Smoking Cessation Journey

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By: Alyssa Vosecky, PHC, PharmD Candidate Class of 2017, The University of Iowa College of Pharmacy

Previously in January, we provided an article about how to start your journey towards smoking cessation and why it is important for your health to give up smoking. Perhaps you’ve thought about quitting but haven’t made the move. Perhaps you have taken a step, but weren’t able to follow through to the end. New research shows it can take anywhere between 10-30 attempts to stop smoking without relapse. Do not be discouraged by previous failures. Instead, embrace that you have found a method that didn’t work so you can adjust your next attempt.

There are many different resources available to help in your journey toward quitting. Over the counter products and behind the counter products exist. If one product didn’t work for you there are still options!

Nicotine Replacement Therapy

Nicotine replacement therapy, also known as NRT, is available in many different forms. NRT is designed to help aid in withdrawal symptoms and cravings that many smokers experience. NRT works best when it is used on the first day of quitting to help prevent withdrawal symptoms. There are 5 different products including gum, patches, lozenges, nasal spray, and inhalers. If one product didn’t work well for you, it does not mean the others won’t. It is important to start NRT at the right dose. If you start too low, chances are it won’t work. If you start too high, you may feel sick because more nicotine that you are used to is in your body. Tell your local pharmacist how much you smoke and when you have your first cigarette, and they can guide you to the correct strength of the product. They will also counsel you on how to use the products as they do have special directions. NRT can be expensive and not all insurance companies cover them. Contact Quitline Iowa for assistance with these products. 1-800-QUIT-NOW / smokefree.org

Prescription Medications

Chantix is a prescription medication that blocks the nicotine from reaching the receptors in your brain that stimulate the addiction center. The first week tapers up on the medication and on week 2 the maintenance dose is reached. It is a 12 week course that may be extended to a 24 weeks. This medication requires a prescription and is started 1 week prior to your quit date. This requires planning ahead to acquire a prescription and set a stop date.

Bupropion SR is another prescription option for smoking cessation. This medication also begins with a small taper and is used for 7-12 weeks. The first week of medication should be started prior to the target quit date.

The previous agents help with the nicotine dependence aspect of smoking. Many people find that they still need something to replace the physical cigarette in their hands, or something in their mouth. Suckers are great alternatives as they give you something to hold as well as taste. Other good options include using toothpicks, mints, or bubble gum.

Smoking cessation is a journey. Do not get discouraged by previous attempts that didn’t work. Most people need several attempts before they are able to achieve and maintain a smoke free life. Use previous attempts to help shape your future attempts. It is important to remember that if one product doesn’t work, there are still plenty of options that may.

 

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