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NICOTINE REPLACEMENT THERAPY
A review published in 2007 by the Cochrane Collaboration, which has produced many reviews in this field, examined 123 different clinical trials featuring thousands of individuals. It concluded that all forms of NRT can help smokers to quit and nearly doubles the number who stay off cigarettes long-term.
NICOTINE GUM
Heavy smokers found it easier to give up if they took the stronger, 4mg, rather than the weaker, 2mg, version of the gum. It also might be slightly more effective when combined with patches.
NICOTINE PATCHES
Again heavy smokers seemed to find it easier using the higher dose patches, 25mg, than the lower dose ones. There is some evidence that combining patches with gum might also improve things slightly.
MICROTABS, LOZENGES, NICOTINE NASAL SPRAYS AND INHALERS
It has been speculated that any differences in the effectiveness of these might be due largely to personal preference: some people prefer a snort while others like to have a lozenge to suck.
ZYBAN
The antidepressant Zyban (bupropion) has been shown to double the chances of giving up smoking. Its success rate is about the same as NRT.
ACUPUNCTURE
While acupuncture is often used as an aid to stop smoking the evidence for its effectiveness is mixed.
HYPNOTHERAPY
A review of 59 studies published in 2000 cautiously classified the treatment as being “possibly efficacious”.
IN THE PIPELINE
There are at least two other anti-smoking drugs in the pipeline. Rimonobant, already available for weight loss, was originally developed as an anti-smoking pill and may still get approval for this use.
Varenicline, which is already licensed in the United States, is currently being assessed by the National Institute for Health and Clinical Excellence. Trials suggested it might be more effective than bupropion.
Toby Murcott is a former BBC science correspondent
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Some good comments on this thanks - I have tried hypnosis in the past, but I was not 100% ready to quit - so it did not work.
I am a believer in hypnosis as I was hypnotised at the session but the cds did not work after that session.
My question is this - can I be hypnotised by a professional to think that I have never smoked and that I never will smoke ? When I was hypnotised in the past - the man said cigarettes would taste like burning rubber in my mind - so after a day or two I wanted to see if they did indeed taste that way - and then I was hooked again...
So if someone - ideally a hypnotist can tell me if I can be hypnotised to believe I have never smoked that would be ideal.
Many thanks - and to all the people who are trying to stop smoking - GOOD LUCK - I wish you all well.
Kev, Blackpool, UK
Greetings from the U.S.A.
Varenicline -- sold here for about a year as Chantix -- worked for me, with few negative sideeffects. In fact, deep long sleep -- 8 or 9 hours -- seems not a side effect but a benefit. Interesting dreams, too.
In my case, though, I had given up smoking 10 years ago, only to become addicted to nicotine gum. In some ways, the gum might be worse because you can ingest it in places where smoking is not allowed. So you build up vast stores of the stuff in your tissues. But so does a smoker.
Tried Zyban, it worked for a while, but perhaps I didn't take it long enough.
I love not being addicted to the tobacco/nicotine industry.
R Bishop, High Springs, FL
I am a clinical hypnotherapist in Swansea. We have had the ban here since April and so far I have had 100% success in helping clients - who WANT to give up -stop smoking. No-one, of course, can force someone to stop. I smiled when reading the above article - what the hell does 'possibly efficacious' mean?! Thankfully there are enlightened doctors in Swansea who allow me to advertise smoking cessation in their surgeries. We might be in Wales, but here we use plain English. For 'possibly efficacious' read: HYPNOTHERAPY WORKS!
Sue Elward, Swansea,
Why has no one mentioned Allen Carr!!?? Allen Carr's book, The Easyway to Quit Smoking, is PHENOMENAL! I've been smoke free for 2 years without so much as one "bad day" thinking I wanted a smoke. It can be easy to quit without drugs and without pain.
It should be listed as a viable solution to stop smoking and the best part is that the book is super cheap.
Everything else is just putting even more money into the pockets of other people. Why do that when you can quit for less than 10 quid?
Mike, Liverpool,
As a Registered Clinical Hypnotherapist, I would like to ask that anyone who thinks they may want to have Hypnotherapy, to go to a registered Practitioner. The cost won't be any more than a random person taken from the phone book, but it will make sure that the person they deal with will be fully qualified and insured. An ideal place to look would be on the 'General Hypnotherapy Register' website, the largest UK register of Hypnotherapy Practitioners
Clinical Hypnotherapist, LIfeWorksUk
Anthony Gravestock, Worcester Park, Surrey
I am a qualified Hypnotherapist and have helped many people to stop smoking. I spend about an hour talking with each client to find out about their habit so that when we go on to do the hypnotic trance work I can give them suggestions that are tailored for them and their triggers.
As many of my clients come by referral, it seems to be effective for most people that I see. The most important thing is that the client WANTS to stop for themself - not to please someone else.
I hope that this post may be helpful for those of you considering hypnosis as an aid to stop smoking.
Sandra Trebinski MBSCH, Old Windsor, UK
Just to clear up some info above on patches: patches come in 2 different forms 16 hour (15mg) or 24 hour (21mg) - there is not a 25mg patch as outlined in this article. They deliver roughly the same amount of nicotine per hour but just over different lengths of time.
Rebecca Campbell, Glasgow, Scotland
"It concluded that all forms of NRT can help smokers to quit and nearly doubles the number who stay off cigarettes long-term." You don't give any actual figures: long-term studies published in the British Medical Journal give NRT success rates of between 10% and 16%. That would vindicate the advertising claim of doubling the smoker's chances of quitting - doubling a chance from almost nothing to not very much at all.
James Hamilton, London,