Nicorette Cools Lozenge – Icy Mist 2mg 40’s is a nicotine replacement therapy (NRT) product and is licensed in the UK as a General Sale List medicine.
Each lozenge contains 2mg of nicotine, released gradually as the lozenge dissolves in the mouth. Unlike nicotine gum, there is no chewing technique to master; you simply allow the lozenge to dissolve slowly, moving it around your mouth occasionally. The result is a steady release of nicotine through the oral mucosa with minimal fuss and no visible chewing action.
The icy mist flavour
The icy mist flavour is a genuine differentiator for many people. The cool, clean taste appeals to those who find standard mint NRT products a little sharp, and the dissolving format means the flavour lingers pleasantly rather than disappearing with the gum. For people who want NRT that integrates as seamlessly as possible into their day, the lozenge format is often the format that sticks.
A good starting point for stopping smoking
The 40-lozenge pack is a practical starting point. It covers the first two to three weeks of a structured quit attempt at the recommended dose, giving you enough time to establish a new routine before you need to restock. It is also light and compact enough to carry in a pocket or bag, so your nicotine replacement is always within reach when a craving peaks.
Active ingredient: nicotine 2mg per lozenge
Flavour: icy mist
Pack size: 40 lozenges
Formulation: medicated lozenge (dissolves in mouth)
Suitable for: adults who smoke fewer than 20 cigarettes per day
Sugar-free
UK licence status: General Sale List (GSL)
Use: nicotine replacement therapy to support smoking cessation
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They arrive mid-meeting, on the school run, in the queue at the supermarket. Nicorette Cools Lozenge – Icy Mist 2mg 40’s is designed for exactly those moments: a small, discreet lozenge that dissolves in your mouth, delivers a controlled dose of nicotine, and leaves a clean, icy mist flavour behind. No gum, no patches, no fuss. At Courier Pharmacy, we know that stopping smoking is one of the most personal decisions you will make, and we know it rarely looks the same twice. Whether you are on your first quit attempt or your fifth, we are here to help you find what actually works for you.
Five things to know about Nicorette Cools Lozenge – Icy Mist 2mg 40’s
Contains 2mg nicotine per lozenge, suitable for adults who smoke fewer than 20 cigarettes a day.
Dissolves in the mouth without chewing, making it ideal for situations where gum would be inconvenient or noticeable.
Icy mist flavour provides a cool, fresh sensation that helps address the oral component of smoking cravings.
A 40-lozenge pack gives a solid foundation for the early weeks of a structured quit attempt.
Available without a prescription as a General Sale List (GSL) medicine in the UK.
Nicotine replacement therapy is one of the most well-evidenced pharmacological tools available for stopping smoking. A 2019 Cochrane review of 133 trials found that all forms of NRT increased the likelihood of stopping smoking by between 50 and 60 percent compared with no support. (Hartmann-Boyce et al., 2019) The lozenge is one of the short-acting forms in the NRT toolkit, which means it is best used on demand, in response to individual cravings, rather than as a background treatment.
For many people, the lozenge format is the right fit precisely because it is invisible. Chewing gum draws attention. Patches are hidden under clothing but cannot be turned on and off. The lozenge sits quietly in your mouth and does its job while you get on with yours. This matters particularly for people who want to keep their quit attempt private, or who work in roles where chewing would be inappropriate.
The icy mist flavour contributes meaningfully to the product’s effectiveness for some users. Smoking involves multiple sensory layers: the taste, the feel, the ritual. When nicotine craving strikes, the oral and sensory cues associated with smoking often fire alongside the chemical urge. A lozenge with a distinctive, pleasant flavour engages those cues in a way that does not involve lighting up.
Combination NRT, using a long-acting patch alongside a short-acting lozenge for breakthrough cravings, is endorsed by NICE as more effective than a single form of NRT for many smokers. (NICE, 2021) If you are considering this approach, our pharmacists can help you work out a regimen that suits your daily pattern without pushing you toward products you do not need.
The 40-lozenge pack is a deliberate choice for people who want to test the format before committing to a larger supply. Running out of NRT mid-attempt is one of the most common reasons people return to smoking. Once you know the lozenge works for you, moving to a larger pack or adding a patch for combination therapy is a straightforward next step, and our team can help you plan that.
