Nicorette QuickMist Cool Berry 1mg Mouthspray is a nicotine replacement therapy (NRT) that delivers 1mg of nicotine in each spray. It is used to relieve and prevent withdrawal symptoms and reduce cravings when you stop smoking or vaping, or when you cut down. The nicotine passes rapidly into the body through the lining of the mouth, so you can use a spray when you would normally smoke or vape, or when a craving starts.

Key Features

• 1mg nicotine per spray: Each dispenser contains 13.2ml of solution, which provides at least 150 sprays.
• Mouthspray format: One spray is pressed into the open mouth, and the nicotine is absorbed through the lining of the mouth.
• Cool Berry flavour: Flavoured with levomenthol, red fruits flavour and cooling flavour.
• Lockable nozzle: The nozzle slides closed after each use, and the leaflet says to close it every time to help prevent use by children and accidental spraying.

Can I use Nicorette QuickMist if I want to cut down rather than stop completely?

Yes. The leaflet says you should ideally aim to stop smoking and vaping completely, but you can also use the mouthspray to replace some cigarettes or e-cigarettes and cut down. You can also use it at times when you cannot or do not want to smoke or vape, such as in smoke free areas or to avoid harm to others, such as children or family.

Will it give me the same buzz as a cigarette?

No. The leaflet says nicotine from the mouthspray relieves withdrawal symptoms and helps stop cravings, but does not give the buzz you get from smoking a cigarette or vaping an e-cigarette.

Can I use it if I am pregnant or breastfeeding?

The leaflet advises trying to stop smoking or vaping without NRT first. If you cannot, talk to your doctor, pharmacist or nurse for advice before using it. See the Warnings section for more.

What is the difference between Cool Berry and Cool Berry SmartTrack?

Both share the same product licence and the leaflet information is identical. SmartTrack helps you track your use by holding it against your phone after each spray, using NFC technology to send information to the Nicorette app.

Active ingredient: Nicotine, 1mg per spray.

Other ingredients: Propylene glycol (E1520), anhydrous ethanol, trometamol, poloxamer 407 (containing butylated hydroxytoluene (E321)), glycerol (E422), sodium hydrogen carbonate, levomenthol, red fruits flavour, cooling flavour, sucralose, acesulfame potassium, hydrochloric acid, purified water.

Additional information: Each spray contains about 7mg of alcohol (ethanol), which is equivalent to less than 2ml of beer or 1ml of wine, and 12mg of propylene glycol. Butylated hydroxytoluene may cause local skin reactions (for example contact dermatitis) or irritation to the eyes and mucous membranes.

Who can use it: Adults and children aged 12 years and over. Do not give this product to children under 12 years.

How to use:

1. Slide the button down until it can be pushed lightly inwards, then slide upwards to unlock the top of the dispenser.
2. Prime the spray if you are using it for the first time, or have not used it for 2 days. Point it safely away from yourself and others, including children and pets, and press the top 3 times until a fine spray appears. Priming reduces the number of sprays you get.
3. Point the nozzle towards your open mouth, as close to your mouth as possible.
4. Press the top once to release one spray into your mouth. Do not inhale while spraying, and for best results do not swallow for a few seconds afterwards.
5. Close the spray after every use by sliding the button down until it can be pushed inwards, then sliding the top of the dispenser downwards.

Do not eat or drink while using the mouthspray. Take care not to spray your eyes.

Dosage:

• Use one spray when you would normally smoke or vape, or when you have cravings.
• If cravings do not go away within a few minutes, use a second spray.
• If you need 2 sprays to control cravings, future doses can be 2 consecutive sprays.
• Do not use more than 2 sprays per dose, or more than 4 sprays every hour.
• Do not use more than 64 sprays per day, which is equivalent to 4 sprays every hour for 16 hours.
• If you are able to stop smoking or vaping, use the mouthspray when needed in place of cigarettes or e-cigarettes, then reduce the number of sprays as soon as you can until you have stopped using them completely.

