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Nicotine Polacrilex side effects: what 38,030 FDA adverse event reports show

Nicotine Polacrilex · Nicotine · 1,194 reaction terms · 112,634 drug–reaction co-reports · data 2026-09-14
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Drug class

Cholinergic Nicotinic Agonist

FDA label (Established Pharmacologic Class) · compare the class

Brand names

Nicotine

openFDA label

Who reports

38,030 reports · 37% serious · 1,709 with death outcome · 58% female

openFDA FAERS counts, all years, deduplication not applied

Used for

• reduces withdrawal symptoms, including nicotine craving, associated with quitting smoking

FDA label, Indications and Usage

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Likely indication confounding 2Reporting / coding artifact 3Not in label — unassessed 35
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,154 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Vaginal flatulence180801.0
636.7–1,007.8ROR 804.8 · calibrated p 7e-16 ✓
313.4 EB05 276.8 · IC025 +7.2
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.5 (4.7–6.5)
Not in label — unassessedserious n=180 · ♀ 100% (drug 58%)no trial arm names this drug
Rhesus incompatibility68696.6
486.5–997.4ROR 697.8 · calibrated p 1e-14 ✓
281.5 EB05 229.7 · IC025 +6.2
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.5 (4.2–7.3)
Not in label — unassessedserious n=68no trial arm names this drug
Plethysmography14633.4
293.0–1,369.4ROR 633.6 · calibrated p 5e-12 ✓
209.5 EB05 132.6 · IC025 +3.8
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.3 (2.9–9.6)
Not in label — unassessedserious n=14no trial arm names this drug
Nicotine dependence4,155624.9
598.3–652.6ROR 701.4 · calibrated p 1e-15 ✓
290.7 EB05 283.3 · IC025 +8.1
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 16.5 (15.8–17.1)
Likely indication confounding
shares a disease stem with the indications wording
serious n=766 · 95% consumerno trial arm names this drug
Tobacco poisoning48434.3
297.2–634.8ROR 434.9 · calibrated p 1e-12 ✓
220.6 EB05 173.0 · IC025 +5.6
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 6.7 (4.8–9.4)
Not in label — unassessedserious n=42no trial arm names this drug
Truncus arteriosus persistent74321.4
241.2–428.4ROR 322.0 · calibrated p 1e-11 ✓
192.3 EB05 158.2 · IC025 +6.0
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.4 (4.2–7.1)
Not in label — unassessedserious n=74 · 92% clinicianno trial arm names this drug
Myocardial stunning24119.5
76.9–186.0ROR 119.6 · calibrated p 1e-7 ✓
91.2 EB05 64.5 · IC025 +4.4
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.4 (3.4–8.6)
Not in label — unassessedserious n=24 · ♀ 100% (drug 58%) · 100% clinicianno trial arm names this drug
Intentional drug misuse3,482108.3
104.6–112.2ROR 119.2 · calibrated p 3e-8 ✓
90.4 EB05 87.9 · IC025 +6.4
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 46.6 (43.8–49.7)
Reporting / coding artifactserious PRR 43.2 · 96% consumerno trial arm names this drug
Tobacco interaction1691.4
53.8–155.3ROR 91.5 · calibrated p 1e-6 ✓
71.9 EB05 47.0 · IC025 +3.7
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.4 (3.1–9.5)
Not in label — unassessedserious n=15no trial arm names this drug
Tobacco abuse6473.9
57.0–96.0ROR 74.1 · calibrated p 1e-6 ✓
64.0 EB05 51.9 · IC025 +5.0
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 6.3 (4.8–8.5)
Reporting / coding artifactserious n=56no trial arm names this drug
Lung diffusion disorder1870.8
43.3–115.7ROR 70.8 · calibrated p 5e-6 ✓
59.0 EB05 39.5 · IC025 +3.8
