Nicotine Replacement Therapy to Help You Quit Tobacco (2022)

Nicotine is the main addictive substance in tobacco. When a person uses tobacco, many parts of the body get used to having nicotine in them. When a person quits tobacco, they also quit nicotine and will likely have withdrawal symptoms from it. This is because the body has to get used to not having nicotine.

The nicotine in tobacco leads to actual physical dependence. This can cause unpleasant withdrawal symptoms when a person tries to quit. Nicotine replacement therapy (NRT) gives you nicotine – in the form of gum, patches, sprays, inhalers, or lozenges – but not the other harmful chemicals in tobacco. NRT can help relieve some of the physical withdrawal symptoms so that you can focus on the psychological (emotional) aspects of quitting.

Many studies haveshown using NRT can nearly double the chances of quitting smoking. It hasn’t been studied as much for quitting smokeless tobacco, but the NRT lozengesmay help.

People who smoke and are significantly dependent on nicotine should consider nicotine replacement or drug therapy to help them quit. Signs of severe nicotine dependence include:

  • Smoking more than 1 pack a day
  • Smoking within 5 minutes of waking up
  • Smoking even while sick
  • Waking up at night to smoke
  • Smoking to ease symptoms of withdrawal

The more of these that apply, the more serious the nicotine dependence.

How does nicotine replacement therapy work?

Nicotine replacement therapy (NRT) can help with the difficult withdrawal symptoms and cravings that most people say is their only reason for not giving up tobacco. Using NRT reduces those symptoms.

Many people can quit tobacco without using NRT, but most of those who attempt quitting do not succeed on the first try. In fact, people trying to quit usually need many tries before they’re able to quit for good. Most peoplewho try to quit on their own go back to smoking within the first month of quitting – often because of the withdrawal symptoms. But the good news is that many do succeed. In fact, there are now more people who formerly smoked than people who currently smoke!

Together with counseling or other support, NRT may help increase the number of smokeless tobacco users who quit, too.

You can start using nicotine replacement therapy (NRT) as soon as you throw away your tobacco. You don’t need to wait a certain length of time to put on the patch or start using the gum, lozenge, nasal spray, or inhaler. Double-check this information with the instructions on your chosen method of nicotine replacement, but in general there’s no need to wait to start using NRT.

Getting the most from nicotine replacement therapy

Nicotine replacement therapy (NRT) only deals with the physical dependence. It’s not meant to be the only thing you use to help you quit smoking. You’ll need other methods that help with the psychological (emotional and mental) part of tobacco, such as a quit program. Use these support systems during treatment with NRT and for at least a few months after you quit. Studies have shown that this approach – pairing NRT with a program that helps to change behavior – can improve your chances of quitting and staying quit compared to approaches that use only one method.

The best time to start NRT is when you first quit. Often people first try to quit tobacco on their own then decide to try NRT a day or more into quitting. This does not give you the greatest chance of success, but don’t let this discourage you. There are many options for quitting and staying quit. Just remember that it often takes many tries.

The Food and Drug Administration (FDA) has approved the NRT products discussed here as effective aids for helping people quit smoking. None of these products has been FDA-approved specifically to help people quit smokeless tobacco. Still, studies are being done, and some have shown the lozenge form may help.

Who should not use nicotine replacement therapy?

The US Agency for Healthcare Research and Quality statesthat nicotine replacement therapy (NRT) is safe for all adults who want to quit smoking except pregnant women and teens. Still, it’s best to discuss NRT use with your health care provider before starting it. You may have medical problems that should be considered. When deciding whether to use NRT, the benefits of quitting tobacco must outweigh the potential health risks of NRT for each person.

People who are still smoking or using any other form of tobacco should not use NRT. The companies that make NRT products warn that you should not use them if you’re still using tobacco, and the FDA has not approved them to be used in this way. Get the advice of a health care provider if you want to use NRT while continuing to smoke or chew.

(Video) Nicotine Affects the Brain. Nicotine Replacement Therapy (NRT) Can Help You Quit Smoking.

