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Bicalutamide is used to treat prostate cancer that has spread to other areas of the body. It is used in combination with hormone treatment. This medication works by blocking the action of male hormones in the prostate, slowing growth of the tumors.This medication should not be used in women or children.How to use Bicalutamide OralTake this medication by mouth, usually once a day in the morning or evening, with or without food, or as directed by your doctor.Use this medication regularly in order to get the most benefit from it. Remember to use it at the same time each day. The dosage is based on your medical condition and response to therapy.Do not increase your dose or take this medication more often without your doctor's approval. Your condition will not improve any faster, and the risk of serious side effects may be increased.Since this drug can be absorbed through the skin, women who are pregnant or who may become pregnant should not handle this medication.

Actonel (Generic Risedronate Sodium) - Product Origin: Eu (Turkey)

This product is able to be sourced and supplied at excellent prices because of favourable cross border currency conversions. All products are authentic brand names and will include a product information insert in English.Medical Information:ACTONEL is indicated for the treatment and prevention of osteoporosis in postmenopausal women.Risedronate is used to prevent and treat certain types of bone loss (osteoporosis). Osteoporosis causes bones to become thinner and break (fracture) more easily. Your chance of developing osteoporosis increases as you age, after menopause, or if you are taking corticosteroid medications (e.g., prednisone) for long periods of time.This medication works by slowing bone loss to help maintain strong bones and reduce the risk of fractures. Risedronate belongs to a class of medications called bisphosphonates.How to use Actonel OralRead the Patient Information Leaflet provided by your pharmacist before you start using risedronate and each time you get a refill. Follow the instructions very closely to maximize the amount of drug absorbed and reduce the risk of injury to your esophagus. Consult your doctor or pharmacist if you have any questions.Take this medication by mouth, usually once a day or as directed by your doctor. Take it after getting up for the day and before taking your first food, beverage or other medication. Do not take it at bedtime or while you are still in bed.Take this medication with a full glass (6-8 ounces or 180-240 milliliters) of plain water. Do not take it with any other beverage. Swallow the tablet whole. Do not chew or suck on it. Then stay fully upright (sitting, standing or walking) for at least 30 minutes, and do not lie down until after your first food of the day. Wait at least 30 minutes after taking risedronate before you eat or drink anything other than plain water and before taking any other medication by mouth.Calcium or iron supplements, vitamins with minerals, antacids containing calcium/magnesium/aluminum, dairy products (e.g., milk, yogurt), and calcium-enriched juice may interfere with absorption of risedronate. Medications such as quinapril, certain forms of didanosine (chewable/dispersible buffered tablets or pediatric oral solution), sucralfate, and bismuth subsalicylate may also interfere with absorption. Do not take these products for at least 30 minutes after taking risedronate.Use this medication regularly in order to get the most benefit from it. Remember to take it at the same time each morning.

Apo-Nadolol ( Generic Nadolol )

Nadolol is used alone or with other medications to treat high blood pressure (hypertension) and to prevent chest pain (angina). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. In the management of chest pain, nadolol may also help to reduce the frequency of chest pain episodes and improve your ability to exercise.Nadolol belongs to a class of medications called beta blockers. It works by blocking the action of certain natural substances such as adrenaline (epinephrine) on the heart and blood vessels. This results in a lowering of heart rate, blood pressure, and strain on the heart.OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.This drug may also be used to protect the heart after a heart attack, treat irregular heartbeat (e.g., atrial fibrillation, atrial flutter), and prevent migraine headaches. Your doctor may also use this medication to treat other conditions.How to use Nadolol OralSee also the Warning section.Take this medication by mouth with or without food, usually once daily or as directed by your doctor. Your dosage is based on your medical condition and response to therapy.Use this medication regularly in order to get the most benefit from it. To help you remember, take it at the same time each day. This medication treats, but does not cure, high blood pressure. It is important to continue taking this medication even if you feel well. Most people with high blood pressure do not feel sick.Do not stop taking this medication without consulting your doctor. Your condition may become worse when the drug is suddenly stopped. Your dose may need to be gradually decreased.Inform your doctor if your condition persists or worsens (e.g., routine blood pressure readings increase).

