Nicorette Icy White 2mg Nicotine Gum is a nicotine replacement chewing gum that relieves and prevents cravings and withdrawal symptoms when you stop smoking or vaping, or cut down. Each of the 30 pieces contains 2mg of nicotine, and the gum also contains ingredients that help remove dental staining, so it can help improve the whiteness of your teeth while you manage cravings.

Key Features

• 2mg strength: Intended for people who smoke 20 or fewer cigarettes a day, or who vape lightly to moderately (for example, vaping infrequently or using low strength e-liquid).
• Helps improve tooth whiteness: The gum contains ingredients that help remove dental staining, and chewing it helps improve the whiteness of your teeth.
• Flexible use: You can use it to replace all of your cigarettes or e-cigarettes, to cut down, or at times when you can't or don't want to smoke or vape.
• Chew and rest technique: The gum is chewed slowly, then rested between gum and cheek, so the nicotine is taken in through the lining of your mouth.
• Sugar-free and free from animal products: None of the Nicorette Icy White gums contain sugar (sucrose) or animal products.

Is the 2mg or 4mg gum right for me?

The 2mg gum is for people who smoke 20 or fewer cigarettes a day, or who are light to moderate vapers. The 4mg gum is for people who smoke more than 20 cigarettes a day or who are heavy vapers (for example, vaping frequently or using high strength e-liquid). Heavier smokers and vapers can also use the 2mg gum when they are cutting down. If the 2mg gum does not relieve the urge to vape, the leaflet says the 4mg gum should be used.

Does Nicorette Icy White gum really whiten teeth?

The leaflet states that the gum contains a number of ingredients that help remove dental staining, and that chewing it will help improve the whiteness of your teeth. It is a nicotine replacement gum first and foremost, and is used to relieve cravings and withdrawal symptoms.

Can I use it to stop vaping?

Yes. Nicorette Icy White gum can be used to relieve withdrawal symptoms and cravings when you try to stop vaping or cut down. The leaflet notes that the risks of continued vaping are not established.

Can I use it if I am pregnant or breastfeeding?

You may be able to, but the leaflet advises trying to stop without nicotine replacement therapy first. If you can't, nicotine replacement is a safer alternative to smoking, and you should talk to a doctor, pharmacist or nurse for advice. See Warnings for more detail.

Active ingredient: Nicotine 2mg per piece of gum.

Other ingredients: Chewing gum base, xylitol, peppermint oil, anhydrous sodium carbonate, acesulfame potassium, levomenthol, magnesium oxide, talc, winterfresh, hypromellose, sucralose, polysorbate 80, starch, titanium dioxide (E171), carnauba wax and sodium hydrogen carbonate. The chewing gum base contains butylated hydroxytoluene (E321), an antioxidant.

Additional information: None of the gums contain sugar (sucrose) or animal products.

Adults and children aged 12 years and over: chew one piece of 2mg gum as required to relieve cravings. Use only one piece at a time and no more than 15 pieces a day. How often you use the gum depends on how many cigarettes or e-cigarettes you used and how strong they were.

Chew the gum using the Nicorette chewing technique, which is different from ordinary chewing gum:

1. Chew slowly until the taste becomes strong.
2. Rest the gum between your gum and cheek.
3. Chew again when the taste has faded.

Keep chewing and resting like this for about half an hour, then dispose of the gum carefully. Chewing continuously releases the nicotine too quickly, which may irritate your throat, upset your stomach or give you hiccups.

If you are able to stop smoking or vaping, use the gum when needed in place of cigarettes or e-cigarettes, then reduce the number of pieces as soon as you can until you have stopped using them. If you can't stop yet, replace as many cigarettes or e-cigarettes as possible with the gum. If you have stopped but find it difficult to stop using the gum, contact your doctor, pharmacist or nurse.

Do not use Nicorette Icy White 2mg gum if you are under 12 years old, or if you are allergic to nicotine or any of the other ingredients.

