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It May Be Time To Reconsider Using Nicotine Replacement Medications to Help You Quit Smoking

Dr_Hurt
Mayo Clinic
0 25 101

Some people say quitting smoking "cold turkey" without using any medicines of any kind is the "best way" to quit.  They may be concerned about getting addicted to the patches or gum or they may believe that the sooner nicotine is out of the system the better.

 

On the surface this may seem to make sense; however, there's a great deal of research that finds the opposite.  For example, using the nicotine patch doubles a smoker’s chance of quitting compared to placebo patches.  Combining a nicotine patch with another nicotine replacement medication like the nicotine gum, lozenge, nasal spray, or inhaler will further increase the likelihood of stopping smoking. 

 

Tobacco smoke contains over 6000 chemicals which cause cancer, heart disease, and other serious health effects.  While nicotine is one of the ingredients in cigarettes, it is not one of the substances that will cause health problems.  Stopping smoking rather should be the priority rather than being free of nicotine. 

 

So, maybe if you're trying to stop smoking “cold turkey” and are struggling, we would suggest that you re-think your approach.  You need not be concerned about the nicotine if you are taking it in a safe medication form, three of which, the nicotine patch, nicotine gum, and nicotine lozenge are available without a prescription.  Put the fear and misconceptions aside and avail yourself of the assistance which will improve your chances of becoming smoke-free.

 

Make sure to watch the videos on the EX site (http://www.becomeanex.org/nicotine-addiction.php) that teach you about the different medications that are available to help you quit smoking.

25 Comments
Mothergoose9
Member

keptpromise
Member

Personally, and from my own past history, I do not agree with this blog.

Bonnie11.3.2009

Dr. Hurt-  Quitting smoking is important, but staying quit is more important, so I would be interested in knowing which method works best for the longest quits.  Do you know of studies that studied this?  If you do, would you please share those in your next blog?  Or, would you respond to me in this blog?  thanks so much!

roger3357
Member

I stopped cold turky doc, i am having a tuff time tho but doing it, anyways does this mean i should get the patch now to improve my chance of not starting again ?. even tho i am 21 day into it

SarahP
Member

Roger - no. The nicotine is already out of your system; don't reintroduce it.  Your fight now is with your psychological addiction, your emotional addiction.

roger3357
Member

thanks sarah, i am just having a real bad day today, but i am fighting it well.

newlife5
Member

thank you dr. hurt... i quit cold turkey  and the withdraws were so horrible.. that even though i relapsed it was a deterant in helping me quit... the patches alleviated the withdraws and i was able to get back on track... the patches were definitely a tool i would suggest to someone having problems with withdraws

JimTaddeo
Member

Addiction is a psychosomatic issue. It is an affliction of the entire being. Long term recovery REQUIRES a sustained change in the environment (body chemistry) and the mind (which might be the same thing). Can you learn to drive a vehicle equipped with a standard transmission in one equipped with an automatic transmission? How can you re-learn life as a recovering nicotine addict while using nicotine?

Yes, I know, it isn't what Dr. Hurt said. He, apparently, wants to see just the smoking cessation, which is an admirable thing by the way. BUT, and there is always a BUT, I hope to see you transform yourself into a long term recovering addict.

The number one medication and addict requires is LOVE! 

Next is honesty and tough self evaluation over a significant length of time. Change is the name of the game and changing delivery methods of the offending chemical just isn't going to cut it. 

I support anyone that STOPS smoking and maintains that state and I don't care how you pull it off. If you want to stay addicted to nicotine by chewing the gum or wearing patches or whatever other method of doping you choose then more power to you. I still support your quit and I am not going to judge you at all. But I am saying from experience that recovering from addiction does not include using the drug you are addicted to. 🙂   

maggie_8-1-2010

I'm with Jim HOWEVER I fear that many will read Hurt's blog and think just as Roger did. Hmm maybe I should start and NRT even tho I'm xx far along. Glad you asked that question Roger.

Linda142
Member

I was so frightened of withdrawals I used patches and an inhalator. I gradually reduced the patches and then the inhalator until there was hardly any nicotine in my body. I stopped completely and all I had were the psychological desires for 'something' but no excrutiating physical withdrawals. This was my experience and I've quit for 15 months on my first attempt after smoking heavily for 40 odd years.

Breakinchains
Member

Having grown up in Rochester, MN. I know a lot about the Mayo Clinic.

Dr. Hurt works for the Mayo Clinic

They are going to say whatever keeps the almighty dollars coming in.

This guy seldom gives any real good advice.

Just my opinion.  

JimTaddeo
Member

If you do what Linda did...ohhhh baby! That is what I'm talking about! EXcellent! Follow this EXAMPLE! PLEASE!

Congratulations to you Linda! WoooooooHooooooooo! 🙂

Papa

Mothergoose9
Member

I can't even begin to express how I feel about this article/blog/sales pitch/load of crappola......so I won't even try!!! Hence my fainting spell in my first response!!! -.-

AutumnWoman
Member

Tried the patch, several times -- it kept me smoking.  My long-term quitting was  done cold turkey.  Sorry Doc!

misty_dawn
Member

I did the NRT....the patch and the gum...cold turkey to get it out of my system is the only way that worked for me.  

