Step 2 sticker on the first day of week 7 to help remind you when to start reducing the number of Commit ® Lozenges you take. STEP 3. (The last three weeks, that is weeks 10-12). At the beginning of week 10, reduce Commit® Lozenge use even further, one every 4-8 hours. At the beginning of week 10 further decrease the number of Commit ® Lozenges you use each day to reduce the amount of nicotine you get. You should do this by using one lozenge every 4 to 8 hours. Put the Step 3 sticker on the first day of week 10 so you know when you should be starting this last step to becoming smoke and nicotine-free. END. At the end of week 12 stop using Commit® Lozenges to become both cigarette and nicotine-free. Put the "EX-SMOKER" sticker on your calendar on the date 12 weeks after the day you stopped smoking and started using Commit ® Lozenges. You should not use Commit ® Lozenges beyond this date. BE PREPARED. Since smoking is an addiction, it is hard to quit. Even after you stop, there will be times when you WANT a cigarette, sometimes strongly. (See also section on "Challenges To Watch For"). The best defense is to be prepared. Plan now for handling tough times so you don't give in. For example: think about situations when you usually get a craving for cigarettes or where you think you might experience strong cravings. Try to avoid these situations where you can (for example, avoid spending time with smokers, or drinking alcohol, if those things tempt you to smoke). Change your habits. For example, take your coffee break somewhere else. Take a walk. In other words, break the association between your usual habits and cigarettes. If you do encounter a situation where you feel a strong craving, fight it! Take a break from the situation; keep yourself busy or distracted with other activities. Remind yourself why you want to quit, and above all, remind yourself that having "just one" really will hurt your goal of quitting! To prepare for tough situations, assemble a "survival package"--items that can keep you distracted in case you get a craving. For example, you may include cinnamon gum or hard candy, relaxing music, and things to keep your hands busy like a smooth stone, paper clips, or a rubber ball. Track your progress as you quit. Keep a journal. Write down how many pieces of Commit ® Lozenges you use each day. Note if and when you get a craving. If you slip and have a cigarette, don't give up. Stop smoking again and get back on your program with Commit ® Lozenges. Establish your support network. Keep friends' and family members' phone numbers ready to get the moral support you need. Before quitting, ask friends and family to support and encourage you. Think of specific ways they can help. Reward yourself. Set aside little gifts to yourself such as a CD or video, which you can earn by overcoming difficult hurdles. HOW Commit® LOZENGES WORK. Commit ® Lozenges are a form of Nicotine Replacement Therapy. They deliver nicotine to your body, temporarily relieving craving and nicotine withdrawal symptoms when you quit smoking. But unlike cigarettes, Commit ® Lozenges deliver a lower, steady level of nicotine to your blood. When used as directed, Commit ® Lozenges help you regulate, control, and gradually reduce your body's craving for nicotine. The good news is that Commit ® Lozenges contain no tar or carbon monoxide, and therefore don't present the same medical risks as cigarettes. However, the lozenges still deliver nicotine, the addictive ingredient in cigarettes. And for some people the nicotine in Commit ® Lozenges can occasionally cause mouth or throat irritation, headaches, nausea, hiccups, upset stomach or dizziness. USING Commit® LOZENGES PROPERLY. Remember, Commit® Lozenges aren't like ordinary lozenges such as cough drops. This lozenge is designed to deliver nicotine into your system through the lining of your mouth, not in your stomach like most other medicines. It is important to minimize swallowing the dissolved medicine in these lozenges so that it can be properly absorbed in your mouth. Do not use more than one lozenge at a time, or many lozenges one after another since this can cause hiccups, heartburn, nausea or other side effects. Read all the following instructions before using Commit ® Lozenges. Refer to them often to make sure you're using Commit ® Lozenges correctly. IMPORTANT: Don't worry or give up if you do not like the taste of the lozenge at first. Commit® Lozenges are a medication, not a candy. Most people get used to the taste after a day or two. Remember, staying with the plan will help you quit. Stop smoking completely before you start using Commit® Lozenges.
To reduce cravings or urges to smoke and other withdrawal symptoms, use Commit ® Lozenges according to the following dosage schedule.