Courier Pharmacy exists because healthcare should fit the person, not the other way round. That principle applies whether someone is managing a complex long-term condition or simply wants to buy a nicotine lozenge with some proper context behind it. We do not treat any purchase as too small to deserve expert attention, and we do not treat any customer as too straightforward to need real support.
Dr Ada Jex-Cori, the face of our clinical approach, frames it simply: “You are not broken. The system is. We are here to change that.” Our team is GPhC-regulated, evidence-led, and committed to giving you the kind of honest, clear guidance that fits your life and your quit attempt, not a generic protocol designed for the average person who does not really exist. From choosing the right NRT strength to building a combination regimen, we will work with you on it.
We also show up when there is nothing to sell. Our free fortnightly drop-in sessions at Insomnia, Derby (10 am to 12pm) are open to anyone who wants to talk through a quit attempt, ask questions about NRT options, or simply have a conversation with a pharmacist who will take their time. Healthcare should be accessible, not just when you are at the point of purchase. Learn more about our community talks at courierpharmacy.co.uk.
Nicorette Cools Lozenge – Icy Mist 2mg 40’s is a General Sale List (GSL) medicine and does not require a prescription. You can order it directly through our online pharmacy, and we will dispatch it discreetly and promptly.
If you are unsure whether the 2mg or 4mg lozenge is the right strength for you, or whether a combination NRT approach would give you a better chance of success, our pharmacists are happy to advise before or after you place your order. If this product is not suitable for your situation, we will tell you clearly and suggest the next best option.
Overview of Nicorette Cools Lozenge – Icy Mist 2mg 40’s
Lozenge NRT is particularly suited to settings where gum or inhalers are impractical or conspicuous.
The 2mg dose targets lighter smokers or those with lower physical nicotine dependence.
Icy mist flavour addresses the sensory dimension of smoking as well as the chemical dependency.
Can be used alongside a nicotine patch (combination NRT) for improved quit rates, as recommended by NICE.
Sugar-free formulation is appropriate for people monitoring dental health or blood sugar levels.
Active ingredient in Nicorette Cools Lozenge - Icy Mist 2mg 40's
The active ingredient is nicotine, present at 2mg per medicated lozenge. Nicotine is an alkaloid derived from the tobacco plant. In this formulation it is released gradually as the lozenge dissolves, allowing absorption through the mucous membrane of the mouth. This route delivers nicotine to the bloodstream at a slower and more controlled rate than cigarette smoke, reducing the rapid reward cycle that makes cigarettes so habit-forming while still providing enough nicotine to take the edge off withdrawal symptoms.
At 2mg per lozenge, the dose is calibrated for lighter smokers. It is sufficient to manage cravings without causing the dizziness or nausea that can occur when the dose is higher than the person's usual nicotine intake.
Other ingredients in the formulation include mannitol, xanthan gum, potassium bicarbonate, sodium alginate, acesulfame potassium, peppermint flavouring, and menthol, among others.
The full excipient list is available in the SmPC and patient information leaflet. People with known sensitivities to any of these ingredients should review the full list before use.
What is Nicorette Cools Lozenge - Icy Mist 2mg 40's for?
Nicorette Cools Lozenge - Icy Mist 2mg 40's is licensed for nicotine replacement therapy in adults who want to stop smoking. Its primary purpose is to relieve the cravings and withdrawal symptoms that make quitting difficult: the irritability, poor concentration, restlessness, and the persistent physical urge to reach for a cigarette. By supplying a controlled amount of nicotine without tobacco smoke, the lozenge reduces those symptoms enough to make the quit attempt manageable.
It is particularly well suited to people who want a discreet NRT option, to those who cannot chew gum comfortably due to dental work or jaw sensitivity, and to people who find the chew-and-park technique of nicotine gum awkward or inconvenient. It also works well as the short-acting component in a combination NRT plan, where a patch provides steady background coverage and the lozenge handles unexpected or intense individual cravings.
Beyond the pharmacological role, the lozenge format addresses the oral habit dimension of smoking. The urge to have something in your mouth, particularly at times associated with cigarettes such as after meals, during breaks, or with a coffee, is a powerful behavioural trigger. A lozenge engages that habit without involving tobacco. Icy mist flavour gives the experience enough sensory character to function as a genuine substitute rather than a clinical placeholder. (NHS, 2023)
How does Nicorette Cools Lozenge - Icy Mist 2mg 40's work?