Pulmicort ( Generic Budesonide )

Medical Information:Maintenance treatment in persistent asthma. Preventing asthma in adults and children 6 years of age or older. It may also be used in patients who require oral corticosteroid medicine. It is not used to relieve an asthma attack.Pulmicort (budesonide) is one of the worldÆs leading asthma medicines. It is an inhaled anti-inflammatory glucocorticosteroid for initiation and maintenance treatment of bronchial asthma in infants, children and adults. In some countries Pulmicort is also indicated for the treatment of Chronic Obstructive Pulmonary Disease (COPD).

Fluvoxin ( Dumyrox, Fevarin, Faverin, Luvox, Generic Fluvoxamine )

Fluvoxamine is used to treat obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over). Fluvoxamine is in a class of medications called selective serotonin reuptake inhibitors (SSRIs).Fluvoxamine comes as a tablet to take by mouth. It usually is taken either once daily at bedtime or twice daily, once in the morning and once at bedtime. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take fluvoxamine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.It may take several weeks or longer for you to feel the full benefit of fluvoxamine. Continue to take fluvoxamine even if you feel well. Do not stop taking fluvoxamine without talking to your doctor. Your doctor probably will decrease your dose gradually.Fluvoxamine is also used sometimes to treat depression.

Amentrel ( Symmetrel, Symadine, Generic Amantadine )

Amantadine is used to prevent or treat a certain type of flu (influenza A). If you have been infected with the flu, this medication may help make your symptoms less severe and shorten the time it will take you to get better. Taking amantadine if you have been or will be exposed to the flu may help to prevent you from getting the flu. This medication is an antiviral that is believed to work by stopping growth of the flu virus. This medication is not a vaccine. To increase the chance that you will not get the flu, it is important to get a flu shot once a year at the beginning of every flu season, if possible.The Centers for Disease Control (CDC) recommends that amantadine should not be used for the treatment or prevention of influenza A during the 2007-08 flu season, because the current influenza A virus in the United States is resistant to this medication. For more details talk to your doctor or pharmacist.Amantadine is also used to treat Parkinson's disease, as well as side effects caused by drugs (e.g., drug-induced extrapyramidal symptoms), chemicals, other medical conditions. In these cases, this medication may help to improve your range of motion and ability to exercise. For the treatment of these conditions, amantadine is believed to work by restoring the balance of natural chemicals (neurotransmitters) in the brain.How to use Amantadine OralTake this medication by mouth with or without food, usually once or twice daily or as directed by your doctor. If you are taking this medication twice a day and have trouble sleeping after taking it, take the second dose several hours before bedtime.If you are taking the syrup, measure the dose carefully with a medication spoon/cup.Dosage is based on your medical condition and response to therapy. In children, the dosage is also based on body weight. Do not take more than prescribed by your doctor.This medication works best when the amount of medicine in your body is kept at a constant level. Therefore, take this medication at evenly spaced intervals throughout the day and night.If you are taking amantadine for a viral infection, begin taking it as soon as possible. Continue taking it until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may result in a relapse of the infection.In Parkinson's disease, the effects of the medication may not be noticed for several weeks. Do not suddenly stop taking the medication because symptoms or side effects may worsen. Your doctor may want to reduce your dose gradually. This medication may not work as well after it has been taken for several months. Tell your doctor if this medication stops working well.Amantadine Oral is used to treat the following:Parkinson Symptoms, Parkinsonism due to Degenerations in the Brain, Parkinson's Disease, Parkinsonism due to Thickening of Blood Vessel Walls, Extrapyramidal Reaction, A Type of Flu - Influenza A, Influenza A PreventionAmantadine Oral may also be used to treat: Viral Disease of Central Nervous System-Creutzfeldt-Jakob, Fatigue associated with Multiple Sclerosis, Cognitive Impairment following Traumatic Brain Injury

Isotroin ( Accutane, Amnesteem, Claravis, Sotret, Generic Isotretinoin )

Isotretinoin is used for: Treating severe acne in patients who do not respond to other medicines. Isotretinoin is a form of vitamin A. It reduces the amount of oil released by oil glands in your skin, and helps your skin renew itself more quickly.Isotretinoin is used to treat severe nodular acne. It is usually given after other acne medicines or antibiotics have been tried without successful treatment of symptom.Isotretinoin a chemical cousin of vitamin A, is prescribed for the treatment of severe, disfiguring cystic acne that has not cleared up in response to milder medications such as antibiotics. It works on the oil glands within the skin, shrinking them and diminishing their output. You take Isotretinoin by mouth every day for several months, then stop. The antiacne effect can last even after you have finished your course of medication.Isotretinoin (eye-soe-TRET-i-noyn) is used to treat severe, disfiguring nodular acne. It should be used only after other acne medicines have been tried and have failed to help the acne.

