Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

152 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Trying to quit smoking. Tried nicorette but got hiccups. Methods of quitting smoking?

Answered by
Dr. Ashish Mittal


Practicing since :2004

Answered : 1856 Questions

Posted on Wed, 6 Feb 2013 in Mental Health
Question: Hello Doctor,

I am trying to quit smoking and I observe that there is an immense craving physically which I am not being able to handle. I smoke around 3 packs a day.

I tried nicorette but I got hiccups. I was also not sure whether to continue.

I have tried diversion tactics, cold XXXXXXX etc... I tried to quit by reducing the cigarettes but whenever I smoke there is no control over the limit. I have shown will power in all other spects of my life other than smoking.

Please help me by guiding on the methods of quitting or medications etc...

Answered by Dr. Ashish Mittal 1 hour later
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.

Cigarette contain nicotine. Nicotine addiction is one of most severe addiction. Every addiction in medical terms considered as chronic illness, means there is always risk of relapse. So, do not get de motivated or feel guilt due relapse (restart of smoking), and start again to quit as soon as possible after each relapse. But always remember in every quit attempt (smoke free period) body repair itself to some extent from the harm done by smoking.

It is good that you know harmful effect of smoking, as it affect every organ of body dangerously.

Cold XXXXXXX method is associated with severe discomfort for person and high failure rate, like in your case. So, many physician do not advise it. Similarly I would not prefer it in your case.

For de addiction following steps are followed:
-Consent of the patient: you himself seeking guidance from us
-Motivational interviewing: you are already motivated to quit smoking, but need to maintain this motivation
-Stoppage of smoking with prevention of discomfort or withdrawal: Nicotine replacement for short duration like use of nicorette.
-relapse prevention: by anti craving treatment with medicines like Bupron
-maintenance treatment.

First you reduce number of cigarettes smoked per day. You reduce it 1 cig every alternate day. Same time medicine like Bupron SR are given to reduce craving for smoking. We have many patients who stopped smoking with its help. But for that you need prescription from psychiatrist.

After 14 days of start of Bupron, fixed a quit date to stop smoking completely. Throw your all remaining cig and associated material like lighters on that day, otherwise they will create craving for smoking. Inform your friends and family member for quit date as it will increase your motivation.

After stopping smoking you may experienced some nicotine withdrawal like anxiety, headache, poor concentration, restlessness and increase appetite. For that you can use nicotine replacement in form of Nicorette gum according to your requirement given on pack for 1-2 month. You can also use mouth fresheners like Elaichi or Chewing gum during craving for smoking. After that you are free from smoking.

Always remember being smoke free, need high level of motivation. So maintain your motivation. I have simplified steps to quit smoking for you. It is better if you quit under some de addiction specialist (psychiatrist), as it is a specialized area and keep follow up to remain motivated. Avoid place, person and situations which create craving for smoking, as much as possible.

Many psychiatrist and psychologist provide relapse prevention sessions to prevent relapse, which is also helpful.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Dr Ashish XXXXXXX Mittal

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

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication ,  
Treatment/Therapy ,  
Medical Topics

Recent questions on  Electronic cigarette

doctor1 MD

Problem: Erectile Dysfunction. I am 46-years old and on my 12th week of a smoking cessation program. I took Chantix the first two weeks and have been using Nicorette Lozenges on an as needed basis since. My wife also started the program with me, and both of us had been smokers for approximately 30-years. During the first four weeks, sex was no problem, and hadn't been a problem prior to quitting the cigarettes. Starting around the fifth week and up till now I can no longer maintain an erection during intercourse. The good news is that I still wake up with a pretty good erection sometimes but morning usually isn't the greatest time to wake the wife up for a romp in the hay. Everything I've read about ED and smoking runs contrary to what I am experiencing now. Could it be the Nicorrette? Why am I going through this and what can I do about it? Is it normal for someone to experience ED after they have quit smoking and how long does it last?

doctor1 MD

I have a smell of burning in my nose, a bit like cigarette smoke. It has lasted about 3 to 4 weeks, some days worst than others. I m 36, my height is 5 9 and I m about 14 stone. I don t smoke and I m never around people who smoke. Should I be worried?

doctor1 MD

Hello, I have switched over to electronic cigarettes and am experiencing something I have not read about involving them. The Juice I am using is Propylene Glycol(PG) based and ever since I have been using this I have been coughing a lot as well as coughing up a clear-like mucus from my lungs. I had a cough about a week before I purchased the electronic cigarette and thought at first that it simply has not come to pass until I decided to stop using my electronic device as I began getting headaches due to coughing so violently. The symptoms ceased momentarily, or at least to the point that I now know that the electronic cigarette's vapor is the cause(PG). Am I allergic to PG? Should I switch to Vegetable Glycerin based liquids? Or is it simply that with excess vapor in the lungs I inducing coughing? Thank you for reading.

doctor1 MD

Hi i am a smoker, between 10 and 15 a day, and i have noticed that, especially when i go to bed, i get wheezy. At 15, i am now 40, a locum told me i was asthmatic although i have never had an asthma attack in my life and take no medication. I do a physical job and excerise quite a lot and notice no breathlesness then but whilst having sex, i am afraid!!, i am breathless after a relatively short period of time. In the mornings normally after two or three cigarettes i cough up a mucus, not a huge amount, that borders between clear and light yellow in colour, are these symptoms just due to smoking or could it be something more serious, i am trying to quit!!

doctor1 MD

How long before I can smoke after a tonsillectomy an electronic cigarette

doctor1 MD

My husband is experiencing dizziness , tinnitus , and sinus congestion, most markedly dizziness, for several days now. Worst in the morning but not gone by evening. He has had these episodes before lasting a week or less usually. He uses an...

doctor1 MD

I got my tonsils out 14 days ago. I am in no pain and eating normal again. Can i smoke an electronic cigarette now or no