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.4 (3.2–9.2)
Not in label — unassessedserious n=18no trial arm names this drug
Female genital tract fistula18465.9
56.6–76.8ROR 66.3 · calibrated p 2e-6 ✓
58.6 EB05 51.8 · IC025 +5.4
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.5 (4.7–6.5)
Not in label — unassessedserious n=184 · ♀ 100% (drug 58%)no trial arm names this drug
Oral mucosal discolouration6459.1
45.7–76.5ROR 59.2 · calibrated p 6e-6 ✓
52.6 EB05 42.6 · IC025 +4.8
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 20.4 (14.1–29.4)
Not in label — unassessed100% consumerno trial arm names this drug
Tobacco withdrawal symptoms1447.2
27.3–81.5ROR 47.2 · calibrated p 7e-5 ✓
41.3 EB05 26.1 · IC025 +3.2
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 11.0 (5.6–21.7)
Likely indication confounding
shares a disease stem with the indications wording
–no trial arm names this drug
Hiccups61544.9
41.4–48.7ROR 45.6 · calibrated p 2e-5 ✓
41.5 EB05 38.8 · IC025 +5.2
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 27.2 (23.9–30.9)
Not in label — unassessedserious n=35 · 98% consumerno trial arm names this drug
Cardiac septal defect5444.4
33.6–58.5ROR 44.4 · calibrated p 4e-5 ✓
40.5 EB05 32.2 · IC025 +4.5
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.4 (4.0–7.4)
Not in label — unassessedserious n=54 · 100% clinicianno trial arm names this drug
Poor feeding infant7742.7
33.9–53.9ROR 42.8 · calibrated p 4e-5 ✓
39.3 EB05 32.5 · IC025 +4.6
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 6.1 (4.7–8.0)
Not in label — unassessedserious n=77no trial arm names this drug
Tremor neonatal3242.2
29.4–60.4ROR 42.2 · calibrated p 6e-5 ✓
38.4 EB05 28.5 · IC025 +4.0
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.5 (3.7–8.1)
Not in label — unassessedserious n=32 · ♀ 0% (drug 58%)no trial arm names this drug
Neutropenia neonatal1642.0
25.2–69.8ROR 42.0 · calibrated p 1e-4 ✓
37.4 EB05 24.4 · IC025 +3.3
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.6 (3.2–9.9)
Not in label — unassessedserious n=16no trial arm names this drug
Radiculopathy18341.1
35.3–47.7ROR 41.2 · calibrated p 5e-5 ✓
38.1 EB05 33.7 · IC025 +4.9
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.5 (4.7–6.5)
Not in label — unassessedserious n=183 · ♀ 100% (drug 58%)no trial arm names this drug
Multiple drug overdose accidental3240.8
28.5–58.4ROR 40.8 · calibrated p 8e-5 ✓
37.2 EB05 27.6 · IC025 +4.0
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.5 (3.7–8.2)
Not in label — unassessedserious n=32 · ♀ 31% (drug 58%) · 100% clinicianno trial arm names this drug
Chronic sinusitis25239.7
35.0–45.1ROR 40.0 · calibrated p 6e-5 ✓
37.0 EB05 33.3 · IC025 +4.9
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.6 (4.9–6.5)
Not in label — unassessedserious n=251 · ♀ 100% (drug 58%)no trial arm names this drug
Congenital cardiovascular anomaly5739.6
30.2–51.8ROR 39.6 · calibrated p 7e-5 ✓
36.5 EB05 29.3 · IC025 +4.4
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.4 (4.0–7.3)
Not in label — unassessedserious n=57 · 100% clinicianno trial arm names this drug
Macular degeneration79739.5
36.8–42.4ROR 40.3 · calibrated p 5e-5 ✓
36.8 EB05 34.7 · IC025 +5.1
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 6.2 (5.7–6.7)
Not in label — unassessedserious PRR 61.7 · ♀ 100% (drug 58%)no trial arm names this drug
Proctitis18538.9
33.5–45.1ROR 39.1 · calibrated p 7e-5 ✓
36.2 EB05 32.1 · IC025 +4.8
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.5 (4.7–6.5)