EllenMT
Member

Yeah...what break said!

Chuck-2-20-2011

 I just happen to be one of the ones where the patch worked for me. I realize that a lot of people on this site don't agree with that method of quitting but for me it was a God send and I'm still smoke free after four months and nicotine free for two months.

 I think for some of us where the addiction runs deep, the idea of using the patch takes away some of the initial fears of that first day. It then allows us to relearn our lives without cigarettes. The patch does not take the urges completely away, it simply eases them a bit. In this way we learn how to deal with the urges and all of the other uncomfortable side effects that come with it. For some, this could make or break a quit attempt. To me, there's nothing wrong with using "training wheels" to quit.

 But the bottom line is that it really doesn't matter how we go about quitting so long as we do quit.

 Also as far as I know, the Mayo clinic doesn't produce the patch, gum or any other NRT so I'm not quite sure what they would get out of promoting NRT's financially.  Perhaps I'm wrong?

CommunityAdmin
Community Manager
Community Manager

Chuck - you're right the Mayo clinic doens't produce any NRT's so there is no gain by them or Dr.Hurt (or EX) to promote them. By using them they can help you quit smoking. As Dr. Hurt said in his blog post you should go and check out the mediacations on the EX site to learn more about them and how they fit within your quit plan.

http://www.becomeanex.org/nicotine-addiction.php

EX Admin

catharris78
Member

I quit the same day as Chuck and I also used the patch. Whatever it takes to quit and stay quit, then do it. The patch definitely eased the cravings for me and helped me through the rough times. People have to figure out what works for them, because everyone is different.

shakymott
Member

Dr. Hurt,  Please tell me if I am totally wrong.   I thought nicotine constricts blood vessel walls which impairs circulation.     The problem is compounded if you already have plaque built up in your blood vessels.   I can't remember if I read that impaired circulation means less oxygenated blood to all of our organs which can trigger a wide range of problems.   I do know that nicotine increases heart rate and blood pressure and I doubt that's in a good way like exercise.   .I also thought there were current studies as far as nicotine promoting tumor growth or the possibility of it changing the cells in tumors into cancerous ones.   As far as oral cancer goes, can't nicotine be a problem there, granted it may not be proven yet but there's a concern (ref  FOXM1 gene).   Granted, a little knowledge is a dangerous thing but I can't help feeling I'm being misled when I read things saying nicotine won't cause health problems, like in your blog.   I also think if you are going to say a statement flat out like that, you should ALSO state, at the same time, whether your expert advice means only IF nicotine is used for the amount of time recommended and not take it for granted that that would be understood.   Thank you in advance for your attention to this, I do appreciate it because the subject does cause me concern.   Mary      

nan7
Member

I appreciate the infomation.  I occationally use a small amount of the 2mg gum with the patch and they have kept me from smoking for 12 days now.   I did not know, until now, that it really was OK.  I just knew I didn't want to buy any cigarettes because the Quit would be over for who know how long.  Thank you very much for the information.   

tamarale
Member

I quit 30 years ago cold turkey  (3 packs a day), then started smoking a few years ago. Cold turkey, apparently, didn't give me a lifelong quit.

In March, I used patch and lozenges and it worked for me. Then weaned myself off after about 6 days. Stayed nicotine free for ALMOST 3 months and then relapsed for 9 days. Apparently, NRT didn't work for me, either.

 Now I've quit again (1 week today—) and used 2 pieces of gum so that I wouldn't smoke in what I considered a "risky" situation.

IMO, the only thing that can give you a lifelong quit is a mindset. HOW you go about it doesn't matter. The mindset is what you need. It's obvious to me that what works for some is NRT. It's also obvious that cold turkey works for others.

Can we stop bashing each other's methods and support what works for the individual? I fail to see how Dr. Hurt preaches "that there is only one way to successfully quit." I've read this blog several times, and somehow missed that. 

FLORIDALJT
Member

Different strokes, for different folks!" However, that said, I totally disagree with this blog, in the sense that IF ANYONE HAS ALREADY QUIT DO NOT REINTRODUCE ANY NICOTINE IN ANYWAY SHAPE OR FORM> YOU WILL BE PUTTING YOURSELF BACK TO SQUARE ONE! DAY I> IF YOU HAVE QUIT FOR 72 HOURS YOU ARE GOOD WITH NICO OUT OF YOUR SYSTEM> YOU WILL BE ABLE TO DEAL WITH THE REST! WHO IS THIS GUY?

JonesCarpeDiem

Shoot, I been sprinkling nicotine powder on my cereal the past 4 1/2 years. Does that mean I am quit too?

melissa131
Member

When my boyfriend was in the ICU having a heart attack, and they had him on a machine that kept his heart pumping, he begged them for a nicotine patch and they would not give him one, they said "Nicotine constricts the blood vessels". I'm just quoting the heart doctors in the ICU. shrug. 

About the Author
Retired in 2014. Dr. Richard D. Hurt is an internationally recognized expert on tobacco dependence. A native of Murray, Kentucky, he joined Mayo Clinic in 1976 and is now a Professor of Medicine at its College of Medicine. In 1988, he founded the Mayo Clinic Nicotine Dependence Center and since then its staff has treated more than 50,000 patients for tobacco dependence.