NICORETTE BUCOMIST 1 mg/puff ORAL SPRAY SOLUTION

Introduction

Leaflet:Information for the patient

Nicorette BucoMist 1mg/puff oral spray solution

Nicotine

Read the entire leaflet carefullybefore starting to use thismedication,as it contains important informationfor you.

Follow the administration instructions of the medication contained in this leaflet or as indicated by your doctor or pharmacist.

• Keep this leaflet, as you may need to read it again.
• If you need advice or more information, consult your pharmacist.

• If you experience side effects, consult your doctor or pharmacist, even if they are side effects not listed in this leaflet. See section 4.

• You should consult a doctor if your condition worsens or does not improve after 6 months of treatment with Nicorette BucoMist.

Contents of the leaflet

1. What is Nicorette BucoMist and what is it used for
2. What you need to know before starting to use Nicorette BucoMist
3. How to use Nicorette BucoMist
4. Possible side effects
5. Storage of Nicorette BucoMist
6. Package contents and additional information

1. What is Nicorette BucoMist and what is it used for

Nicorette BucoMist belongs to the group of medications used as an aid to quit smoking when there is an intention to quit or reduce tobacco consumption before definitively abandoning it. This type of treatment is called Nicotine Replacement Therapy (NRT).

Nicorette BucoMist alleviates the withdrawal symptoms that appear when quitting smoking, including the urge to smoke. When nicotine from tobacco is suddenly stopped from being administered to the body, various unpleasant sensations may appear, which are collectively called withdrawal syndrome. The use of Nicorette BucoMist can prevent or reduce withdrawal syndrome, including the urge to smoke. Its action is due to the fact that Nicorette BucoMist continues to administer a small amount of nicotine to the body for a short period. Nicorette BucoMist does not contain tar, carbon monoxide, or other toxins present in tobacco.

To increase the chances of quitting smoking, it is essential to have advice and support.

2. What you need to know before starting to use Nicorette BucoMist

Do not use Nicorette BucoMist

• If you are allergic to nicotine or any of the other components of this medication (listed in section 6).
• If you are under 18 years old.
• If you have never smoked.

Warnings and precautions

Consult your doctor before starting to use this medication if you suffer from any of the following diseases. It is possible that you can use Nicorette BucoMist, but you will need to consult your doctor first:

• If you have recently (up to 3 months prior) suffered a heart attackor heart stroke.
• If you suffer from chest pain(angina pectoris) or resting angina.
• If you suffer from any heart diseasethat affects heart rhythm or frequency.
• If you have high blood pressure(hypertension) that is not controlled with medication.
• If you have had an allergic reactionwith inflammation of the lips, face, and throat (angioedema) or skin irritation (urticaria). The use of nicotine replacement therapy may sometimes produce this type of reaction.
• If you suffer from severe or moderate liver disease.
• If you suffer from severe kidney disease.
• If you suffer from diabetes.
• If you have hyperactivity of the thyroid gland.
• If you have a tumor in the adrenal medulla(pheochromocytoma).
• If you suffer from stomach or duodenal ulcers.
• If you have esophagitis.
• If you have a history of epilepsyor seizures

Non-smokersshould not use Nicorette BucoMist.

Children and adolescents

Do not administer this medication to children or adolescents.

Using Nicorette BucoMist with other medications

Tell your doctor or pharmacist that you are taking, have recently taken, or may need to take any other medication. This is especially important if you take medications that contain:

• Theophyllinefor asthma
• Tacrinefor Alzheimer's disease
• Clozapinefor schizophrenia
• Ropinirolefor Parkinson's disease

Using Nicorette BucoMist with food and drinks

Do not eat or drink when applying a spray.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.

Pregnancy

It is very important to quit smoking during pregnancybecause it could cause intrauterine growth retardation, premature birth, or stillbirth. Ideally, you should try to quit smoking without using any nicotine medication. If you cannot, you should only use Nicorette BucoMist if your primary care physician, obstetrician, or a specialist in smoking cessation recommends it.

Breastfeeding

The use of Nicorette BucoMist should be avoided during breastfeeding, as nicotine passes into breast milk in amounts that may affect the baby. If your doctor has recommended using Nicorette BucoMist during breastfeeding, the spray or sprays should be applied immediately after breastfeeding and never during the 2 hours prior to breastfeeding.

Fertility

Smoking increases the risk of infertility in women and men. The effect of nicotine on fertility is unknown.

Driving and using machines

No effects on the ability to drive or use machines have been observed.