Cigarette smoke delivers nicotine to the brain in approximately ten seconds via the lungs, triggering a rapid dopamine release that produces the familiar sense of ease and mild pleasure. That speed is central to why cigarettes are so addictive. When you stop smoking, nicotine levels in the blood fall quickly and the brain's dopamine regulation becomes disrupted, producing the withdrawal symptoms that make quitting feel so uncomfortable.
NRT breaks that cycle without the combustion products that cause most of the serious health harm from smoking. As the Nicorette Cools Lozenge dissolves in your mouth, nicotine is released into your saliva and absorbed gradually across the oral mucosa, the soft lining of the mouth and cheeks. This route delivers nicotine to the bloodstream over minutes rather than seconds. The slower onset means the effect is gentler, without reinforcing the instant-reward mechanism that makes cigarettes so powerfully habit-forming.
Once in the bloodstream, nicotine binds to nicotinic acetylcholine receptors in the brain, particularly the alpha-4 beta-2 subtype. This stimulates dopamine release in the brain's reward circuitry, but at a lower and more gradual level than cigarette smoking provides. Over the twelve-week treatment programme, the number of lozenges used is gradually reduced, giving the brain's receptor system time to recalibrate toward normal function and reducing withdrawal symptoms step by step.
The icy mist flavour works through a complementary mechanism. Menthol and peppermint compounds activate cold-sensitive receptors (TRPM8) in the mouth, creating a cooling sensation that many people find calming and that provides a sensory counterpoint to craving signals. Some research suggests that the oral cooling sensation can itself reduce the subjective intensity of a craving, which is one reason flavoured NRT products tend to score well on user satisfaction surveys.
Cochrane-level evidence confirms the overall mechanism is effective. A 2019 systematic review found that NRT in all its forms significantly improved quit rates at six months compared with placebo, with odds ratios of 1.49 to 1.61 depending on the NRT format used. (Hartmann-Boyce et al., 2019) The lozenge has the additional advantage over gum of requiring no technique, making it accessible to people who found the chew-and-park method difficult to use consistently.
How to use Nicorette Cools Lozenge - Icy Mist 2mg 40's
Place one lozenge in your mouth and allow it to dissolve slowly. Move it around your mouth occasionally to help release the nicotine and distribute it across the mucosal surface. Do not chew the lozenge or swallow it whole. Chewing breaks down the structure too quickly, sending nicotine to the stomach where it causes nausea; swallowing it whole prevents absorption through the mouth entirely. The lozenge should take around 10 to 30 minutes to dissolve fully.
Avoid eating or drinking (other than water) for at least 15 minutes before and during use. Acidic foods and drinks including coffee, fruit juice, and fizzy drinks reduce the pH of the mouth and impair nicotine absorption across the oral mucosa. If you have just had a coffee, give it a few minutes before starting a lozenge. This is one of the most practical tips for getting the most out of your NRT, and one of the most commonly overlooked.
Keep a lozenge accessible at all times during the early weeks of a quit attempt. The moments when cravings are most intense are rarely predictable. A lozenge in your jacket pocket or bag means you are never caught without one when a craving peaks. Store the pack at room temperature, below 25 degrees Celsius, and keep it in its original packaging. The compact blister format makes storage straightforward and means each lozenge stays fresh until you need it. (NHS, 2023)
Warnings and precautions for Nicorette Cools Lozenge - Icy Mist 2mg 40's
Do not use this product if you are allergic to nicotine or any of the listed excipients. Allergic reactions to NRT products are uncommon, but any swelling of the face, throat, or tongue, hives, or difficulty breathing after use should prompt you to stop immediately and seek medical attention.
People with cardiovascular conditions including recent myocardial infarction, unstable angina, or severe cardiac arrhythmia should consult a doctor before starting any NRT. Nicotine has mild effects on heart rate and peripheral blood vessel tone. For most people this is not clinically significant, but in those with active or unstable cardiac conditions the risk-benefit balance is best assessed individually. The same applies to people with uncontrolled hyperthyroidism, phaeochromocytoma, or active peptic ulcer disease.
