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Is it better to stop smoking abruptly or gradually?



Q: I've tried to quit smoking three times. A friend suggested that instead of giving cigarettes up all at once, I should try to kick the habit gradually. Which method is best?

A. The traditional view that has been establishing "quit day" to stop smoking helps increase the chance that people will actually be able to kick the habit. But a review by the International Cochrane Collaboration concluded that a more gradual approach is just as effective and may be more appealing to smokers who want to quit.

The authors reviewed ten randomized controlled studies, involving 3,760 participants, comparing the outcomes of quitting abruptly or gradually. They found that abstinence rates were about the same regardless of whether people quit smoking abruptly or gradually, whether they used nicotine replacement therapy Nicotine replacement therapy
A method of weaning a smoker away from both nicotine and the oral fixation that accompanies a smoking habit by giving the smoker smaller and smaller doses of nicotine in the form of a patch or gum.
, and whether they tried to quit on their own or participated in a support group.

Unfortunately, the analysis further confirmed the sad reality that you are not alone - most people were unable to kick the habit after one try. Over all, 202 of 1,979 smokers (10.2%) who stopped smoking gradually remained abstinent at least six months later, compared with 192 of 1,781 smokers (10.7%) who quit smoking abruptly.

Still, smokers who want to quit have other options. Research on smoking cessation smoking cessation Public health Temporary or permanent halting of habitual cigarette smoking; withdrawal therapies–eg, hypnosis, psychotherapy, group counseling, exposing smokers to Pts with terminal lung CA and nicotine chewing gum are often ineffective.  suggests that combining methods--such as using both a support group and nicotine replacement therapy--boosts the odds of quitting. In addition, the Cochrane review did not examine the impact of medications such as bupropion bupropion /bu·pro·pi·on/ (bu-pro´pe-on) a monocyclic compound structurally similar to amphetamine, used as the hydrochloride salt as an antidepressant and as an aid in smoking cessation.  (Zyban), which can be used in combination with nicotine replacement therapy. Another option is varenicline (Chantix), which both imitates and blocks the effects of nicotine, reducing craving in some smokers. Whatever you do, keep trying. Many smokers make multiple attempts before succeeding.

-- Michael Craig Miller, MD Editor-in-Chief, Harvard Mental Health Letter Reprinted from Healthbeat, Harvard Medical School Harvard Medical School (HMS) is one of the graduate schools of Harvard University. It is a prestigious American medical school located in the Longwood Medical Area of the Mission Hill neighborhood of Boston, Massachusetts. , October 26, 2010
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Title Annotation:ask the experts
Author:Miller, Michael Craig
Publication:AMT Events
Article Type:Interview
Date:Sep 1, 2011
Words:309
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