Nicorette BucoMistcontains 11 mg of propylene glycol per spray. This medication contains approximately 7 mg of alcohol (ethanol) in each spray, which is equivalent to 97 mg/ml. The amount of alcohol in each spray of this medication is equivalent to less than 2 ml of beer or 1 ml of wine. The small amount of alcohol in this medication will not have any noticeable effect. This medicinal product also contains less than 1 mmol of sodium (23 mg) per spray, i.e., it is essentially sodium-free. Due to the presence of butylhydroxytoluene, Nicorette BucoMist may cause skin reactions (e.g., contact dermatitis) or irritation to the eyes or mucous membranes.

3. How to use Nicorette BucoMist

Follow the administration instructions of the medication contained in this leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your doctor or pharmacist.

Nicorette BucoMist should not be used in children under 18 years old.

Consult your doctor if you have not achieved a reduction in the number of sprays or cigarette consumption after 6 weeks of treatment or if you need to use Nicorette BucoMist for more than 6 months. Normally, Nicorette BucoMist should be used for 3 months, but not more than 6 months.

The way to use Nicorette BucoMist will depend on whether you quit smoking immediately or gradually reduce the number of cigarettes before quitting completely.

Quitting smoking immediately

The goal is to quit smoking immediately and use the sprays from the device to alleviate the urge to smoke.

Do not use more than 2 sprays at a time or 4 sprays per hour for 16 hours. The maximum dose is 64 sprays for 16 hours in any 24-hour period.

Quitting smoking gradually

The goal is to start replacing some cigarettes with Nicorette BucoMist. Once this goal is achieved, quit smoking cigarettes completely and switch to using the spray device only. Finally, completely stop using the medication.

.

When you feel a strong urge to smoke, apply 1-2 sprays instead of a cigarette to help control your cravings. The sprays are to replace a cigarette, do not smoke shortly after using it. Using the sprays without reducing the number of cigarettes will make you feel unwell (see section "If you use more Nicorette BucoMist than you should"). Reduce the number of cigarettes you smoke per day as much as possible and replace them with a spray. As soon as you feel ready, you should quit smoking completely, no later than 12 weeks after starting treatment. After quitting smoking, gradually reduce the number of sprays per day. When you have reduced the sprays to 2-4 per day, stop using Nicorette BucoMist.

Do not use more than 2 sprays at a time or 4 sprays per hour for 16 hours. The maximum dose is 64 sprays for 16 hours in any 24-hour period.

After completing the treatment, you may feel the urge to smoke again. Keep the package with the unused dose of the medication for situations where you suddenly feel a strong urge to smoke. You can apply one spray, or two if the first spray does not help within a few minutes.

Follow these instructions carefully and use the diagrams as a guide

Open the mouthpiece

How to open the dispenser

1. Use your thumb to slide the button (a) downward until it can be pressed lightly inward (b). Do not press too hard.
2. While pressing the button, slide upward (c) to open the top of the dispenser.

How to load the dispenser

When using Nicorette BucoMist for the first time, you need to load the spray pump. Point the mouthpiece towards a safe place for you where no other adults, children, or pets are present. Press the top of the dispenser with your index finger 3 times until a fine spray appears. If you do not use Nicorette BucoMist for 2 days, the loading procedure must be repeated.

How to use the dispenser

1. Point the mouthpiece towards the open mouth as close as possible.
2. Press the top of the dispenser firmly to release a spray inside the mouth, avoiding the lips. Do not inhale while applying to avoid the spray entering the throat. For better results, do not swallow in the seconds following the spray.

To remove the mouthpiece

How to close the dispenser

1. Slide the button (d) downward until it can be pressed inward.
2. While pressing, slide the top of the dispenser downward (f). Release the button. The dispenser will now be closed.

To use another dose, repeat the steps mentioned above.

Close the dispenser after each use to prevent the use of Nicorette BucoMist by children or accidental sprays. Be careful not to spray your eyes during the administration of Nicorette BucoMist. If the spray comes into contact with your eyes, rinse them thoroughly with water.

If you use more Nicorette BucoMist than you should

If you smoke at the same time as using Nicorette BucoMist, you may experience symptoms of nicotine overdose.

If a child uses Nicorette BucoMist or if you use too many sprays, consult your doctor immediately, go to the nearest hospital, or call the Toxicology Information Service (phone 91 562 04 20), indicating the name and amount used. The doses tolerated by adults during treatment can cause severe symptoms of poisoning in childrenand even lead to their death.

The symptoms of overdose are nausea, vomiting, excessive salivation, stomach pain, diarrhea, sweating, headache, and dizziness, hearing disturbances, and a feeling of weakness. At high doses, these symptoms can be followed by a drop in blood pressure, weak and irregular pulse, difficulty breathing, extreme fatigue, circulatory collapse, and generalized convulsions.

If you have any other questions about the use of this medication, ask your doctor or pharmacist.

4. Possible side effects

Like all medications, Nicorette BucoMist can cause side effects, although not everyone will experience them.