If you are pregnant or breastfeeding, stopping smoking without medication is the ideal outcome, but the risks of continued smoking to the developing baby are considerably greater than those of NRT. Both the NHS and NICE acknowledge that NRT can be appropriate in pregnancy when non-pharmacological approaches have not worked, and the intermittent forms such as lozenges are preferred over 24-hour patches. Discuss the options with your midwife or GP. (NICE, 2021)
This product is not intended for use by children under 12 and must be kept out of reach of young children. A single 2mg lozenge could cause symptoms of nicotine toxicity in a toddler. If a child ingests a nicotine lozenge, contact NHS 111 or a poisons information service immediately.
People with phenylketonuria (PKU) should be aware that some lozenge formulations contain phenylalanine as part of the sweetener system. Check the SmPC for the full excipient list before use if this is relevant to you.
Side effects of Nicorette Cools Lozenge - Icy Mist 2mg 40's
Most side effects from nicotine lozenges relate to technique or dose. The most common complaint is nausea, which typically occurs when the lozenge is chewed rather than allowed to dissolve, or when the dose is higher than the person's usual nicotine intake. Adjusting the number of lozenges used per day or switching to a slower dissolving technique usually resolves this within a few days.
Common side effects (affecting more than 1 in 100 users) include: nausea, hiccups, sore throat, dry mouth, headache, and dizziness. Some of these, particularly irritability, difficulty sleeping, and increased appetite, are more likely to be symptoms of nicotine withdrawal than of the lozenge itself, especially in the first one to two weeks of quitting. It can be useful to keep a simple diary during this period to identify what comes from the product and what comes from the process of quitting.
Uncommon side effects (affecting 1 in 100 to 1 in 1,000 users) include palpitations, increased saliva production, and mouth ulcers. Rare but more serious effects include allergic reactions such as urticaria (hives) or angioedema (swelling of the face, lips, or throat). If you experience these, stop using the product and seek prompt medical advice.
You can report any suspected side effect from a UK-licensed medicine via the MHRA Yellow Card scheme at yellowcard.mhra.gov.uk. Patient reports are genuinely valuable; they help regulators identify safety signals that clinical trials may not have captured. It takes a few minutes and contributes to public health monitoring. (MHRA, 2024)
Drug interactions with Nicorette Cools Lozenge - Icy Mist 2mg 40's
Direct pharmacokinetic interactions between nicotine lozenges and other medicines are rare at NRT doses. The blood nicotine levels achieved from a lozenge are significantly lower than those from cigarette smoke, which reduces the potential for interaction. However, stopping smoking itself changes how the body processes several medicines, and this is the more clinically relevant consideration for people taking regular medication.
Smoking induces cytochrome P450 1A2 (CYP1A2), a liver enzyme responsible for metabolising a range of medicines. When you stop smoking, CYP1A2 activity falls over the following days to weeks. This means medicines that are broken down by this enzyme can accumulate to higher concentrations in the blood. Medicines affected include clozapine, olanzapine, theophylline, and warfarin. If you take any of these, let your prescriber know you are stopping smoking so they can monitor levels and adjust doses if needed.
There are no clinically significant direct interactions between nicotine lozenges and standard over-the-counter medicines. If you take prescription medicines, particularly those for psychiatric conditions, asthma, or heart conditions, a brief medicines review at the start of a quit attempt is good clinical practice. Our pharmacists at Courier Pharmacy are comfortable doing exactly this kind of review and can flag anything worth raising with your GP. (BNF, 2024)
If you are using combination NRT (lozenge plus patch), be aware that total nicotine intake is higher. Symptoms of nicotine excess, including nausea, sweating, dizziness, and palpitations, are a signal to reduce the total dose. NICE supports combination NRT as a first-line option for many smokers, but the regimen works best when the total dose is matched to your previous smoking level rather than treated as more-is-better. (NICE, 2021)
What is Nicorette Cools Lozenge - Icy Mist 2mg 40's?
Nicorette Cools Lozenge - Icy Mist 2mg 40's is a medicated lozenge that dissolves in the mouth to deliver 2mg of nicotine and relieve cigarette cravings. It is licensed in the UK as a General Sale List medicine, and belongs to the nicotine replacement therapy (NRT) category recommended by the NHS for smoking cessation support. (NHS, 2023)
How is a lozenge different from nicotine gum?
