Diseases and Conditions

Nicotine dependence

Treatment

Like most smokers, you've probably made at least one serious attempt to stop. But it's rare to stop smoking on your first attempt — especially if you try to do it without help. You're much more likely to be able to stop smoking if you use medications and counseling, which have both been proved effective, especially in combination.

Medications

Some quit-smoking products are known as nicotine replacement therapy because they contain varying amounts of nicotine. Some of these nicotine replacement therapies require a prescription, but others don't. There are two approved quit-smoking medications that don't contain nicotine, and both are available only by prescription.

Any of these products can help reduce nicotine cravings and withdrawal symptoms — making it more likely that you'll stop smoking for good. Using more than one may help you get better results.

Although you can buy some quit-smoking products without a prescription, it's a good idea to talk to your doctor first. Together you can explore which products might be right for you, when to start taking them and possible side effects.

Counseling

Medications help you cope by reducing withdrawal symptoms and cravings, while behavioral treatments help you develop the skills you need to give up tobacco for good. The more time you spend with a counselor, the better your treatment results will be.

During individual or group counseling, you learn techniques you can use to help you stop smoking. Many hospitals, health care plans, health care providers and employers offer treatment programs. Some medical centers provide residential treatment programs — the most intensive treatment available.

Methods to avoid

Electronic cigarettes (e-cigarettes) have not proved to be safe nor are they more effective in helping people stop smoking than nicotine replacement medications. In fact, many people who use e-cigarettes to stop smoking find themselves using both products rather than quitting.

It's not a good idea to substitute another type of tobacco use for smoking. Tobacco in any form is not safe. Steer clear of these products:

  • Dissolvable tobacco products
  • Smokeless tobacco
  • Nicotine lollipops and balms
  • Cigars and pipes
  • Hookahs