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ScienceHealthnotes

Nicotine Alternatives

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Nicotine Alternatives

Also indexed as: Habitrol, Nicoderm, Nicorette, Nicotrol, Nicotrol Inhaler, Nicotrol NS, Prostep

Illustration

Nicotine is available in various forms as an aid to quitting smoking. Nicotine skin patches are available in nonprescription and prescription strengths. Nicotine gum is available without prescription. Nicotine nasal spray and oral inhaler are available by prescription.

Summary of Interactions with Vitamins, Herbs, and Foods
In some cases, an herb or supplement may appear in more than one category, which may seem contradictory. For clarification, read the full article for details about the summarized interactions.

Avoid Avoid: Reduced drug absorption/bioavailability—Avoid these supplements when taking this medication since the supplement may decrease the absorption and/or activity of the medication in the body.

Acidic foods and beverages

Check Check: Other—Before taking any of these supplements or eating any of these foods with your medication, read this article in full for details.

Lobelia

Depletion or interference

None known

Side effect reduction/prevention

None known

Supportive interaction

None known

Adverse interaction

None known

An asterisk (*) next to an item in the summary indicates that the interaction is supported only by weak, fragmentary, and/or contradictory scientific evidence.

Interactions with Herbs

Lobelia  (Lobelia inflata)
Lobelia is the plant from which the drug lobeline was isolated. Lobeline produces effects similar to nicotine.1 Combined use of nicotine and lobeline may increase the risk of nicotine side effects. No interactions have been reported with nicotine and lobelia, and in fact research has suggested lobeline may be useful as an aid to stopping smoking.2

Interactions with Foods and Other Compounds

Food
Absorption of nicotine from nicotine gum requires mildly alkaline saliva.3 Acidic foods and beverages (coffee, colas, fruit, fruit juices, and others) may reduce nicotine absorption. This potential interaction may be avoided by chewing nicotine gum one hour before or after consuming acidic food and beverages.


1. Threlkeld DS, ed. Miscellaneous Products, Smoking Deterrents, Lobeline. In Facts and Comparisons Drug Information. St. Louis, MO: Facts and Comparisons, Mar 1993, 736i.

2. Davison GC, Rosen RC. Lobeline and reduction of cigarette smoking. Psychol Rep 1972;31:443–56.

3. Threlkeld DS, ed. Miscellaneous Products, Smoking Deterrents, Nicotine. In Facts and Comparisons Drug Information. St. Louis, MO: Facts and Comparisons, Aug 1993, 736a–6h.




*The information in this newsletter is for educational use only. Do not attempt to self-diagnose or treat any condition. Please consult your healthcare practitioner if you believe you may have any of the signs or symptoms discussed above before using any of the nutrients discussed.

You should also consult with a healthcare professional before starting any diet, exercise or supplementation program, before taking any medication, or if you have or suspect you might have a health problem.
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