Reported Reactions

Drugs › Cholinergic nicotinic agonist

Brand name · Nicotine polacrilex

Nicorette: adverse event reports filed with FDA

12,495 reports list it as a suspect or interacting product, 2004–2026. Class: Cholinergic nicotinic agonist. Also reported as Nicorette Inhaler, Nicorette Nasal Spray, Nicorette 4mg.

12,495
reports as suspect product
0.1% of all reports · about 555 a year
121
reports, 12 months to June 2026
183 in the 12 months before
18.1%
marked serious by the reporter
22.1% across the class
0.3%
record death among outcomes, as reported
43 reports · not verified by FDA

12,495 adverse event reports received by FDA list the brand name Nicorette (nicotine polacrilex) as a suspect or interacting product, from January 2004 to June 2026. A further 743 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 121 reports listed it, down 34% from 183 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 555 reports a year and 0.1% of the 20,646,523 reports in the database, and 23% of the reports for the cholinergic nicotinic agonist class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are intentional drug misuse (20.6%), nicotine dependence (19.5%) and drug ineffective (15.6%). A report can list several reactions, so shares add to more than 100%; 595 different terms appear across these reports. Intentional drug misuse is recorded in 20.6% of these reports, a larger share than in the median cholinergic nicotinic agonist drug (1.3%).

18.1% of the reports are marked serious by the reporter (22.1% across the class); 0.3% record death among the outcomes and 2.6% record hospitalisation, as reported. 94.9% of the reports came from consumers, and the largest patient age group is 45 to 64 (21.6%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

02346Jul 2021: 22Aug 2021: 28Sep 2021: 23Oct 2021: 31Nov 2021: 24Dec 2021: 292022Jan 2022: 14Feb 2022: 14Mar 2022: 8Apr 2022: 10May 2022: 11Jun 2022: 12Jul 2022: 6Aug 2022: 26Sep 2022: 21Oct 2022: 16Nov 2022: 29Dec 2022: 262023Jan 2023: 23Feb 2023: 20Mar 2023: 28Apr 2023: 30May 2023: 16Jun 2023: 26Jul 2023: 15Aug 2023: 20Sep 2023: 22Oct 2023: 21Nov 2023: 17Dec 2023: 292024Jan 2024: 14Feb 2024: 16Mar 2024: 25Apr 2024: 38May 2024: 13Jun 2024: 10Jul 2024: 15Aug 2024: 11Sep 2024: 7Oct 2024: 3Nov 2024: 1Dec 2024: 32025Jan 2025: 42Feb 2025: 46Mar 2025: 13Apr 2025: 23May 2025: 10Jun 2025: 9Jul 2025: 4Aug 2025: 6Sep 2025: 11Oct 2025: 10Nov 2025: 7Dec 2025: 72026Jan 2026: 24Feb 2026: 24Mar 2026: 10Apr 2026: 9May 2026: 5Jun 2026: 4

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

05951,1892004: 8820042005: 1722006: 7592007: 1,04520072008: 8392009: 7052010: 56520102011: 9782012: 1,1892013: 1,06720132014: 1982015: 1,0512016: 58620162017: 6812018: 5312019: 45820192020: 3532021: 3502022: 19320222023: 2672024: 1562025: 18820252026: 76

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Nicorette reports recording the termmedian drug in cholinergic nicotinic agonist

