Medicines Used to stop smoking / Quitting cigarettes Smoking cessation is a challenging but rewarding journey. To aid in quitting smoking, several medicines have been developed that target both the physical and psychological aspects of nicotine addiction. These medications help reduce cravings, alleviate withdrawal symptoms, and assist in breaking the dependence on nicotine. Here’s an overview of the most common medications used for smoking cessation treatment. 1. Nicotine Replacement Therapy (NRT) Nicotine Replacement Therapy (NRT) is designed to provide small, controlled amounts of nicotine without the harmful chemicals found in tobacco smoke. This helps to reduce withdrawal symptoms and cravings, making it easier to quit smoking. For nicotine addiction treatment, NRT comes in various forms, including: - Nicotine Gum : Chewing nicotine gum releases nicotine into the bloodstream through the lining of the mouth. The gum is used when cravings arise. In India, brands like Nicotex and NicoChew are commonly available. - Nicotine Patches : These patches are worn on the skin and deliver a steady dose of nicotine throughout the day. They are available in different strengths to match the smoker's dependence level. Nicotex and Tynor Nicotine Patch are widely used in India. - Nicotine Lozenges : These are small candies that dissolve in the mouth, releasing nicotine to help control cravings. Nicotex Lozenges are one of the most accessible brands in the Indian market. - Nicotine Nasal Spray : A prescription-based form of NRT, nicotine nasal spray delivers nicotine quickly through the nasal mucosa, providing fast relief from cravings. It is less commonly used due to its prescription status. - Nicotine Inhalers : Also a prescription option, these inhalers mimic the hand-to-mouth behavior of smoking while delivering nicotine to the mouth and throat. Nicorette inhalers are sometimes used in the Indian setting but are less popular than other forms. 2. Varenicline (Champix) Varenicline is a prescription medication that works by reducing both the pleasurable effects of nicotine and the withdrawal symptoms associated with quitting smoking treatment. It binds to nicotine receptors in the brain, providing partial stimulation while blocking nicotine from attaching to these receptors. In India, Varenicline is available under the brand name Champix . The standard course of treatment lasts for 12 weeks, with the possibility of extending the treatment for an additional 12 weeks for individuals who need more support in maintaining abstinence. Varenicline can cause side effects such as nausea, vivid dreams, and, in some cases, mood changes, so it should be used under close medical supervision. 3. Bupropion (Zyban, Wellbutrin SR) Bupropion is an atypical antidepressant that is also used to help people quit smoking. It works by affecting the neurotransmitters dopamine and norepinephrine, which are involved in nicotine addiction. Bupropion helps reduce cravings for cigarettes and withdrawal symptoms without the use of nicotine. Bupropion is typically started one to two weeks before the quit date and is continued for 7-12 weeks or longer, depending on the individual’s response to treatment for smoking addiction. 4. Cytisine (Tabex) Cytisine is a plant-based alkaloid that has been used for smoking cessation in some European countries for decades. It acts similarly to Varenicline by partially stimulating nicotine receptors in the brain while blocking nicotine's ability to bind to these receptors. Although Cytisine is not yet widely available in India, its popularity has been growing due to its affordability and effectiveness in helping people quit cigarette. It has a short treatment course of about 25 days and fewer side effects compared to Varenicline. 5. Combination Therapy Combining different medications can be more effective than using a single therapy to quit smoking tobacco. Bupropion or Varenicline can be used alongside NRT to enhance the chances of successfully quitting smoking. This provides a steady level of nicotine while allowing the user to manage acute cigarette cravings as they arise. 6. Other Medications -Nortriptyline : A tricyclic antidepressant, Nortriptyline has been shown to help reduce cravings and withdrawal symptoms. It is sometimes used off-label for smoking cessation when first-line treatments are ineffective. However, it carries a risk of side effects such as dry mouth, drowsiness, and changes in blood pressure. - Clonidine : An alpha-2 adrenergic agonist, Clonidine is used primarily to treat high blood pressure but has also been studied for smoking cessation. It helps reduce withdrawal symptoms by decreasing the activity of the sympathetic nervous system. Cigarette addiction treatment in Jaipur - Searching doctor to treat and help quit cigarette smoking or nicotine addiction ? Contact us to know how to stop smoking or how to quit smoking !