Flexidol ( Generic Aceclofenac )

Indicated for the relief of pain and inflammation in osteoarthritis, rheumatoid arthritis and ankylosing spondylitis. Aceclofenac belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). It works by blocking the action of a substance in the body called cyclo-oxygenase. Cyclo-oxygenase is involved in the production of various chemicals in the body, some of which are known as prostaglandins. Prostaglandins are produced in response to injury or certain diseases and would otherwise go on to cause pain, swelling and inflammation. Arthritic conditions are one example of this. Aceclofenac is used to relieve pain and inflammation in arthritic conditions. All the medicines in this group reduce inflammation caused by the body's own immune system and are effective pain killers. What is it used for? A form of arthritis (ankylosing spondylitis) Inflammatory disease of the joints Osteoarthritis

Arcoxia ( Generic Etoricoxib )

ARCOXIA is used for the following:acute and chronic treatment of the signs and symptoms of osteoarthritis (OA) and rheumatoid arthritis (RA) management of ankylosing spondylitis relief of chronic musculoskeletal pain relief of acute pain to treat acute gouty arthritis OsteoarthritisOsteoarthritis is a joint disease. It results from the gradual breakdown of the cartilage that covers the joints and cushions the ends of bones.Symptoms of osteoarthritis include pain, tenderness, stiffness of one or more joints, and physical disability. The hips and knees are the most commonly affected joints, but other joints such as those of the hands and spine may also be affected.Osteoarthritis is more common in women than in men. Many factors can lead to the development of osteoarthritis including obesity and joint injury (eg. from sport).Rheumatoid ArthritisRheumatoid arthritis is a chronic disease that causes pain, stiffness, swelling and loss of function in the joints and inflammation in other body organs.Ankylosing SpondylitisAnkylosing spondylitis is an inflammatory disease of the spine and large joints.GoutGout is a disorder characterised by sudden, recurring attacks of pain and inflammation in one or more joints.

Ursofalk ( Urso, Ursodiol, Generic Ursodexycholic Acid ) - Product Origin: Eu (Turkey)

This product is able to be sourced and supplied at excellent prices because of favourable cross border currency conversions. All products are authentic brand names and will include a product information insert in English.Medical Information:Category Anticholelithic Description Ursodiol (ur-so-DYE-ole) is used in the treatment of gallstone disease. Ursofalk tablets are indicated for the treatment of patients with primary biliary cirrhosis. SODIOL (Systemic) Some commonly used brand names are: In the U.S. Actigall URSO 250 In Canada URSO Ursofalk Other commonly used names are ursodeoxycholic acid and UDCA .

Paraxin ( Chloromycetin, Generic Chloramphenicol )

Chloramphenicol is primarily bacteriostatic. It binds to the 50S subunit of the ribosome, thereby inhibiting bacterial protein synthesis.Chloramphenicol has a wide spectrum of activity against gram-positive and gram-negative cocci and bacilli (including anaerobes), Rickettsia , Mycoplasma, and Chlamydia and Chlamydophila. Because of bone marrow toxicity, the availability of alternative antibiotics, and the emergence of resistance, chloramphenicol is no longer a drug of choice for any infection, except serious infections due to a few multidrug-resistant pathogens that retain susceptibility to this antibiotic. However, outcomes of chloramphenicol treatment of meningitis caused by relatively penicillin-resistant pneumococci have been discouraging.

Donecept ( Aricept, Generic Donepezil )

Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Donepezil is in a class of medications called cholinesterase inhibitors. It improves mental function (such as memory, attention, social interaction, reasoning and language abilities, and ability to perform activities of daily living) by increasing the amount of a certain naturally occurring substance in the brain. Donepezil may improve the ability to think and remember or slow the loss of these abilities in people who have AD. However, donepezil will not cure AD or prevent the loss of mental abilities at some time in the future.Donepezil comes as a tablet and an orally disintegrating tablet (tablet that dissolves quickly in the mouth) to take by mouth. It is usually taken once a day, in the evening at bedtime, with or without food. Take donepezil at around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. It may take awhile before you experience the full benefits of donepezil. Take donepezil exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.Donepezil helps control the symptoms of Alzheimer's disease but does not cure it. Continue to take donepezil even if you feel well. Do not stop taking donepezil without talking to your doctor.Your doctor may start you on a low dose of donepezil and increase your dose after 4-6 weeks.To take the orally disintegrating tablet, place the tablet on your tongue. The tablet will quickly dissolve and can be followed with a drink of water.