NRT has not yet been proven to help people who smoke fewer than 10 cigarettes a day. But many tobacco treatment centers do use NRT for people who are "light smokers." Talk with your health care provider about a lower dose of NRT if you smoke less than that but feel you need nicotine replacement.

Types of nicotine replacement therapy

The US Food and Drug Administration (FDA) has approved 5 forms of nicotine replacement therapy (NRT):

  • Patch
  • Gum
  • Nasal spray
  • Inhalers
  • Lozenges

Note that the patch, gum, and lozenge can be purchased over the counter, while the nasal spray and inhaler require a prescription.

The most important thing to do with any form of NRT is read and follow the package instructions very carefully.

Nicotine patches (transdermal nicotine systems)

Patches can be bought with or without a prescription.

Patches give a measured dose of nicotine through the skin. You’re weaned off nicotine by switching to lower-dose patches over a course of weeks.

Many different types and strengths of patches are available, including 16-hour and 24-hour patches. Which patch you should use depends on how many cigarettes you smoke each day. Package instructions tell you how to use them, and list special considerations and possible side effects.

How to use nicotine patches: Depending on body size and smoking habits, most people who smoke should start using a full-strength patch (15-22 mg of nicotine) daily for several weeks, and then use a weaker patch (5-14 mg of nicotine) for another several weeks. The patch is changed every day. It should be put on in the morning on a clean, dry area of the skin without much hair. It should be placed below the neck and above the waist – for instance, on the upper arm or chest. The FDA has approved using the patch for a total of 3 to 5 months, but using it longer is better than going back to smoking.

Possible side effects of the nicotine patch include:

  • Skin irritation (redness and itching)
  • Dizziness
  • Racing heartbeat
  • Sleep problems or unusual dreams (more common with the 24-hour patch)
  • Headache
  • Nausea
  • Muscle aches and stiffness

No one has all of the side effects, and some people have none. Some side effects, such as racing heart, may mean the dose of nicotine is too high for you. Stop using the patch and talk to your health care provider if this happens. You could also have nicotine withdrawal symptoms if your NRT dose is too low.

What to do about side effects

  • Try a different brand of patch if your skin becomes irritated.
  • Reduce the amount of nicotine by using a lower-dose patch.
  • Sleep problems may go away in 3 or 4 days. If not, and you’re using a 24-hour patch, try switching to a 16-hour patch.
  • Stop using the patch and try a different form of NRT.

Nicotine gum (nicotine polacrilex)

Nicotine gum can be bought without a prescription.

Nicotine gum is a fast-acting form of replacement. Nicotine is taken in through the mucous membrane of the mouth. You can buy it over the counter (without a prescription). It comes in 2 mg and 4 mg strengths.

In choosing your dose, think about whether you

  • Smoke 25 or more cigarettes per day
  • Smoke within 30 minutes of waking up
  • Have trouble not smoking in restricted areas

If any of these describe you, you may need to start with the higher 4mg gum dose.

How to use nicotine gum

For best results, follow the instructions in the package. Nicotine gum is not meant to be used like regular gum. Chew the gum slowly until you get a peppery taste or tingle. Then tuck it inside your cheek until the taste fades. Chew it to get the peppery taste back, and hold it again. Do this off and on for 20 to 30 minutes. Food and drink can affect how well the nicotine is absorbed, so don’t eat or drink for at least 15 minutes before and during gum use. This is important because many people misuse the nicotine gum and chew it like regular gum instead of how it should be used.

(Video) Treatment of Nicotine Dependence and Tobacco Cessation

An advantage of nicotine gum is that it allows you to control the amount of nicotine you get. The gum can be used as needed or on a fixed schedule during the day. The most recent research has shown that scheduled dosing works better. A schedule of 1 to 2 pieces per hour is common. On the other hand, with an as-needed schedule, you can use it when you need it most – when you have cravings.