Both deliver nicotine through the oral mucosa, but the technique differs. Gum requires the chew-and-park method to release nicotine effectively. The lozenge simply dissolves in the mouth without chewing, making it more discreet and suitable for people with dental work, jaw sensitivity, or situations where chewing would be noticeable. The dissolving time is similar at around 10 to 30 minutes. (BNF, 2024)
How many lozenges can I use in a day?
The maximum recommended dose is 15 lozenges per day for the 2mg strength. Most people use between 8 and 12 per day during the first six weeks. If you regularly need more than 15 to manage your cravings, it may indicate that the 4mg strength or a combination NRT approach (lozenge plus patch) would be more appropriate. Speak to a pharmacist before exceeding the recommended dose. (BNF, 2024)
What does icy mist flavour taste like?
The icy mist flavour combines peppermint and menthol to create a cool, fresh taste with a milder edge than standard mint. The cooling sensation is noticeable as the lozenge begins to dissolve and tends to be consistently pleasant throughout. Many users find it more agreeable than sharper mint options and appreciate the way the flavour lingers as the lozenge dissolves.
Can I use the lozenge if I have dentures?
Yes, the lozenge format is generally well suited to people with dentures because it requires no chewing. Allow it to dissolve freely in your mouth rather than pressing it against a specific tooth surface. If the lozenge causes any discomfort with dental hardware, contact our pharmacists for guidance on alternative NRT formats. (EMC SmPC, [EDITOR: insert verified URL])
Is Nicorette Cools Lozenge - Icy Mist 2mg safe in pregnancy?
If possible, stop smoking without medication during pregnancy. Where non-pharmacological approaches have not succeeded, NRT can be used in pregnancy following discussion with your midwife or GP, as the risks of continued smoking to the developing baby substantially outweigh those of NRT. Intermittent forms such as the lozenge are preferred over 24-hour patches in pregnancy. (NICE, 2021)
Can I eat while using a nicotine lozenge?
Avoid eating or drinking anything other than water for at least 15 minutes before and during use. Acidic drinks including coffee, juice, and cola lower mouth pH and reduce nicotine absorption through the oral mucosa. Eating while the lozenge is dissolving also physically interferes with the process. Wait until the lozenge has fully dissolved before eating or drinking.
How long should I continue using the lozenges?
Most structured NRT programmes run for twelve weeks, with a gradual reduction in lozenge use from week seven. Treatment beyond six months is generally not recommended unless discussed with a healthcare professional. If you find you are still relying heavily on the lozenges after three months, a pharmacist or GP can help you review the quit plan. (NICE, 2021)
Can I use the lozenge at the same time as a nicotine patch?
Yes. Combining a long-acting patch for background nicotine delivery with the lozenge for breakthrough cravings is a recognised and NICE-recommended approach. It tends to produce better quit rates than a single NRT form alone. Monitor for signs of nicotine excess (nausea, dizziness, palpitations) and reduce the total dose if these occur. (NICE, 2021)
What should I do if I accidentally swallow a lozenge?
Accidentally swallowing one lozenge is unlikely to cause significant harm. The nicotine will be partly broken down before it reaches the bloodstream via the digestive route. However, consistently swallowing rather than dissolving the lozenges significantly reduces their effectiveness. If a child swallows a nicotine lozenge, contact NHS 111 or the National Poisons Information Service immediately. (NHS, 2023)
Does the lozenge contain sugar?
No, Nicorette Cools Lozenge - Icy Mist 2mg is sugar-free. It is sweetened with acesulfame potassium and other non-sugar excipients. This makes it appropriate for people monitoring their blood sugar or managing dental health during a quit attempt, when the temptation to replace cigarettes with sugary foods is often higher than usual.
Who should not use Nicorette Cools Lozenge - Icy Mist 2mg?
People under 12 should not use this product. Those who are allergic to nicotine or any listed excipient should avoid it. People with recent heart attack, unstable angina, or severe cardiac arrhythmia should consult a doctor first. Those with phenylketonuria should check the excipient list for phenylalanine content. If you are unsure, a pharmacist can advise. (BNF, 2024)
Can I use this lozenge alongside other stop-smoking medicines?