Nicorette BucoMist can cause the same side effects as other forms of nicotine. These effects usually depend on the dose taken.

Effects related to quitting smoking (nicotine withdrawal)

Some of the unwanted effects experienced when quitting smoking may be withdrawal syndromes due to the decrease in nicotine consumption.

These effects include:

• Irritability, aggression, impatience, or frustration.
• Feeling of anxiety, agitation, or difficulty concentrating.
• Sleep disorders.
• Increased appetite or weight gain.
• Depression.
• Urgency to smoke (cravings).
• Decreased heart rate.
• Gum bleeding or oral ulcers.
• Dizziness or mild disorientation.
• Cough, sore throat, nasal congestion, or nasal discharge.
• Constipation.

If you notice any of the following rare side effects, stop using Nicorette BucoMist and consult your doctor immediately (signs of angioedema):

• Swelling of the face, tongue, or throat.
• Difficulty swallowing.
• Urticaria or difficulty breathing.

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

• Hiccup (particularly common).
• Headache, nausea (feeling sick).
• Throat irritation.

Common: may affect up to 1 in 10 people:

• Effects at the administration site such as a burning sensation, inflammation of the mouth, or changes in taste perception.
• Dry mouth or increased saliva production.
• Feeling of indigestion.
• Pain or discomfort in the abdomen.
• Vomiting, flatulence, or diarrhea.
• Feeling of fatigue.
• Hypersensitivity (allergy)
• Numbness
• Cough

Uncommon: may affect up to 1 in 100 people:

• Effects on the nose such as nasal congestion or sneezing.
• Wheezing (bronchospasm), or feeling the need to breathe more strongly than normal (dyspnea), throat tightness.
• Redness of the skin (flushing) or increased sweating.
• Effects in the mouth such as numbness, inflammation of the tongue, oral ulcers, damage to the mouth mucosa, or changes in voice, mouth and throat pain, belching, gum bleeding.
• Palpitations (unusual feeling of heartbeat), increased heart rate, hypertension.
• Rashes and/or itching (pruritus, urticaria) of the skin.
• Abnormal dreams.
• Chest discomfort and pain.
• Feeling of weakness, feeling of malaise.
• Nasal discharge.

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

• Difficulty swallowing, feeling of numbness in the mouth.
• Gagging.

Frequency not known: frequency that cannot be estimated with the available data

• Blurred vision, increased tear production (lacrimation).
• Dry throat, stomach discomfort, lip pain.
• Redness of the skin.
• Allergic reactions including swelling of the face and mouth (angioedema or anaphylaxis).
• Abnormal heart rhythm.
• Seizures

Reporting side effects

If you experience side effects, consult your doctor or pharmacist, even if they are side effects not listed in this leaflet.

You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines. Website: www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Nicorette BucoMist

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date that appears on the dispenser and on the packaging after CAD. The expiry date is the last day of the month indicated.

Do not store above 30°C.

Medicines should not be disposed of via wastewater or household waste. Deposit the packaging and any unused medicines at the SIGRE collection point in your pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicines. This will help protect the environment, especially the aquatic environment in the case of nicotine.

6. Package Contents and Additional Information

Composition of Nicorette BucoMist

• The active ingredient is nicotine. One spray releases 1 mg of nicotine.
• The other components (excipients) are propylene glycol (E1520), anhydrous ethanol, tromethamine, poloxamer 407, glycerol (E422), sodium bicarbonate, levomenthol, peppermint flavor, refreshing aroma, sucralose, potassium acesulfame, butylhydroxytoluene (E321), hydrochloric acid, and purified water.

Appearance of the Product and Package Contents

Nicorette BucoMist consists of a plastic bottle located in a dispenser with a mechanical spray pump. The dispenser has a child safety lock.

Each bottle contains 13.2 ml of solution, equivalent to 150 sprays.

Nicorette BucoMist is supplied in packs of 1, 2, or 3 dispensers.

Nicorette BucoMist is also available in packs of 1, 2, or 3 dispensers that include, under the rear label, a near-field communication (NFC) chip that allows connectivity with the mobile application. These dispensers carry this icon>

Only certain pack sizes may be marketed.

Marketing Authorization Holder and Manufacturer

Marketing authorization holder:

JNTL CONSUMER HEALTH (SPAIN), S.L.

Paseo de las Doce Estrellas 5-7

28042 Madrid

Spain

Manufacturer:

McNeil AB, P.O.

Box 941, Norrbroplatsen 2, SE-251 09 Helsingborg, Sweden

or

Johnson & Johnson Consumer NV/SA,

Michel De Braeystraat 52, 2000 Antwerp

This medicine is authorized in the Member States of the European Economic Area under the following names:

Date of the last revision of this leaflet: June 2023

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es