Tyklid ( Ticlid, Generic Ticlopidine )

Ticlopidine is used to reduce the risk of stroke. It works by preventing excessive blood clotting.Ticlopidine comes as a tablet to take by mouth. It usually is taken twice a day.Ticlopidine also is used before open heart surgery and in the treatment of sickle cell disease, certain types of kidney disease (primary glomerulonephritis), and blocked arteries in the legs.

Hydrazide ( Esidrix, Ezide, Hydrodiuril, Microzide, Oretic, Generic Hydrochlorothiazide )

Hydrochlorothiazide, a 'water pill,' is used to treat high blood pressure and fluid retention caused by various conditions, including heart disease. It causes the kidneys to get rid of unneeded water and salt from the body into the urine.How should this medicine be used? Hydrochlorothiazide comes as a tablet and liquid to take by mouth. It usually is taken once or twice a day. If you are to take it once a day, take it in the morning; if you are to take it twice a day, take it in the morning and in the late afternoon to avoid going to the bathroom during the night. Take this medication with meals or a snack. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take hydrochlorothiazide exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Xenical ( Generic Orlistat ) - Product Origin: Eu (Turkey)

This product is able to be sourced and supplied at excellent prices because of favourable cross border currency conversions. All products are authentic brand names and will include a product information insert in English.Medical Information:Part of a diet plan to help you lose weight - XENICAL is a prescription medication that can help considerably overweight people lose weight and keep it off. We know that managing your weight can be frustrating, and sometimes you need a little extra support. Support you can't find in a pill alone. To succeed you may have to change the way you feel about food and about your body.The prescription medication from Roche is called XENICAL. XENICAL is a pill that is taken with meals and has been shown to reduce weight in considerably overweight people.It is FDA approved for people who are at least 30 pounds overweight depending on height. XENICAL does not act directly on the central nervous system. XENICAL should be taken with a reduced calorie diet containing no more than 30% of calories from fat.Chemical Name: ORLISTAT (OR-li-stat) Xenical is used with a low-calorie diet to help you lose weight and to maintain your weight after weight loss. Xenical is used in patients with a certain weight who may also have high blood pressure, diabetes, high cholesterol, or heart disease.

Prozac ( Prozac Weekly, Rapiflux, Sarafem, Generic Fluoxetine ) - Product Origin: Eu (Turkey)

This product is able to be sourced and supplied at excellent prices because of favourable cross border currency conversions. All products are authentic brand names and will include a product information insert in English.Medical Information:Prozac is used for: Treating depression or obsessive-compulsive disorder (OCD) in adults and children. It is used to treat bulimia nervosa and panic disorder in adults. Prozac is prescribed for the treatment of depression--that is, a continuing depression that interferes with daily functioning. The symptoms of major depression often include changes in appetite, sleep habits, and mind/body coordination; decreased sex drive; increased fatigue; feelings of guilt or worthlessness; difficulty concentrating; slowed thinking; and suicidal thoughts.Prozac is also prescribed to treat obsessive-compulsive disorder. An obsession is a thought that won't go away; a compulsion is an action done over and over to relieve anxiety. The drug is also used in the treatment of bulimia (binge-eating followed by deliberate vomiting). It has also been used to treat other eating disorders and obesity.In addition, Prozac is used to treat panic disorder, including panic associated with agoraphobia (a severe fear of being in crowds or public places). People with panic disorder usually suffer from panic attacks--feelings of intense fear that develop suddenly, often for no reason. Various symptoms occur during the attacks, including a rapid or pounding heartbeat, chest pain, sweating, trembling, and shortness of breath.In children and adolescents, Prozac is used to treat major depression and obsessive-compulsive disorder.Prozac Weekly is approved for treating major depression.Under the brand name Sarafem, the active ingredient in Prozac is also prescribed for the treatment of premenstrual dysphoric disorder (PMDD), formerly known as premenstrual syndrome (PMS). Symptoms of PMDD include mood problems such as anxiety, depression, irritability or persistent anger, mood swings, and tension. Physical problems that accompany PMDD include bloating, breast tenderness, headache, and joint and muscle pain. Symptoms typically begin 1 to 2 weeks before a woman's menstrual period and are severe enough to interfere with day-to-day activities and relationships.Prozac belongs to the class of drugs called selective serotonin re-uptake inhibitors (SSRIs). Serotonin is one of the chemical messengers believed to govern moods. Ordinarily, it is quickly reabsorbed after its release at the junctures between nerves. Re-uptake inhibitors such as Prozac slow this process, thereby boosting the levels of serotonin available in the brain.

