Arizona Smokers’ Helpline

About the Nicotine Lozenge

Nicotine lozenges contain nicotine and are a form of non-prescription nicotine replacement therapy. They work best when used as part of a stop-smoking program focused on changing your smoking behavior. The lozenge contains nicotine that is released as it dissolves in your mouth. The nicotine is absorbed through the lining of your mouth and helps reduce cravings.

Using medications and a Quit Coach together can greatly enhance your chances of quitting, more than just using medication alone.


  • Do not smoke, chew, use snuff or use nicotine-containing products (including the nicotine patch or gum) while using the Commit Lozenge.
  • Consult with your doctor before taking the Commit Lozenge if you’re pregnant or breastfeeding.

Ask your doctor before use if you:

  • Have heart disease, a recent heart attack or irregular heartbeat
  • Have high blood pressure not controlled by medication
  • Have stomach ulcers or diabetes
  • Use a non-nicotine stop-smoking drug
  • Take prescription medicine for depression or asthma

Stop use and ask a doctor if you experience:

  • Mouth problems
  • Persistent indigestion or severe sore throat
  • Irregular heartbeat or palpitations

Common Side Effects

The most common side effects include insomnia (reported in less than 5% of cases), nausea, hiccups, coughing, heartburn and headache.

Dosage Information

How to use nicotine lozenges:

  • Stop all smoking when beginning therapy with the lozenge.
  • Do not eat or drink for 15 minutes before using the lozenge as some beverages can reduce its effectiveness.
  • Suck on the lozenge until it dissolves. Do not bite or chew it like hard candy, and do not swallow it.
  • Stop using the lozenge after 12 weeks. If you still feel the need to use the lozenge, talk to your doctor.
  • Do not use the lozenge if you continue to smoke, chew tobacco, use snuff or any other product containing nicotine, including nicotine patches or gum.

The Commit Lozenge® comes in 2mg and 4mg strengths. The recommended strength depends on the “time to your first cigarette.” If you normally smoke your first cigarette less than 30 minutes after waking up, you should take the 4mg strength. If you normally smoke your first cigarette more than 30 minutes after waking up, you should take the 2mg strength.

The manufacturer recommends using at least 9 lozenges a day during the first six weeks. However, you should not take more than 20 lozenges per day.

Daily dosage recommendations are as follows:

  • Weeks 1-6: one lozenge every 1-2 hours
  • Weeks 7-9: one lozenge every 2-4 hours
  • Weeks 10-12: one lozenge every 4-8 hours

Call 1-800-55-66-222 to get started.

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