Nicorette Cooldrops Extra Strength 4 mg Icy Mint – 4 × 20 Lozenges
High-potency nicotine lozenge formulated for heavy smokers seeking rapid craving control

Nicotine polacrilex 4 mg per lozenge — delivers nicotine via oral mucosa to alleviate cravings and withdrawal symptoms

Nicorette nicotine lozenge, Cooldrops extra strength lozenge, nicotine oromucosal lozenge .

Nicotine Replacement Therapy (NRT) — OTC pharmacy product to assist in smoking cessation

Lozenges dissolve over 20–30 minutes, releasing nicotine that absorbs through the mouth, mitigating withdrawal and cravings without smoking

Support for stopping smoking or reducing intake, especially in heavy smokers (≥20 cigarettes/day or first cigarette <30 minutes after waking)

Can be used for gradual cutdown or abrupt cessation, and temporarily to avoid smoking in restricted areas .

Place lozenge in mouth; allow to dissolve slowly (20–30 min), moving it occasionally

Do not chew or swallow lozenge.

Frequency: 1 lozenge every 1–2 hours during the first 6 weeks (≥9 lozenges daily), max 15/day

Weeks 7–9: reduce to 1 lozenge every 2–4 hours.

Weeks 10–12: reduce further to 1 lozenge every 4–8 hours, then discontinue.

Duration: Use up to 3 months, taper off; extended use beyond 9 months only with medical advice

Common: mouth/throat irritation, sore throat, hiccups, nausea, heartburn, headache, insomnia .

Less common: palpitations, dizziness, increased saliva, weight gain.

Rare/serious: allergic reactions (swelling, rash), arrhythmias — discontinue if symptoms occur.

Not for non-smokers or children under 12. Adolescents <18 should use under supervision .

Use cautiously if pregnant, breastfeeding, or with cardiovascular disease, hypertension, diabetes, thyroid disease, peptic ulcer, hepatic/renal impairment .

Pregnancy category D; NRT may be safer than smoking under medical supervision

No significant direct drug interactions.

Quitting smoking may alter metabolism of warfarin, theophylline, caffeine, antipsychotics; dosage adjustment may be needed .

Attribute Details
Generic Name Nicotine polacrilex 4 mg lozenge
Form Icy Mint caramel-coated lozenges, 4 × 20 packs
Class Nicotine Replacement Therapy (NRT)
Legal Status Pharmacy-only OTC

Frequently Asked Questions (FAQ)
Q1. Why use extra strength (4 mg)?
A1. Tailored for heavier smokers—first cigarette within 30 minutes or ≥20 cigarettes/day—delivers a stronger dose to curb stronger cravings

Q2. How fast does the lozenge work?
A2. Nicotine releases gradually; full dissolution takes ~20–30 min; peak relief typically within first 10 minutes of use .

Q3. Can I chew or swallow the lozenge?
A3. No. Chewing/swallowing can cause rapid nicotine release and side effects like upset stomach or hiccups .

Q4. What if I exceed 15 lozenges/day?
A4. Exceeding maximum can lead to nausea, dizziness, heart palpitations—stay within recommended limits .

Q5. Is it safe during pregnancy?
A5. Consult your physician—intermittent NRT is preferred over smoking; benefits may outweigh risks

What is Nicorette Cooldrops extra strength lozenge used for?
Nicorette Cooldrops 4 mg extra strength nic lozenges are for heavy smokers (≥20 cigarettes/day or first cigarette within 30 min of waking). One lozenge dissolves slowly in the mouth when cravings arise. Maximum 15/day, tapered over 12 weeks to support quitting.

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