Cifran ( Lucipro, Ciproxin, Cipro, Generic Ciprofloxacin )

Ciprofloxacin is an antibiotic used to treat or prevent certain infections caused by bacteria. Ciprofloxacin is also used to treat or prevent anthrax in people who may have been exposed to anthrax germs in the air. Ciprofloxacin extended-release (long-acting) tablets are used only to treat certain types of urinary tract infections. Ciprofloxacin is in a class of antibiotics called fluoroquinolones. It works by killing bacteria.Antibiotics will not work for colds, flu, or other viral infections.Ciprofloxacin comes as a tablet, a suspension (liquid) and an extended-release tablet to take by mouth. The tablet and suspension are usually taken twice a day in the morning and evening with or without food. The extended-release tablets are usually taken once a day.Cipro XR brand extended-release tablets may be taken with or without food. Proquin XR brand extended-release tablets should be taken with a main meal of the day, preferably the evening meal. Take ciprofloxacin at around the same time(s) every day. The length of your treatment depends on the type of infection you have. Your doctor will tell you how long to take ciprofloxacin. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take ciprofloxacin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.One brand or type of ciprofloxacin cannot be substituted for another. Be sure that you receive only the brand of ciprofloxacin that was prescribed by your doctor. Ask your pharmacist if you have any questions about the type of ciprofloxacin you were given.Swallow the extended-release tablets whole; do not split, crush, or chew them. If you cannot swallow tablets whole, tell your doctor.If you are taking the liquid, shake the bottle very well for 15 seconds before each use to mix the medication evenly. Swallow the correct dose without chewing the granules in the liquid. Close the liquid ciprofloxacin bottle completely after each use. Do not give the liquid to a patient through a feeding tube.You should begin feeling better during the first few days of treatment with ciprofloxacin. If your symptoms do not improve, or if they get worse, call your doctor. Fever and back pain may be symptoms of a worsening urinary tract infection. If you are being treated for this type of infection, call your doctor if you develop these symptoms during or after your treatmentTake ciprofloxacin until you finish the prescription, even if you feel better. If you stop taking ciprofloxacin too soon or if you skip doses, your infection may not be completely treated and the bacteria may become resistant to antibiotics.

Hyzaar ( Generic Losartan And Hydrochlorthiazide ) - Product Origin: Eu (Turkey)

Zidovir - 300 ( Azt, Retrovir, Zdv, Generic Zidovudine )

Zidovudine is used alone or with other medications to treat human immunodeficiency virus (HIV) infection in patients with or without acquired immunodeficiency syndrome (AIDS). It will slow the spread of HIV infection in the body. Zidovudine is not a cure and may not decrease the number of HIV-related illnesses. Zidovudine does not prevent the spread of HIV to other people except when given to HIV-positive pregnant women. Zidovudine is given to HIV-positive pregnant women to prevent the infection from going to the baby. However, HIV infection may still occur in the infant despite this treatment.Zidovudine comes as a capsule, tablet, and syrup to take by mouth. It is usually taken three to four times a day. In some cases it may be taken five times a day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take zidovudine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Zovirax ( Generic Acyclovir )

