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The general symptoms of nicotine overdosage includepallorsweatingburning throatnauseasalivationvomitingstomach upset or abdominal paindiarrhoeaheadachedizzinesshearing and vision disturbancestremorconfusionweaknessseizuresfitsfast or irregular heartbeatcirculatory problemsfainting and breathing difficulties.

Stopping smoking is the single most effective intervention for improving the health of both the pregnant smoker and her babyand the earlier abstinence is achieved the betterHoweverif the mother cannotor is considered unlikely toquit without pharmacological supportNRT may be used as the risk to the fetus is lower than that expected with smoking tobaccoStopping completely is by far the best option but Nicotinell patches may be used in pregnancy as a safer alternative to smokingBecause of the potential for nicotine-free periodsintermittent dose forms are preferablebut patches may be necessary if there is significant nausea and/or vomitingIf patches are used they shouldif possiblebe removed at night when the fetus would not normally be exposed to nicotine.

You should seek advice from your doctor or pharmacist about taking this medicineThey can help you balance the risks and the benefits of this medicine during pregnancy.

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