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Suggest ways to quit smoking

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Posted on Mon, 1 Jun 2015
Question: What is the best, fastest, easiest, most successful way to quit smoking? I have tried gum and patches with no luck. Have heard bad things about the medication.
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Answered by Dr. Chintan Solanki (1 hour later)
Brief Answer:
medicines are not bad, use under medical supervision

Detailed Answer:
Hello,

Thanks for writing to us.I appreciate your decision to quit smoking.It will help you a lot from health aspect.

Apart from nicotine patches and gums(which is just replacement therapy) there are medicines which can help to to stop smoking.We can not say it is fastest and easiest way for sure but yes if your motivation is good it is very safe ,easy and successful way to stop smoking.

Bopropion is the choice of medicine. Specifically SR (bupron SR) preparation is used in deaddiction. It acts via norepinephrine and doapmine pathway and reduce craving of smoking. Along with bupropion, propranolol and low dose benzodiazepine (like lorazepam,clonazepam or etizolam) are used to reduce and stop withdrawal features.
Dose and duration of treatment depend on duration,quantity and frequency of smoking.
The best doctor to consult for the same is psychiatrist as by degree he/she is a deaddiction specialist also.

Like all alopathic medicines bupropion has some side effects like gastric discomfort, insomnia and anxiety features but most of the patients tolerate well.
Bnezodiazepine can cause dependence if used without doctor's guidance. But for stopping smoking they are used in very low dose and for short duration.

Late me know which bad things you have heard about medicines and from whom so I can clarify your doubts.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Chintan Solanki (2 hours later)
I Have heard horror stories from people who have taken Chantix. Terrible night sweats( which I already deal with at my age), crazy dreams, and weight gain.
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Answered by Dr. Chintan Solanki (7 hours later)
Brief Answer:
varenicline (chantix) have side effects,I have mentioned other medicines

Detailed Answer:
Hello,

Thanks for follow up.

Varenicline (chantix) is used specifically to quit smoking.Yes you are right it can cause many side effects like abnormal dreams, bloated or full feeling, change in taste, difficulty having a bowel movement (stool), dry mouth, excess air or gas in the stomach or intestines, general feeling of discomfort or illness, headache, lack or loss of strength, loss of taste,nausea, passing gas, stomach pain, trouble sleeping, unusual tiredness or weakness and so on. Even I am not using it regularly for my patients.

I have mentioned another medicines not varenicline (chantix).For any deaddiction the most important part is person's will and motivation to quit. Drugs help to reduce/stop withdrawal features.

Please consult doctor and discuss more about medicines what I have mentioned in previous answer.

All the best to stop smoking.If yet any query, do not hesitate to ask.





Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest ways to quit smoking

Brief Answer: medicines are not bad, use under medical supervision Detailed Answer: Hello, Thanks for writing to us.I appreciate your decision to quit smoking.It will help you a lot from health aspect. Apart from nicotine patches and gums(which is just replacement therapy) there are medicines which can help to to stop smoking.We can not say it is fastest and easiest way for sure but yes if your motivation is good it is very safe ,easy and successful way to stop smoking. Bopropion is the choice of medicine. Specifically SR (bupron SR) preparation is used in deaddiction. It acts via norepinephrine and doapmine pathway and reduce craving of smoking. Along with bupropion, propranolol and low dose benzodiazepine (like lorazepam,clonazepam or etizolam) are used to reduce and stop withdrawal features. Dose and duration of treatment depend on duration,quantity and frequency of smoking. The best doctor to consult for the same is psychiatrist as by degree he/she is a deaddiction specialist also. Like all alopathic medicines bupropion has some side effects like gastric discomfort, insomnia and anxiety features but most of the patients tolerate well. Bnezodiazepine can cause dependence if used without doctor's guidance. But for stopping smoking they are used in very low dose and for short duration. Late me know which bad things you have heard about medicines and from whom so I can clarify your doubts. Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.