Information about nicotine replacement therapy (NRT)

Nicotine replacement therapy (NRT) is usually the first treatment option for people who are serious about quitting smoking. Available as a gum, inhaler, tablet and transdermal patch, nicotine replacement therapy is a way of getting nicotine into the bloodstream without smoking. It effectively reduces your desire for a cigarette so that you can break your addiction to nicotine once and for all. Reports show that smoking after the use of nicotine replacement therapy is 1–2 times less than when NRT is not used. Research also indicates that NRT could be addictive; at least 5% of people using this method of smoking cessation will continue to do so in the long-term even after they have stopped smoking.

Types of nicotine replacement therapy

If you smoke less than 18 cigarettes per day you may only need to use the lowest 2mg dose, whereas people who smoke heavily (around 20 cigarettes per day) will find the stronger 4mg dose a more substantial choice. As the gum is pressed against the inside of the cheek it releases a small quantity of nicotine into the bloodstream. After 2-3 months you should be able to manage withdrawal symptoms alone, without gum. This nicotine replacement therapy is not ideal if your workplace forbids you from chewing gum, or if you wear dentures.

A transdermal patch is attached to the skin to release a steady amount of nicotine into the bloodstream. A patch can last for 16 hours or 24 hours, depending on whether you choose to wear it at night as well as during the day. Patches are discreet, and easy to apply, although if worn at night they can interfere with your sleep pattern. But unlike smoking cigarettes throughout the day, a patch does not mimic the alternate high and low levels of nicotine in the system.

A nicotine replacement therapy inhaler is a small device that is similar in its appearance to a cigarette. You activate the inhaler by inserting cartridges, and then inhaling, as you would when smoking. Each cartridge provides up to three 20 minute sessions. Some people prefer this method of nicotine replacement therapy as it still requires a hand-to-mouth movement that you do not have when using a gum or patch.

Unlike other forms of nicotine replacement therapy, the body ingests nicotine rapidly from the nicotine spray device, via the nasal passage. It is said to help to relieve sudden surges of cravings, although a nasal spray may also produce side effects for 1 in 3 users and can not be used whilst driving or operating machinery. Side effects can include: nose and throat irritation, coughing, and watering eyes.

If you find the gum, patches, nasal spray or inhaler an unsuitable or inappropriate tool to quit smoking, a tablet or lozenger can also be used to break your addiction to nicotine. This form of nicotine replacement therapy is placed under the tongue, where it discharges nicotine into the bloodstream.

How does nicotine replacement therapy compare to medication?

NRT can be obtained over-the-counter at many pharmacies in the UK. Oral medication is also available, but on prescription to help you quit. Champix, which comes as a daily tablet, has the highest success rate of any smoking cessation treatment, including the five methods of nicotine replacement therapy mentioned in this article. Studies show that you are four times more likely to quit after using Champix than nicotine gum, patches, inhalers, spray and lozengers. You can order Champix online today at 121doc with next day delivery.