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November 3, 2009

What's the best way to quit smoking -- that works?

People can struggle for years to quit smoking and the magnitude of advice and remedies about how to do so effectively can be overwhelming. 

So, which method works best?

New research examining five treatments finds that the nicotine patch plus a nicotine lozenge does the trick.

The study, appearing in the November issue of the Archives of General Psychiatry, enrolled 1,504 adult smokers -- all of whom were were motivated to quit -- to try one of six smoking cessation methods: nicotine lozenge alone, nicotine patch alone, bupropion (the drug Wellbutrin) alone, patch and nicotine lozenge, bupropion and nicotine lozenge or lastly, a placebo.

In addition to taking the specified treatment for eight to 12 weeks after quitting, participants got six one-on-one counseling sessions. People were evaluated after one week, eight weeks and six months after quitting. Nicotine patch plus a lozenge had the strongest support in helping folks take the first steps to quit, researchers found. These participants were more likely to have quit after seven days, and although some relapsed, they had longer periods between quitting and relapse than people in the other groups.

Previous studies have found the patch works well with other nicotine replacement methods from gum to nasal sprays, the authors said. Researchers think the key to making that first successful attempt to quit is using a patch with some other form of treatment.

Posted by Kelly Brewington at 12:05 PM | | Comments (8)
Categories: General Health
        

Comments

I've used the patch/lozenge combination a couple times with little success. The only thing that's been working for me is smoking whitecloudecigoutlet.com. I haven't smoked a tobacco cigarette in a LONG time since I've switched to e-cigarettes. And I'm now weening myself off of e-cigarettes, too.

I just think smokers need to be more realistic. It's been known for a long time that patches and lozenges are not very successful for many, many smokers. They may work for some, but not for most.

I have had great success with the e-cigarette. I got one for about $30 from safesmokes.net and haven't had a real cigarette in over 3 weeks. I still get the nicotine, but none of the tar and crap that i used to get in cigarettes. So far it's working great.

I quit last spring.

When I saw the new prices after the latest tax increases I took that as a sign and decided on the spot that I simply wasn't going to buy any more.

Using only what I already owned I cut back to just a few and then tapered down to zero; all over about 5 days in all. Very nearly cold turkey.

While I won't say it is for everyone, it can be done and cold turkey may just be best way afterall.

The patch worked for me after a few attempts with Nicotrol. I loved to smoke, but I realized that it was time to stop. Please try to stop. If you can focus on the fact that it's the nicotine in the cigarette and not the smoke itself that is the point of addiction, then that will definitely help. A bonus with the patch -- bizarre dreams.

I'll agree with Mr. Rational on this one.

My first smoke was around the age of 9, I had been smoking solidly since 15 or so.

The taxes, turning 30, and realizing I really don't get anything out of smoking made me quit cold turkey. Or, cold turkey-ish.

Reduction in the number of smokes seemed to work the best, and until my wife revealed she had an "emergency pack" on her, I had had less than 5 in three weeks.

Well, they are gone, and I can still proudly say I have had a pack TOTAL in 2 months. While not what I was aiming for, it has been better than any other time I tried to quit, even when I was on Bupropin or on the patch.

I smoked for more than 30 years and tried the patch, the gum, hypnosis, cold turkey, etc. Nothing worked. Even taking care of my mother as she died of lung cancer wasn't enough to get me to quit.

Eight months ago, I purchased an electronic cigarette and stopped smoking within the first week. It's been a near-miracle for me.

Ideally, we'd be taking nothing but oxygen into our lungs. Unfortunately, despite all the public health efforts to get people to stop smoking, there are still 43 million smokers in the U.S.

Reducing the risk of smoking (like with an electronic cigarette or Swedish snus) is the next best thing if you've tried everything else. Estimates are that these reduced-harm methods carry about 1% of the risk of continuing to smoke, and a recent study at the University of Ottawa found that you're better off switching to a reduced-harm product for the rest of your life than if you continue to smoke cigarettes for even one additional month. http://tobaccoharmreduction.org/papers/press.htm

If you can quit, do it. If you can't, there are options that will minimize your risk.

http://whyquit.com/pr/111209.html

The above link is to my review of this study. What's totally missed by this Sun article is why anyone would spend additional money to buy both the patch + lozenge when the study found that:

"Finally, while there was substantial evidence that the patch plus lozenge was highly efficacious relative to the placebo condition, it is important to note that its 6-month outcome did not differ significantly from the other active cessation treatments in head-to-head comparisons."

If no significant difference from the patch or lozenge alone then why was does this article encourage smokers to buy both? It makes no sense.

Chantix is absolutely the only way. Yeah, you may get some weird dreams and want to kill yourself a few times. But as long as you remind yourself it's the chantix making you think that way and don't actually do anything the chantix does all the rest for you. You don't even have to think about quitting, you just want to and don't feel like you need it anymore. I used chantix for 2 weeks and stopped chantix and smoking forever. Strongly recommended!

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About Picture of Health
Kelly Brewington came to the health beat a year ago after covering everything from education and government to race and immigration in her 11 years as a reporter. Since then, she has tackled stories on autism, heart failure and acupuncture used to treat drug addiction. She’s been fascinated by medicine since childhood, when her doctor dad and nurse mom gave her Gray’s Anatomy coloring book to play with. She also blames her early exposure to the field of medicine for her hypochondria.

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