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If you have a history of any of the following, speaking with your GP before using nicotine gum is non-negotiable: A recent heart attack Severe or worsening angina (chest pain) A serious heart rhythm abnormality (arrhythmia) Uncontrolled high blood pressure Nicotine gum and other forms of nicotine replacement therapy (NRT) should only be used under medical supervision, and in some cases, may require a prescription from your healthcare provider

Findings also indicate that failing at quitting was likely to lead adolescents to give up trying, which is especially distressing inasmuch as research has shown that, on average, most successful cessation attempts come after four or five failures