Skip to main content
Bookmark and Share

Nicotine Nasal Spray Fact Sheet

Description of Product:
Nicotine nasal spray is a pump bottle containing nicotine that is inserted into the nose and sprayed. Nicotine nasal spray can be used for fast craving control, especially for heavy smokers.
A dose of nicotine nasal spray consists of 0.5 mg dose delivered to each nostril (1 mg total). Initial dosage should be 1 to 2 sprays in each nostril per hour. Increase as needed for symptom relief. Minimum recommended treatment is 8 doses a day. Maximum recommended treatment is 40 doses a day. Each bottle contains approximately 100 doses. Recommended duration of therapy: 3 to 6 months.
Side Effects:
Side effects may include:
  • Nasal irritation
  • Stuffy nose
  • Changes in sense of taste and smell
This fact sheet was created to give you a general understanding of this medication. Please note that this fact sheet may not provide you with all the information you need to make a decision about using this medication. Always read the instructions on the package carefully and talk with your doctor or pharmacist if you have questions. If you are pregnant, breastfeeding, or have a severe medical problem, talk with your doctor before starting any new medication.
Special Precautions:
Pregnancy/breastfeeding: Smokers who are pregnant or breastfeeding should try to quit first without using the nicotine nasal spray. The nicotine nasal spray should be used during pregnancy only if the associated benefits outweigh the associated risks.

Chronic nose/lung conditions: Smokers with chronic nasal disorders (e.g., rhinitis, polyps, sinusitis) or those who have severe reactive airway disease should not use the nicotine nasal spray.

Dependency: The nicotine nasal spray may be addicting, and individuals may find that the dependence is more than with other NRT products.

Heart conditions: Smokers who have serious heart conditions should consult their doctor before using nicotine nasal spray.

References: Information in the medication guide and fact sheets is from a variety of sources, such as product information guides; manufacturers' Web sites, medical Web sites, and articles in the medical literature, including Corelli RL & Hudman KS. Pharmacologic interventions for smoking cessation, Crit Care Nurs Clin N Am 2006;18, 39–51.