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Specific Poison Information |
Smoking Cessation Aids: A Danger to Children There are many medications available to help you quit smoking. Some contain nicotine, while others contain bupropion (Zyban®). Both of these medications are dangerous to children if ingested. Nicotine Nicotine containing products include gum, patches, lozenges, inhalers and nasal sprays. If a toxic amount of nicotine is ingested it can cause life-threatening symptoms such as high blood pressure and respiratory failure. In small children, as little as 1mg of nicotine can be poisonous. Over the Counter Products Nicotine Chewing Gum: Nicotine gum is commonly available over the counter at many retailers in flavors such as mint, orange, and tropical fruit. Children may consume nicotine gum thinking it is regular chewing gum. Each piece of nicotine gum contains 2mg or 4mg of nicotine. In small children chewing on even one piece of gum is a concern. Nicotine Lozenges: The Commit® lozenge is available over the counter as well and comes in mint flavor. It closely resembles mint hard candy and may be eaten by children thinking it is candy. For small children it poses a choking hazard, as well as a poisonous hazard due to the nicotine content (2mg or 4mg per lozenge). Prescription Products Nicotine Patches: Patches are commonly used and available both over the counter and as a prescription. They are available in 7mg, 14mg and 21mg strengths. If a patch is ingested or sucked on, it will release nicotine into the mouth or the stomach. This poses a significant risk to children as the amount of nicotine released can cause life-threatening effects within an hour. The patch may become lodged in the stomach or intestines which can lead to a blockage or a tear in the tissue. Any child suspected of ingesting or sucking on a patch should be taken to an emergency department as soon as possible. Nicotine Nasal Spray: Nasal spray is available only as a prescription item. The spray itself contains nicotine at 10mg/ml, or 50mg per teaspoonful. This is concentrated enough that even one sip of the pepper tasting liquid can result in significant nicotine poisoning. Nicotine Inhalers: Inhalers are only available with a prescription. Each kit comes with an inhaler device shaped like a cigarette and refill cartridges for the inhaler. Each cartridge is filled with a liquid that contains 10mg of nicotine. When the inhaler is used properly, 6mg of nicotine liquid remains in the cartridge. Used cartridges should be discarded in a location where children cannot access them. If a cartridge is chewed or sucked on by a child, it can cause significant poisoning. Bupropion Bupropion (Zyban®)is a prescription medication. If ingested by a child, it can cause irregular heartbeat and seizures. Even one tablet may be a concern in small children. All medications used to help quit smoking are dangerous to children, and they should be stored out of reach. If there is any question about children getting into smoking cessation aids, please contact the poison center at 1-800-222-1222.
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