Talk to your doctor, pharmacist or nurse before using it if:

• you are pregnant or breastfeeding. Try to stop without nicotine replacement therapy first; if you can't, get advice from a doctor, pharmacist or nurse. Products used intermittently, such as gum, may be preferable to patches, and if you are breastfeeding you should breastfeed just before using the gum.
• you are in hospital because of heart disease, including heart attack, chest pain, heart rate or rhythm disorders, angina, high blood pressure or stroke.
• you have a stomach ulcer, duodenal ulcer, or inflammation of the stomach or oesophagus.
• you have liver or kidney disease.
• you have an overactive thyroid gland or a phaeochromocytoma (a tumour of the adrenal gland that can affect blood pressure).
• you have diabetes. Monitor your blood sugar levels more often when you start using the gum, as your insulin or medication requirements may change.
• you take theophylline, clozapine or ropinirole. Stopping smoking or cutting down may mean the dose of these medicines needs adjusting.
• you have ever had seizures (fits).

Other important points:

• Nicotine can be very dangerous to children and can make them very ill. Keep the gum out of the sight and reach of children and animals. If a child under 12 sucks, chews or swallows the gum, contact a doctor or your nearest hospital Accident and Emergency department immediately.
• If you use more than the recommended amount, or smoke or vape while using the gum, you may feel sick, vomit, have increased salivation, abdominal pain, diarrhoea, sweating, headache, dizziness, hearing disturbance or weakness. Contact a doctor or your nearest hospital Accident and Emergency department immediately and do not smoke or vape.
• The gum base contains butylated hydroxytoluene (E321), which may cause local skin reactions (such as contact dermatitis) or irritation to the eyes and mucous membranes. The gum also contains polysorbate 80, which can cause allergic reactions.
• If you wear false teeth, the gum may stick to them. If this is a problem, other nicotine replacement products such as patches, an inhalator or microtabs may suit you better.

Like all medicines, Nicorette Icy White gum can cause side effects. Many are caused by nicotine and can also happen when nicotine comes from smoking or vaping.

Stop using the gum, do not smoke or vape, and contact a doctor immediately if you notice a fast or abnormal heartbeat, palpitations, shortness of breath, seizures (fits), or an allergic reaction (swelling of the face, mouth, lips, throat or tongue, itching or swelling of the skin, ulceration or inflammation of the lining of the mouth, difficulty breathing or dizziness).

Effects of the gum itself include slight throat irritation at the start of treatment and increased salivation. People who suffer from indigestion may get heartburn or indigestion, and may benefit from chewing more slowly and using the 2mg gum. The gum may occasionally stick to dentures and, in rare cases, damage them.

Other reported side effects, by how often they occur:

• Very common (may affect more than 1 in 10 people): headache, throat irritation, feeling sick (nausea), hiccups, sore mouth or throat.
• Common (may affect up to 1 in 10 people): allergic reactions (hypersensitivity), dizziness, cough, taste disturbance or loss of taste, tingling or numbness of the hands and feet, stomach pain or discomfort, diarrhoea, dry mouth, excessive gas or wind, increased salivation, sore and inflamed mouth, vomiting, indigestion, burning sensation in the mouth, tiredness.
• Uncommon (may affect up to 1 in 100 people): abnormal dreams, sudden reddening of the face or neck, high blood pressure, sudden narrowing of the small airways of the lung causing wheezing and shortness of breath, loss or damage to voice, blocked nose, sneezing, throat tightness, burping, a swollen, red, sore tongue, mouth ulcers or blisters, numbness or tingling of the mouth, unusual weakness, chest discomfort and pain, hives, excessive sweating, itching, rash, jaw-muscle ache, a general feeling of being unwell.
• Rare (may affect up to 1 in 1,000 people): difficulty swallowing, decreased feeling or sensitivity (especially in the mouth), retching.
• Other side effects can include blurred vision, watery eyes, dry throat, lip pain, stomach discomfort, redness of the skin, muscle tightness and a fast, irregular heartbeat (atrial fibrillation).

Stopping smoking or vaping can itself cause effects such as irritability, feeling low, anxiety, restlessness, poor concentration, increased appetite, sleep disturbance, cough, constipation, bleeding gums and mouth ulcers. This list is not complete. If you get any side effects, talk to your doctor, pharmacist or nurse. You can also report them through the MHRA Yellow Card Scheme at www.mhra.gov.uk/yellowcard.