Nicotine can be very dangerous for children. Read the following precautions before use:

• Do not use if you are under 12 years of age.
• Keep out of the sight and reach of children and animals. If a child under 12 uses or swallows this product, contact a doctor or your nearest hospital A&E department immediately and take the leaflet and pack with you. Nicotine inhalation or ingestion by a child may result in severe poisoning.
• Do not use if you are allergic to nicotine or any of the other ingredients.
• If you have used more than the recommended amount, or have smoked or vaped while using the spray, you may get nausea, vomiting, increased salivation, abdominal pain, diarrhoea, sweating, headache, dizziness, hearing disturbance or weakness. Contact a doctor or A&E immediately if you do.
• Talk to your doctor, pharmacist or nurse before using it if you are pregnant or breastfeeding. You should try to stop smoking or vaping without NRT first.
• Talk to your doctor, pharmacist or nurse before using it if you are in hospital because of heart disease, including heart attack, chest pain, heart rate or rhythm disorders, angina, high blood pressure or stroke.
• Talk to your doctor, pharmacist or nurse before using it if you have a stomach ulcer, duodenal ulcer, inflammation of the stomach or inflammation of the oesophagus.
• Talk to your doctor, pharmacist or nurse before using it if you have liver or kidney disease.
• Talk to your doctor, pharmacist or nurse before using it if you have an overactive thyroid gland or a phaeochromocytoma (a tumour of the adrenal gland that can affect blood pressure).
• Talk to your doctor, pharmacist or nurse before using it if you have diabetes. Monitor your blood sugar levels more often when you start, as your insulin or medication needs may change.
• Talk to your doctor, pharmacist or nurse before using it if you have ever had seizures (fits).
• Talk to your doctor, pharmacist or nurse before using it if you take theophylline, clozapine or ropinirole. Stopping smoking may mean the dose of these medicines needs adjusting.
• Talk to your doctor, pharmacist or nurse if you have stopped smoking or vaping and are finding it difficult to stop using the mouthspray.
• If you get spray in your eyes, rinse thoroughly with water.

Like all medicines, Nicorette QuickMist can cause side effects, and many are due to nicotine, so they can also occur when nicotine comes from smoking or vaping. Stop using it 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 and inflammation of the lining of the mouth, difficulty breathing or dizziness).

Very common (may affect more than 1 in 10 people):

• hiccups (particularly common)
• throat irritation
• headache
• feeling sick (nausea)

Common (may affect up to 1 in 10 people):

• allergic reactions (hypersensitivity)
• burning sensation in the mouth
• dizziness
• cough
• taste disturbance or loss of taste
• tingling or numbness of the hands and feet
• toothache
• stomach pain or discomfort
• excessive gas or wind
• vomiting
• dry mouth
• indigestion
• diarrhoea
• tiredness (fatigue)
• sore and inflamed mouth
• increased salivation

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, which can cause wheezing and shortness of breath
• loss or damage to voice, throat tightness, burping, swollen red sore tongue, mouth ulcers or blisters, numbness or tingling of the mouth, inflammation of the gums, mouth and throat pain
• excessive sweating, itching, rash, hives, dry skin
• unusual weakness, chest discomfort and pain, jaw muscle ache, feeling generally unwell, muscle and bone pain
• sneezing, runny nose, blocked nose

Rare (may affect up to 1 in 1,000 people):

• difficulty in swallowing
• decreased sensitivity, especially in the mouth
• feeling or wanting to be sick (vomiting)

Other side effects can include blurred vision, watery eyes, dry throat, lip pain, stomach discomfort, redness of the skin, muscle tightness, and a fast and irregular heartbeat (atrial fibrillation).

Stopping smoking or vaping can itself cause effects such as irritability, low mood, anxiety, restlessness, poor concentration, increased appetite, sleep disturbance, mouth ulcers and cough. This list is not complete. Talk to your doctor, pharmacist or nurse about any side effect, or report it through the MHRA Yellow Card scheme at www.mhra.gov.uk/yellowcard.