Ways to quitIf you have decided to quit smoking or tobacco chewing, you have a variety of options to help you quit. First-line agents for smoking or tobacco cessation have proved to be effective without excessive side effects. Treatments include Nicotine Replacement Therapy (NRT) and non-nicotine drug therapy.
- Nicotine Replacement Therapy (NRT) Nicotine replacement therapy (NRT) provides nicotine – in the form of gums, patches, lozenges and inhalers – without the other harmful components of tobacco and combusted tobacco products like cigarettes. NRT deals with the physical aspects of tobacco dependence associated with tobacco or smoking cessation. Gums and lozenges are commonly used NRT products that help cessation of tobacco use in those who are addicted to them. NRT provides nicotine in small quantities that allows the body to gradually adjust to having less nicotine until it no longer need any.1
- Nicotine Gum
Available globally since 19842, nicotine gum is available in India in 2 mg and 4 mg strengths. Nicotine gum is well suited for relief from acute smoking cravings3. Nicotine gum increases smoking cessation rates by 50-70%2.
For smokers – Individuals who smoke 20 or less cigarettes per day should start with the 2 mg strength and those who smoke more than 20 cigarettes per day should start with the 4 mg strength. Nicotine gum 4 mg should be prescribed by a physician3.
For tobacco chewers – If first dip of the day is > 30 minutes after awakening – 2 mg nicotine gum is recommended. If the dip is < 30 minutes after awakening 4 mg nicotine gum is recommended under doctor’s prescription.4
- Non-Nicotine Drug Therapy Bupropion and varenicline are approved prescription drugs to help patients stop smoking1.
- Brender E, Lynm C, Glass RM. Smoking Cessation. JAMA. 2006;296(1):130.
- Ashish Maseeh, MD, and Gagandeep Kwatra, MD A Review of Smoking Cessation Interventions. Medscape General Medicine. 2005;7(2):24
- Yadav V K. Pharmacotherapy of smoking cessation and the Indian scenario. Indian J Pharmacol 2006;38(5):320-9
- Agrawal S, Anand A, Bhambhani G, Kulkarni P, Parlani S. Use of Nicotine Gums, Tablets and Lozenges: A Review. IJSS Case Reports & Reviews 2016;2(11):33-36