Nicotinic Agonist·Addiction Medicine

Nicotine mouth spray

Rapid relief of acute nicotine cravings

NRTNicorette QuickMistUNSCHEDULEDTGA

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At a glance

Max Dose

64 Sprays/day

Onset

60 SECONDS

Caution: Technique

DO NOT INHALE

Caution: Hiccups

EXTREMELY COMMON

Cautions

Avoid / Cautions

CONTRAINDICATED - Do not use nicotine mouth spray in non-tobacco users, children under 12 years, or patients with hypersensitivity to nicotine or product components. Use medical review for pregnancy/lactation, unstable cardiovascular disease, diabetes, active GI disease, severe renal/hepatic impairment, uncontrolled hyperthyroidism, phaeochromocytoma, or seizure history.

Where it stands

Rapid Summary

Overview

Fast-acting oral nicotine spray for tobacco and nicotine-vaping dependence. It relieves withdrawal/craving when sprayed into the mouth, not inhaled.

Clinical Focus

Spray into the open mouth while avoiding the lips; do not inhale while spraying and do not swallow for a few seconds. Avoid eating or drinking during administration.

Bottom Line

Nicotine mouth spray is the fastest-acting NRT for acute craving relief, but causes throat irritation and hiccups and should not be used with other oral NRT simultaneously.

Formulation & Access

Brand Names

Nicorette QuickMist

Oral Routes

Pump spray (1 mg/spray).

Prescribing & PBS

Over The Counter (OTC).

Indications & Use

Primary

TGA

Rapid relief of acute nicotine cravings.

Quick reference

Class & Role

Nicotinic Agonist — The fastest-acting NRT available.

Route / Formulation

Pump spray (1 mg/spray). (Nicorette QuickMist)

Usual Dose & Max

Buccal 1-2 sprays into the mouth when cravings strike. Max 4 sprays/hour.

Best Uses

Nicotine mouth spray is the fastest-acting NRT for acute craving relief, but causes throat irritation and hiccups and should not be used with other oral NRT simultaneously.

Key Risks

Gastrointestinal: Hiccups (Occurs in up to 50% of users, highly irritating). Severe burning in the throat if swallowed. Respiratory: Coughing/choking if accidentally inhaled during the spray.

Key Interactions

Coffee, Juice, Soft Drinks. Acidic environment destroys mucosal absorption. Wait 15 mins.

Monitoring

Instruct the patient to hold their breath for 2 seconds while spraying to ensure they don't inhale the mist into their trachea.

Clinical Pearl

Because the spray works in 60 seconds, it is the best NRT for a smoker who says they 'need a cigarette right now to handle stress'. It directly replaces the acute behavioral reward loop.

Access

Nicorette QuickMist

Brand: Nicorette QuickMist
Formulation: Pump spray (1 mg/spray).

From this page

No calculator, monitoring schedule or factsheet is linked to this medicine page yet.

Cautions

Avoid / Cautions