Do not use more than 5 lozenges in 6 hours. Do not use more than 20 lozenges per day. Stop using the lozenge at the end of 12 weeks (3 months). FOR THE BEST CHANCE OF QUITTING, use Commit ® Lozenges on a regular schedule, using at least 9 lozenges a day during the first 6 weeks. That will help your body better adjust to the lack of cigarettes and better help prevent cravings. Some people may need more lozenges to reduce their cravings. Do not exceed the recommended maximum daily dosage of 20 lozenges per day. Do not continuously use one lozenge after another, since this may cause you hiccups, heartburn, nausea or other side effects. Do not eat or drink 15 minutes before using or while the lozenge is in your mouth. CUTTING BACK ON YOUR Commit® LOZENGE USAGE. The whole reason for using Commit ® Lozenges is to decrease and slowly eliminate your need for nicotine, while you control cravings. So, as the above schedule indicates, you should gradually reduce the amount of Commit ® Lozenges you take per day. Some people find it easier to reduce by substituting ordinary sweets or sugar free candy for some of the Commit ® Lozenges they would normally use. As time goes on, you can increase the number of pieces of candy as you further reduce your use of Commit ® Lozenges. Stop using Commit® Lozenge at the end of week 12. If you still feel the need to use Commit ® Lozenge after week 12, talk with your doctor. MAKE QUITTING EASIER ON YOURSELF. Soon after your quit date, parties, bars, celebrations, and socializing may all tempt you to smoke. Please remember these tips to help you resist those urges and stay smoke-free. The Day You Quit Smoking:
REMEMBER: Urges to smoke are temporary. They'll pass, even if you don't smoke. WHAT YOU CAN EXPECT. As you are successful at staying smoke-free, initially you will probably notice a few of the following typical withdrawal symptoms, so don't be surprised. Use of Commit ® Lozenges reduces these symptoms, but may not eliminate them entirely. They will go away with time. Stay focused on your goal of becoming an ex-smoker. Research shows that if you manage to avoid all smoking in the first week (that means not having a single puff), your chances of success increase dramatically. The First Few Days. You may feel nervous or irritable or have difficulty concentrating during the first few days after you quit smoking. Your body needs time to regain balance. Initially, you might feel a little out of sorts, get headaches, feel light-headed, or have trouble sleeping. Your smoker's cough may get worse before it improves. But fear not, it's a positive sign. Coughing helps clean your lungs of the tar residue you got from smoking. After a Couple of Weeks. Your confidence and ability to cope with urges to smoke should be getting stronger. But don't be over-confident and think you can smoke just one cigarette. Even now, having even a single puff can lead to a return to smoking cigarettes regularly. Be prepared, and remember why you wanted to stop smoking. Have you noticed that your sense of taste and smell has improved? You are probably coughing less and finding it easier to breathe. You've also probably noticed your withdrawal symptoms are subsiding (though don't worry if they're still there: they last longer for some people). These are all positive signs that your body is getting used to your success at stopping smoking. By The End of The First Month. You are less likely to have cravings for cigarettes as often. However sudden cravings may still happen, and when they do, be on your guard, as they can be strong and seem to come out of the blue. Be prepared for these challenging times. The key is do what you can so these unexpected cravings can't beat you. Keep focused on the ways non-smokers are more attractive than smokers. Their breath smells better. Their clothes and hair are fresher. Their teeth are cleaner and brighter. Their skin is less likely to wrinkle. Not smoking around children and your friends is also healthier for them too. What If You Do Slip And Smoke? "What if I relapse?" One cigarette is a slip-up, but it's not the end of the quit effort. Everybody slips at something. The key is this: forgive yourself and stop at that one cigarette. Don't let this slip ruin your good intentions, keep at your quit attempt. So, throw out your cigarettes and continue with your quit attempt, keeping in mind what went wrong and led to the slip. If you do go back to smoking, certainly don't throw out your Commit ® Lozenges. Keep them for the next time you're ready to quit. In fact research says that even if you are back to smoking regularly the best thing you can do is learn and try again. Try to understand the reason you had those cigarettes that made you slip. That's important, because now you can plan better to deal with these moments next time. It's true you stumbled, but don't think of yourself as having failed. Encourage yourself by treating the last attempt as a learning experience, even a "trial run" for the real thing. Take a look at the usage instructions and check that you used the Commit ® Lozenges correctly and for the full 12 weeks of the program. When you try again make sure you use enough and the right way. That way you'll be best equipped to deal with the unexpected cravings. Don't forget; quitting isn't easy and it takes practice to do anything. Stopping smoking is no different. YOU'VE MADE IT. Once your twelve week quitting program is over, you've taken your last Commit ® Lozenge. Now you are both cigarette and nicotine-free. Get up and give yourself a standing ovation. We mean it. Do you realize that you have just done a really difficult thing? Now's a good time to think back on the process. Think of all your reasons for quitting smoking. Think of your goals. Think of how they're going to be a reality now. Think of what you're going to do with your newly liberated cigarette money. The places you can now go smoke-free. Think of the extra time you may have added to your life and what you can do with it. And although you may still experience the occasional temptation, and cigarettes still want you back, think positively. Think forward. And consider yourself a proud non-smoker. FREQUENTLY ASKED QUESTIONS.
CHALLENGES TO WATCH FOR. Once you quit smoking, you are likely to experience periodic, and sometimes intense, temptations to smoke. Certain situations present special challenges. Some common ones include: Stress and upset. When you are feeling stressed or upset, you may think a cigarette will make everything better. It won't. Find other ways to relax and unwind. The blues. You may be especially vulnerable when you feel bored or blue. Remember that having a cigarette will just make you feel worse. Smoking cues. Seeing cigarettes or watching other people smoke can trigger temptation. Remember that you choose not to smoke anymore. Alcohol. Drinking and smoking seem to go together, and alcoholic beverages may weaken your resolve, making drinking dangerous to your quit effort. Avoid drinking early in your quit effort, and try to drink with non-smokers. Automatic slips. Sometimes you may find yourself preparing to smoke without even realizing it. Watch out for those moments when your hand seems to 'automatically' reach for a cigarette. Watch out for these situations: they can trigger a relapse. You probably know which one (s) are most dangerous for you; plan ahead to deal with the situation effectively. Always remember that you're trying to break a habit, and the most important thing is to do some- thing to combat the urge in these situations. COPING AFTER QUITTING. The key to staying smoke-free is to prepare for and cope with challenges as they occur. If you find yourself tempted to smoke, do something! Here are some things to consider.
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