  1. Drug ineffectivethe medicine did not work as expected15.6%1,943
  2. Nauseafeeling sick7.3%918
  3. Drug administration errora mistake in giving the medicine6.8%852
  4. Malaisegeneral feeling of being unwell4.5%558
  5. Product quality issuea problem with the product itself3.5%441
  6. Dizzinesslight-headedness or unsteadiness3.1%382
  7. Drug dependencedependence on a medicine2.8%344
  8. Vomitingbeing sick2.5%313
  9. Dependence2.4%297
  10. Hiccups2.3%286
  11. Overdosea dose above the recommended amount2.2%280
  12. Headachehead pain2.2%277
  13. Throat irritationan irritated throat2.1%266
  14. Dyspepsiaindigestion2.1%260
  15. Hypersensitivityan allergic-type reaction1.6%201
  16. Dysgeusiaaltered taste1.5%193
  17. Abdominal discomfortstomach discomfort1.5%187
  18. Wrong technique in product usage processthe product was used in the wrong way1.5%185
  19. Abdominal pain upperupper stomach pain1.4%174
  20. Feeling abnormalfeeling odd or not right1.3%166
  21. Palpitationsawareness of the heartbeat1.3%159
  22. Dyspnoeashortness of breath1.2%152
  23. Oral pain1.1%143
  24. Diarrhoealoose or frequent stools1.1%138

Top 30 of 595 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 8 drugs in the cholinergic nicotinic agonist class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death0.3%43
Life-threatening0.2%23
Hospitalisation (initial or prolonged)2.6%328
Disability0.3%42
Congenital anomaly0%4
Other serious15.8%1,980
Not serious81.9%10,230

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 54,214 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20%2
2 to 110.1%13
12 to 170.2%23
18 to 4413.3%1,663
45 to 6421.6%2,697
65 to 746.7%843
75 and over2.1%262
Age not given56%6,992

Patient sex

Female45.1%5,635
Male33.2%4,150
Not given21.7%2,710

Who reported

Physician1.1%139
Pharmacist1.5%188
Other health professional2%256
Lawyer0%1
Consumer or non-health professional94.9%11,856
Not given0.4%55

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 85.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Smoking cessation therapy3,16625.3%
Ex-tobacco user1,40811.3%
Drug withdrawal maintenance therapy990.8%
Nicotine dependence890.7%
Tobacco user730.6%
Tobacco abuse450.4%

The indication field is filled in by the reporter and is often blank; shares are of all 12,495 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Nicorette reports
Nicoderm Cq1,0248.2%
Nicotine polacrilex3152.5%
Nicotine2041.6%
Chantix990.8%
Bupropion hydrochloride500.4%
Aspirin470.4%
Lipitor210.2%
Lisinopril180.1%
Nexium180.1%
Tiotropium bromide170.1%

Other products listed in reports where Nicorette is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureNicoretteCholinergic nicotinic agonistAll reports
Reports as suspect product12,49554,21420,646,523
Share of that pool—23%0.1%
Reports, latest 12 months121—1,332,454
Marked serious18.1%22.1%57.4%
Death recorded among outcomes, per 1,000 reports31991
Hospitalisation recorded, per 1,000 reports2660213
Consumer-filed share94.9%88%45.8%
Top term, share of reportsIntentional drug misuse 20.6%median 1.3%0.1%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the cholinergic nicotinic agonist class

DrugName typeReportsLatest 12 monthsMarked serious
Nicoderm Cqbrand15,39617310.8%
Nicotinegeneric9,01536862.8%
Nicotine polacrilexgeneric7,79839212.9%
Nicotine transdermal system patchgeneric4,46210510.2%
Nicotrolbrand2,281632.4%
Equate Nicotinebrand1,69101.3%
Nicotine transdermal systemgeneric1,07616513.7%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Nicorette reports

How many adverse event reports has FDA received for Nicorette?

12,495 reports list Nicorette as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 121 of them arrived in the latest 12 months. Another 743 list it only as a concomitant medication.

What reactions are recorded in Nicorette reports?

intentional drug misuse (20.6%), nicotine dependence (19.5%), drug ineffective (15.6%), nausea (7.3%) and drug administration error (6.8%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Nicorette was responsible.

How serious are the reports?

18.1% are marked serious by the reporter. Among the outcomes recorded, 0.3% of reports include death and 2.6% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (94.9%), other health professional (2%) and pharmacist (1.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Nicorette rising?

121 reports in the 12 months to June 2026, down 34% from 183 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Nicorette was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Nicorette?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Nicorette as a suspect or interacting product; reports listing it only as a concomitant medication (743) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.