Medication Interventions to Reduce Dependence
Swedish Thoracic Surgery / First Hill
Lung Cancer Screening Program
There are different medications and therapies that may help you during the quitting process. These methods aren’t proven to be successful for everyone, however, the quitting process is unique to each individual and some of these therapies may be beneficial for you to use. We highly recommend you talk with your health care provider before you start any nicotine replacement, prescription or complementary therapies to ensure your health and safety.
Nicotine Replacement Therapies (NRT’s):
Using nicotine replacement therapies double your likelihood of successfully quitting smoking. NRT’s are used along with social and behavioral support, to reduce the withdrawal symptoms you may experience after quitting; this helps you focus your energy on maintaining positive behavior changes. [19, 20, 26] Everyone’s path to quitting is different, and before choosing a nicotine replacement therapy or medication, talk to your health care provider about what option and quit plan is right for you.
Over the Counter Therapies
Nicotine gum is helpful to help curb your cravings for nicotine. Nicotine is released from the chewing gum and absorbed through your gum tissue to reduce your cravings. The gum should not be used for longer than six months, if you have difficulty stopping the gum talk to your health care provider.
Nicotine Lozenge (Nicorette)
Nicotine lozenges can be taken frequently to help you manage your cravings (no more than 20 lozenges a day). They are most effective when they are dissolved in your mouth; avoid chewing or swallowing the lozenges.
Nicotine Patch (NicoDerm CQ)
The patch provides a low continuous dose of nicotine that is absorbed through the skin. The patch is applied once a day and worn for 16-24 hours.
Bupropion SR (Zyban)
Zyban is an anti-depressant that has been effective in helping people quit by decreasing withdrawal symptoms and doubling your chance of success. This medication should be started one to two weeks before your quit date.
Chantix prevents nicotine from stimulating the brain and reduces the pleasure you receive when you smoke a cigarette. This helps to reduce your cravings and withdrawal symptoms
Nicotine Inhaler (Nicotrol Inhaler)
The nicotine inhaler is used similarly to a cigarette. Nicotine is absorbed through the throat and mouth when inhaling. The nicotine inhaler can be used throughout the day to help manage your cravings. This nicotine replacement therapy is also helpful in providing you the comfort you may have had with hand to mouth motion when smoking.
Nicotine nasal spray (Nicotrol NS)
The nicotine nasal spray can help you manage your cravings. It can be used up to five times an hour, and no more than 40 times in a day.
[10, 19, 20]