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Speak with a doctor or pharmacist before using nicotine gum if you: Are pregnant Are breastfeeding Are under 18 years old Have heart problems Have high blood pressure Have diabetes Have stomach ulcers Have mouth, gum, dental, or jaw problems Use regular medicines Have had a reaction to nicotine products before You should also ask for help if you feel dizzy, sick, sweaty, shaky, or notice a fast heartbeat after using nicotine gum