Not in label — unassessedserious n=185 · ♀ 100% (drug 58%)no trial arm names this drug
Saliva discolouration2137.4
24.0–58.2ROR 37.4 · calibrated p 2e-4 ✓
34.1 EB05 23.5 · IC025 +3.6
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: only this drug
Not in label — unassessed–no trial arm names this drug
Tooth erosion6231.7
24.5–40.9ROR 31.7 · calibrated p 2e-4 ✓
29.7 EB05 24.0 · IC025 +4.2
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 8.0 (5.9–10.8)
Not in label — unassessedserious n=43no trial arm names this drug
Oral discomfort74431.1
28.9–33.5ROR 31.7 · calibrated p 2e-4 ✓
29.4 EB05 27.7 · IC025 +4.7
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 25.8 (23.0–28.9)
Not in label — unassessedserious n=36 · 100% consumerno trial arm names this drug
Idiopathic interstitial pneumonia1830.4
18.9–48.8ROR 30.4 · calibrated p 5e-4 ✓
28.0 EB05 18.7 · IC025 +3.2
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.4 (3.2–9.2)
Not in label — unassessedserious n=18no trial arm names this drug
Drug abuser32129.9
26.7–33.5ROR 30.2 · calibrated p 3e-4 ✓
28.4 EB05 25.9 · IC025 +4.6
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 31.8 (26.4–38.3)
Not in label — unassessedserious n=216 · 88% consumerno trial arm names this drug
Tooth discolouration15229.8
25.3–35.0ROR 29.9 · calibrated p 3e-4 ✓
28.2 EB05 24.6 · IC025 +4.4
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 23.3 (18.2–29.8)
Not in label — unassessed100% consumerno trial arm names this drug
Jaundice neonatal9629.3
23.9–36.0ROR 29.4 · calibrated p 3e-4 ✓
27.7 EB05 23.4 · IC025 +4.3
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.5 (4.4–6.9)
Not in label — unassessedserious n=96no trial arm names this drug
Mediastinal mass1827.5
17.1–44.2ROR 27.5 · calibrated p 8e-4 ✓
25.6 EB05 17.1 · IC025 +3.2
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.3 (3.1–9.0)
Not in label — unassessedserious n=18no trial arm names this drug
Adenoidectomy1827.0
16.8–43.3ROR 27.0 · calibrated p 9e-4 ✓
25.1 EB05 16.8 · IC025 +3.2
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.4 (3.2–9.2)
Not in label — unassessedserious n=18no trial arm names this drug
Gingival blister2026.0
16.6–40.7ROR 26.0 · calibrated p 1e-3 ✓
24.3 EB05 16.6 · IC025 +3.2
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: only this drug
Not in label — unassessed100% consumerno trial arm names this drug
Necrosis ischaemic2024.8
15.9–38.9ROR 24.9 · calibrated p 0.001 ✓
23.3 EB05 15.9 · IC025 +3.2
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.5 (3.3–9.2)
Not in label — unassessedserious n=20 · ♀ 100% (drug 58%)no trial arm names this drug
Gingival discomfort2723.7
16.1–34.8ROR 23.7 · calibrated p 0.001 ✓
22.4 EB05 16.1 · IC025 +3.4
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 26.3 (14.3–48.2)
Not in label — unassessed100% consumerno trial arm names this drug
Pulmonary eosinophilia1923.6
14.9–37.4ROR 23.6 · calibrated p 0.002 ✓
22.2 EB05 14.9 · IC025 +3.1
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.4 (3.2–9.1)
Not in label — unassessedserious n=18no trial arm names this drug
Breech presentation4922.3
16.8–29.7ROR 22.3 · calibrated p 0.001 ✓
21.3 EB05 16.7 · IC025 +3.7
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 5.5 (4.0–7.6)
Not in label — unassessedserious n=49 · ♀ 35% (drug 58%)no trial arm names this drug
Drug administration error1,20222.1
20.9–23.4ROR 22.8 · calibrated p 0.001 ✓
21.3 EB05 20.3 · IC025 +4.3
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 26.9 (24.6–29.4)
Reporting / coding artifactserious PRR 10.7 · 97% consumerno trial arm names this drug

