Adverse reaction to nicotine gum in malay female smoker: a case report

Nicotine replacement therapies (NRT) are prescribed in smoking cessation programmes to help smokers stop smoking. The ideal dosage of NRT should control cravings and withdrawal symptoms but avoid adverse reactions. This report describes a case of adverse reaction to nicotine gum in a female Malay sm...

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Main Authors: Noorzurani, M.H.R., Bond, A., Wolff, K.
Format: Article
Language:English
Published: 2008
Subjects:
Online Access:http://eprints.um.edu.my/5544/1/Noorzurani-2008-Adverse_Reaction_to.pdf
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author Noorzurani, M.H.R.
Bond, A.
Wolff, K.
author_facet Noorzurani, M.H.R.
Bond, A.
Wolff, K.
author_sort Noorzurani, M.H.R.
collection UM
description Nicotine replacement therapies (NRT) are prescribed in smoking cessation programmes to help smokers stop smoking. The ideal dosage of NRT should control cravings and withdrawal symptoms but avoid adverse reactions. This report describes a case of adverse reaction to nicotine gum in a female Malay smoker. Assays taken 2 h after the gum, showed that her plasma cotinine/nicotine ratio was 0.4, indicating poor nicotine metabolic status. She developed nausea, severe vomiting and diarrhoea with raised blood pressure and pulse rate, following the administration of a piece of 2 mg nicotine gum on an empty stomach. This was observed in the course of a study to determine nicotine metabolism. Nicotine gum may be associated with adverse reactions in those with poor nicotine metabolic rate. Further investigation is required into the clinical effects of nicotine gum in those with poor nicotine metabolic status.
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spelling um.eprints-55442013-04-12T01:25:51Z http://eprints.um.edu.my/5544/ Adverse reaction to nicotine gum in malay female smoker: a case report Noorzurani, M.H.R. Bond, A. Wolff, K. R Medicine Nicotine replacement therapies (NRT) are prescribed in smoking cessation programmes to help smokers stop smoking. The ideal dosage of NRT should control cravings and withdrawal symptoms but avoid adverse reactions. This report describes a case of adverse reaction to nicotine gum in a female Malay smoker. Assays taken 2 h after the gum, showed that her plasma cotinine/nicotine ratio was 0.4, indicating poor nicotine metabolic status. She developed nausea, severe vomiting and diarrhoea with raised blood pressure and pulse rate, following the administration of a piece of 2 mg nicotine gum on an empty stomach. This was observed in the course of a study to determine nicotine metabolism. Nicotine gum may be associated with adverse reactions in those with poor nicotine metabolic rate. Further investigation is required into the clinical effects of nicotine gum in those with poor nicotine metabolic status. 2008 Article PeerReviewed application/pdf en http://eprints.um.edu.my/5544/1/Noorzurani-2008-Adverse_Reaction_to.pdf Noorzurani, M.H.R. and Bond, A. and Wolff, K. (2008) Adverse reaction to nicotine gum in malay female smoker: a case report. International Journal of Mental Health and Addiction, 6 (4). pp. 564-567. ISSN 1557-1874,
spellingShingle R Medicine
Noorzurani, M.H.R.
Bond, A.
Wolff, K.
Adverse reaction to nicotine gum in malay female smoker: a case report
title Adverse reaction to nicotine gum in malay female smoker: a case report
title_full Adverse reaction to nicotine gum in malay female smoker: a case report
title_fullStr Adverse reaction to nicotine gum in malay female smoker: a case report
title_full_unstemmed Adverse reaction to nicotine gum in malay female smoker: a case report
title_short Adverse reaction to nicotine gum in malay female smoker: a case report
title_sort adverse reaction to nicotine gum in malay female smoker a case report
topic R Medicine
url http://eprints.um.edu.my/5544/1/Noorzurani-2008-Adverse_Reaction_to.pdf
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