Nicotine Lozenge
Medications work best if a person receives some type of support, either from a quit coach or medical professional.
The Commit Lozenge® is a non-prescription lozenge for the treatment of tobacco dependence and has been shown to be effective in helping people quit. It works best when used as part of a stop-smoking program focused on changing your smoking behavior. The lozenge contains nicotine that is released as it dissolves in your mouth; the nicotine is absorbed through the lining of your mouth and helps reduce cravings.
Medications work best if a person receives some type of support, either from a quit coach or medical professional.
The Commit Lozenge® is a non-prescription lozenge for the treatment of tobacco dependence and has been shown to be effective in helping people quit. It works best when used as part of a stop-smoking program focused on changing your smoking behavior. The lozenge contains nicotine that is released as it dissolves in your mouth; the nicotine is absorbed through the lining of your mouth and helps reduce cravings.
Recommended Dose
The Commit Lozenge® comes in 2mg and 4mg strengths. The recommended strength depends on the "time to your first cigarette." If you normally smoke your first cigarette within the first 30 minutes after you wake up, you should take the 4mg strength. If you normally smoke your first cigarette after being awake for 30 minutes, you should take the 2mg strength.
The manufacturer recommends using at least 9 lozenges a day during the first six weeks. However, you should not take more than 20 lozenges per day. Daily dosage recommendations are as follows:
The Commit Lozenge® comes in 2mg and 4mg strengths. The recommended strength depends on the "time to your first cigarette." If you normally smoke your first cigarette within the first 30 minutes after you wake up, you should take the 4mg strength. If you normally smoke your first cigarette after being awake for 30 minutes, you should take the 2mg strength.
The manufacturer recommends using at least 9 lozenges a day during the first six weeks. However, you should not take more than 20 lozenges per day. Daily dosage recommendations are as follows:
- Weeks 1-6: one lozenge every 1-2 hours
- Weeks 7-9: one lozenge every 2-4 hours
- Weeks 10-12: one lozenge every 4-8 hours
How To Use This Medication
- Stop all smoking when beginning therapy with the lozenge.
- Do not eat or drink for 15 minutes before using the lozenge as some beverages can reduce its effectiveness.
- Suck on the lozenge until it dissolves. Do not bite or chew it like hard candy, and do not swallow it.
- Stop using the lozenge after 12 weeks. If you still feel the need to use the lozenge, talk to your doctor.
- Do not use the lozenge if you continue to smoke, chew tobacco, use snuff or any other product containing nicotine, this includes use of the nicotine patch or gum.
Side Effects
The most common side effects are insomnia (reported in less than 5 percent of cases); nausea; hiccups; coughing; heartburn; and headache.
The most common side effects are insomnia (reported in less than 5 percent of cases); nausea; hiccups; coughing; heartburn; and headache.
Special Warnings About This Medication
Do not use the Commit Lozenge® if:
Do not use the Commit Lozenge® if:
- You continue to smoke, chew, use snuff or use nicotine-containing products, including the nicotine patch or gum.
- You are pregnant or breastfeeding without first consulting your doctor.
Ask your doctor before use if you have/are:
- Heart disease, recent heart attack, or irregular heartbeat.
- High blood pressure not controlled by medication.
- Stomach ulcers or diabetes.
- Using a non-nicotine, stop smoking drug.
- Taking prescription medicine for depression or asthma.
Stop use and ask a doctor if you experience:
- Mouth problems.
- Persistent indigestion or severe sore throat.
- Irregular heartbeat or palpitations.