Trial evidence (ClinicalTrials.gov)

ClinicalTrials.gov returned results-bearing trials mentioning Nicotine Polacrilex only as a background or rescue medication (NCT01456936); no trial listing it as the tested intervention was cached, so no trial cross-check is shown.

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Drug ineffective (drug did not work)5,0202.1
2.1–2.2ROR 2.3 · calibrated p 0.915
2.1 EB05 2.1 · IC025 +1.0
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 9.3 (9.0–9.6)
Reporting / coding artifactserious PRR 2.3 · 85% consumerno trial arm names this drug
Nicotine dependence4,155624.9
598.3–652.6ROR 701.4 · calibrated p 1e-15 ✓
290.7 EB05 283.3 · IC025 +8.1
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 16.5 (15.8–17.1)
Likely indication confounding
shares a disease stem with the indications wording
serious n=766 · 95% consumerno trial arm names this drug
Intentional drug misuse3,482108.3
104.6–112.2ROR 119.2 · calibrated p 3e-8 ✓
90.4 EB05 87.9 · IC025 +6.4
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 46.6 (43.8–49.7)
Reporting / coding artifactserious PRR 43.2 · 96% consumerno trial arm names this drug
Nausea2,9452.1
2.0–2.1ROR 2.2 · calibrated p 0.976
2.1 EB05 2.0 · IC025 +1.0
vs other Cholinergic Nicotinic Agonists: PRR 9.2 (8.8–9.6)
Labeled adverse reaction
exact term
serious PRR 2.0 · 80% consumerno trial arm names this drug
Malaise (feeling unwell)1,5221.9
1.8–2.0ROR 1.9 · calibrated p 0.916
1.9 EB05 1.8 · IC025 +0.8
vs other Cholinergic Nicotinic Agonists: PRR 9.0 (8.5–9.6)
Not in label — unassessedserious PRR 2.0 · 76% consumerno trial arm names this drug
Dizziness1,3391.5
1.4–1.6ROR 1.5 · calibrated p 0.643
1.5 EB05 1.4 · IC025 +0.5
vs other Cholinergic Nicotinic Agonists: PRR 7.4 (6.9–7.8)
Labeled adverse reaction
exact term
serious PRR 1.7 · 82% consumerno trial arm names this drug
Headache1,3031.1
1.1–1.2ROR 1.2 · calibrated p 0.408
1.1 EB05 1.1 · IC025 +0.1
vs other Cholinergic Nicotinic Agonists: PRR 7.1 (6.6–7.5)
Not in label — unassessedserious PRR 1.8 · 72% consumerno trial arm names this drug
Drug administration error1,20222.1
20.9–23.4ROR 22.8 · calibrated p 0.001 ✓
21.3 EB05 20.3 · IC025 +4.3
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 26.9 (24.6–29.4)
Reporting / coding artifactserious PRR 10.7 · 97% consumerno trial arm names this drug
Overdose1,1442.9
2.8–3.1ROR 3.0 · calibrated p 0.633
2.9 EB05 2.8 · IC025 +1.4
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 6.4 (6.0–6.8)
Reporting / coding artifactserious PRR 3.6no trial arm names this drug
Vomiting1,1101.3
1.2–1.4ROR 1.3 · calibrated p 0.518
1.3 EB05 1.2 · IC025 +0.3
vs other Cholinergic Nicotinic Agonists: PRR 8.6 (8.0–9.3)
Labeled adverse reaction
exact term
serious PRR 1.2 · 77% consumerno trial arm names this drug
Product quality issue1,1094.6
4.3–4.8ROR 4.7 · calibrated p 0.274
4.5 EB05 4.3 · IC025 +2.1
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 6.7 (6.2–7.2)
Reporting / coding artifactserious PRR 2.5 · 97% consumerno trial arm names this drug
Wrong technique in product usage process9592.6
2.5–2.8ROR 2.7 · calibrated p 0.745
2.6 EB05 2.5 · IC025 +1.3
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 7.4 (6.9–8.0)
Reporting / coding artifactserious PRR 2.2 · 96% consumerno trial arm names this drug
Dyspnoea (shortness of breath)9420.9
0.9–1.0ROR 0.9 · calibrated p 0.253
0.9 EB05 0.9 · IC025 -0.2
PRR-only: not supported by EBGM or IC
vs other Cholinergic Nicotinic Agonists: PRR 6.6 (6.1–7.1)
Not in label — unassessedserious PRR 1.4no trial arm names this drug
Drug dependence8913.0
2.8–3.2ROR 3.1 · calibrated p 0.601
3.0 EB05 2.9 · IC025 +1.5
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 9.9 (9.2–10.8)
Reporting / coding artifactserious PRR 4.7no trial arm names this drug
Dyspepsia (indigestion)8444.8
4.5–5.1ROR 4.9 · calibrated p 0.251
4.7 EB05 4.5 · IC025 +2.1
3/3 methods agree
vs other Cholinergic Nicotinic Agonists: PRR 10.5 (9.6–11.4)
Not in label — unassessedserious PRR 5.7 · 73% consumerno trial arm names this drug

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Nicotine Polacrilex?

In FDA FAERS, the most frequently co-reported reaction terms for Nicotine Polacrilex are nicotine dependence, nausea, malaise, dizziness, headache, vomiting. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Nicotine Polacrilex have an FDA boxed warning?

No. The FDA label retrieved for Nicotine Polacrilex has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Nicotine Polacrilex causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.