Nicotine lozenges should not generally be combined with other nicotine-containing products beyond a supervised combination NRT plan. Using NRT alongside prescription stop-smoking medicines such as varenicline or bupropion is not standard practice without clinical oversight. Speak to your GP or pharmacist if you are considering this. (BNF, 2024)
Will the lozenge cause hiccups?
Hiccups are a commonly reported side effect of nicotine lozenges and are thought to be related to nicotine stimulating the vagus nerve or to the act of swallowing small amounts of nicotine-containing saliva. They usually settle with continued use. Slowing down the dissolution process and avoiding swallowing saliva excessively during use can help.
How do I know if I need the 2mg or 4mg lozenge?
The 2mg lozenge is recommended for lighter smokers who smoke fewer than 20 cigarettes a day and do not smoke their first cigarette within 30 minutes of waking. The 4mg lozenge is for heavier smokers or those with higher physical nicotine dependence. Using a dose that is too low is one of the most common reasons NRT does not control cravings adequately. A pharmacist can help you assess the right starting strength. (BNF, 2024)
Is this product available on the NHS?
As a GSL medicine, it does not require a prescription and is not routinely prescribed on the NHS. However, NHS Stop Smoking Services can sometimes provide NRT on prescription, which may reduce cost. Check with your local service or GP surgery. Buying directly through Courier Pharmacy gives you access to pharmacist advice alongside the product. (NHS, 2023)
How do I report a side effect from Nicorette Cools Lozenge?
Report any suspected side effect from a UK-licensed medicine through the MHRA Yellow Card scheme at yellowcard.mhra.gov.uk. Reports from patients are a valued part of post-market surveillance and help the regulator identify issues that may not have appeared in clinical trials. (MHRA, 2024)
What happens if I use too many lozenges?
Using more than the recommended maximum of 15 lozenges per day may cause symptoms of nicotine excess: nausea, dizziness, sweating, a fast heart rate, or a general feeling of being unwell. If this occurs, reduce the number of lozenges used. If symptoms are severe or worrying, seek medical advice. A higher-dose NRT form or combination plan may be a better fit if you regularly exceed the maximum. (BNF, 2024)
Can I use this lozenge to cut down rather than quit completely?
Yes. NRT can be used as part of a "cut down to quit" approach, gradually reducing cigarette consumption with the help of lozenges to manage cravings between cigarettes. NICE supports harm reduction strategies using NRT as a pathway toward eventual cessation for people who are not yet ready to quit entirely. (NICE, 2021)
Where can I get extra support with stopping smoking?
NHS Stop Smoking Services offer free behavioural support and NRT on prescription. You can also speak with our pharmacists at Courier Pharmacy online, or come along to our free fortnightly drop-in sessions at Insomnia, Derby (12 to 1pm). Behavioural support combined with NRT consistently produces better quit rates than NRT alone. (NHS, 2023)
More than a prescription: our community
Stopping smoking is not just a pharmaceutical challenge. It is a behavioural change, an identity shift, and sometimes a surprisingly emotional process. The right product matters. So does having people around you who understand what you are going through.
That is why Courier Pharmacy runs free fortnightly drop-in talks at Insomnia, Derby, every other week from 12 to 1pm. No appointment needed, no charge, no pressure to buy anything. Our clinical team discusses real topics, including NRT choices, managing cravings, combination therapy, and what to do when a quit attempt does not go to plan. It is a space to ask the questions you would not necessarily ask in a two-minute pharmacy consultation.
You are welcome whether you are mid-attempt, considering starting, or just curious about your options. Healthcare that fits you means showing up before you are at crisis point, not just at the point of purchase. Learn more about our community talks at courierpharmacy.co.uk.
How this content was created
Written by the Courier Pharmacy editorial team and reviewed by a GPhC-registered pharmacist. Grounded in the latest NHS, NICE, BNF and EMC guidance, peer-reviewed studies, and the real questions patients bring to our drop-in clinics in Derby.
Disclaimer: This article is for general information only and isn’t a substitute for personal medical advice, diagnosis, or treatment. Always check with a GP, pharmacist, or specialist before starting a new supplement if you have a medical condition or take regular medicines.