Acyclovir is used to decrease pain and speed the healing of sores or blisters in people who have varicella (chickenpox), herpes zoster (shingles; a rash that can occur in people who have had chickenpox in the past), and first-time or repeat outbreaks of genital herpes (a herpes virus infection that causes sores to form around the genitals and rectum from time to time). Acyclovir is also sometimes used to prevent outbreaks of genital herpes in people who are infected with the virus. Acyclovir is in a class of antiviral medications called synthetic nucleoside analogues. It works by stopping the spread of the herpes virus in the body. Acyclovir will not cure genital herpes and may not stop the spread of genital herpes to other people.How should this medicine be used? Acyclovir comes as a tablet, a capsule, and a suspension (liquid) to take by mouth. It is usually taken with or without food two to five times a day for 5 to 10 days, starting as soon as possible after your symptoms begin. When acyclovir is used to prevent outbreaks of genital herpes, it is usually taken two to five times a day for up to 12 months. Take acyclovir at around the same times every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take acyclovir exactly as directed. Do not take more or less of it or take it more often or for a longer time than prescribed by your doctor.Shake the liquid well before each use to mix the medication evenly.Your symptoms should improve during your treatment with acyclovir. Call your doctor if your symptoms do not improve or if they get worse.Take acyclovir until you finish the prescription, even if you feel better. If you stop taking acyclovir too soon or skip doses, your infection may not be completely treated or may become more difficult to treat.Other uses for this medicine Acyclovir is also sometimes used to treat eczema herpeticum (a skin infection caused by the herpes virus) to treat and prevent herpes infections of the skin, eyes, nose, and mouth in patients with human immunodeficiency virus (HIV), and to treat oral hairy leukoplakia (condition that causes hairy white or gray-colored patches on the tongue or inside of the cheek).

Nicolet Fresh Mint Chewing Gum ( Nicorette Gum, Generic Nicotine )

Helping you to quit smoking.Nicolet Gum is a smoking deterrent. It works by providing low levels of nicotine, which may help you to quit smoking by lessening physical signs of withdrawal symptoms.This medication can help you quit smoking by replacing the nicotine in cigarettes. The nicotine in tobacco is an important part of cigarette addiction. When you stop smoking, your nicotine levels drop quickly. This drop can cause withdrawal symptoms such as craving tobacco, nervousness, irritability, headache, weight gain, and difficulty concentrating.Stopping smoking is hard and your chance of success is best when you are ready and have made a commitment to quit. Nicotine replacement products are part of a total stop-smoking program that includes behavior change, counseling, and support. Smoking causes lung disease, cancer, and heart disease. Stopping smoking is one of the most important things you can do to improve your health and live longer.How to use Nicolet gumIf you are using the over-the-counter product, read all directions on the product package before using this medication. If your doctor has prescribed this medication, read the Patient Information Leaflet if provided by your pharmacist before you start using this product and each time you get a refill. If you have any questions, consult your doctor or pharmacist.Do not eat or drink anything for 15 minutes before or during use of the gum. Do not use if the individual wrapper is open or damaged.Do not smoke or use any tobacco/nicotine product while using this medication. Chew a piece of gum when you feel the urge to smoke. Chew the gum very slowly until it tingles, then move it to the space between your cheek and gum. Keep it there until it stops tingling. When the tingle is gone, begin chewing again until the tingle returns. Most of the nicotine will be gone after 30 minutes. Do not use more than 1 piece of gum at a time. You may also use this product on a regular schedule as well as at times when you have the urge to smoke. The best dose for you is the dose that decreases the urge to smoke without side effects from too much nicotine. Your dose will need to be adjusted to your needs, including your smoking history and medical condition.For the first 6 weeks, use at least 9 pieces each day. If you still have a strong urge to smoke, you can use a second piece of gum within 1 hour. Do not continuously use 1 piece right after another. Doing so will increase side effects such as hiccups, nausea, or heartburn. Most people use about 9 to 12 pieces of gum per day during the first month of treatment. Do not chew more than 24 pieces of gum a day.After you have stopped smoking and you have reached the best dose and schedule for you, continue at that dose. Start to lower your dose after 6 weeks or as directed by your doctor until you are no longer smoking and no longer need nicotine replacement.Since this medication contains nicotine, it may cause dependence, especially if it has been used regularly for an extended time or if it has been used in high doses. In such cases, withdrawal reactions (e.g., tobacco cravings, nervousness, irritability, headache) may occur if you suddenly stop this drug. To prevent withdrawal when stopping extended/regular treatment with this drug, gradually reduce the dosage as directed. Consult your doctor or pharmacist for more details, and report any withdrawal reactions immediately.Some smokers are unsuccessful the first time they try to quit. You may need to stop using this product and try again later. Many people who cannot quit the first time are successful the next time. Do not use this product for more than 12 weeks at a time unless directed by your doctor.