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no optimal tapering schedule described Maximum dose, 5 doses per hour or 40 doses per day ADMINISTRATION Do not to sniff, swallow, or inhale through the nose as the spray is being administered

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Health problems related to using these products can include changes in the skin inside the mouth (smokeless tobacco keratosis), white patches in the mouth (leukoplakia), red patches in the mouth (erythroplakia), a slow-growing type of cancer that looks like a wart (verrucous carcinoma), and a common type of mouth cancer (squamous cell carcinoma)