How to Use:

• Ensure your nose is clean before use.
• Tilt your head slightly back and place the nozzle into your nostril comfortably.
• Breathe through your mouth and spray once into each nostril.
• Do not inhale or swallow while spraying.
• If your nose runs, sniff gently to help the medication stay inside for absorption.
• Wait at least 2–3 minutes.
• Close the cap and store the bottle out of reach of children and pets.
• One bottle typically contains around 200 sprays.

Usage Instructions:

• Nicotine nasal spray is prescribed by a healthcare provider.
• During the first week, most users experience a warm or burning sensation in the back of the throat or nose, along with sneezing, coughing, watery eyes, or runny nose.
• These symptoms typically decrease after a week of regular use.
• Contact your healthcare provider if symptoms are particularly bothersome or persist.
• One dose equals two sprays (one per nostril), and the frequency and number of doses are determined with your provider.
• To manage withdrawal symptoms effectively, use at least 8 doses per day during the first 6 weeks; most users begin with 1–2 doses per hour.
• Do not exceed 40 doses per day.
• Keep the spray out of reach of children and pets, as it contains enough nicotine to be harmful.

Important Warnings:

• In case of a leak or broken bottle, wear rubber gloves, wipe the spill with a paper towel, and clean surfaces thoroughly.
• Avoid contact with skin, mouth, or eyes. If exposure occurs, rinse immediately with plain water, as nicotine can be absorbed through the skin and cause an overdose.
• Always recap the bottle and store it safely.
• Dispose of used bottles properly in the trash.
• Consult your healthcare provider before use if you have medical conditions like heart disease, high blood pressure, diabetes, stomach ulcers, or kidney/liver problems.

Stop Using the Spray and Seek Emergency Help or Contact a Poison Center If You Experience Signs of Nicotine Overdose:

• Pale skin and cold sweats.
• Nausea, vomiting, excessive salivation.
• Abdominal pain, diarrhea.
• Headache, dizziness, vision/hearing disturbances.
• Tremors, confusion, and weakness.
• Severe overdose can cause low blood pressure, respiratory failure, seizures, and potentially death due to respiratory or cardiac paralysis.

General Directorate of Clinical Health Education

 ​

​