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Warning-sign checks

Nicotine replacement therapy: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services for severe chest pain, fainting, severe breathing difficulty, or signs of a serious allergic reaction such as swelling of the face or throat.

    If a child or pet chews, swallows, or applies a nicotine product, contact emergency services or a poison information service immediately.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek urgent advice for repeated vomiting, marked dizziness or weakness, a fast or irregular heartbeat, or a severe skin reaction.

    Do not wait for symptoms.

  3. 3

    Does any of this apply?

    Book an appointment

    For routine follow-up, contact your healthcare team if cravings remain difficult, side effects are not settling, or you are unsure how to reduce or stop NRT.

    Product changes often solve irritation or practical problems.

Every sign above is quoted from the sofidex article on Nicotine replacement therapy. If you are not sure, err upward — it is always reasonable to be checked.