Chew no more than 24 pieces of gum in one day. Nicotine gum is usually recommended for 6 to 12 weeks, with the maximum being 6 months. Tapering down the amount of gum you use as you approach 3 months may help you stop using it. But it is better to keep using the gum rather than starting to smoke again.

Possible side effects of nicotine gum include:

  • Bad taste
  • Throat irritation
  • Mouth sores
  • Hiccups
  • Nausea
  • Jaw discomfort
  • Racing heartbeat

The gum can also stick to and damage dentures and dental work.

Stomach and jaw discomfort are usually caused by improper use of the gum, such as swallowing the nicotine or chewing too fast. No one has all of the side effects, and some people have none. If your heart is racing or beating irregularly, stop using the gum and talk to your health care provider. You could also have nicotine withdrawal symptoms if your NRT dose is too low.

Nicotine nasal spray

Nicotine nasal spray is only available by prescription.

The nasal spray delivers nicotine to the bloodstream rapidly because it’s absorbed through the nose. It relieves withdrawal symptoms very quickly and lets you control your nicotine cravings.

How to use nicotine nasal spray

Most people are told to use 1 to 2 doses per hour. (1 dose = 2 sprays, 1 in each nostril.) At least 8 doses (16 sprays) each day may be needed when you first start, but use as directed by your health care provider. You should not use more than 40 doses (80 sprays) per day. Instructions can vary. Talk to your provider about the plan that’s best for you.

The FDA recommends that the spray be prescribed for 3-month periods and that it not be used for longer than 6 months.

Possible side effects of nicotine spray

The most common side effects of the spray get better in about 1 to 2 weeks and can include:

  • Nasal irritation
  • Runny nose
  • Watery eyes
  • Sneezing
  • Throat irritation
  • Coughing

Other side effects are related to nicotine:

  • Racing heart
  • Nervousness
  • Headache

No one has all of the side effects, and some people have none. Some side effects, such as racing heart, may occur because you’ve gotten too much nicotine. Stop using the spray to see if the feelings get better and talk to your health care provider if this happens. You may need to use it less often. You could also have nicotine withdrawal symptoms if your NRT dose is too low.

If you have asthma, allergies, nasal polyps, or sinus problems, your provider may suggest another form of NRT.

Special note: This form of NRT poses a more serious risk to small children and pets because the empty bottles of nasal spray contain enough nicotine to harm them. Do not get the liquid on your skin. If there’s any skin contact, rinse thoroughly with plain water right away. If a bottle breaks or liquid leaks out, put on plastic or rubber gloves to clean it up. Call Poison Control and get emergency help if there’s any question of overdose.

Nicotine inhalers

Inhalers are available only by prescription.

(Video) How and When to Use Nicotine Substitutes? - (Nicoderm, Commit, Nicorette, Nicotrol)

The nicotine inhaler is a thin plastic tube with a nicotine cartridge inside. Unlike other inhalers, which deliver most of the medicine to the lungs, the nicotine inhaler delivers most of the nicotine vapor to the mouth and throat where it’s absorbed into the bloodstream.

Nicotine inhalers are the FDA-approved nicotine replacement method that’s most like smoking a cigarette, which some people trying to quit find helpful. They are not the same as electronic cigarettes, which are not approved by the FDA to help people quit smoking. At this time, inhalers are the most expensive form of NRT available.

How to use the nicotine oral inhaler

You puff on the inhaler and the cartridge sends a pure nicotine vapor into your mouth. You may use up the cartridge all at once over about 20 minutes, or puff on it only a few minutes at a time. The recommended dose is between 4 and 20 cartridges a day, slowly tapering off over 6 months.

Possible side effects of the nicotine inhaler

The most common side effects, especially when first using the inhaler, include:

  • Coughing
  • Mouth and/or throat irritation
  • Runny nose
  • Upset stomach

Other side effects are related to nicotine:

  • Racing heart
  • Nervousness
  • Headache

No one has all of the side effects, and some people have none. Some side effects, such as racing heart, may occur because you’ve gotten too much nicotine. Stop using the inhaler to see if the feelings get better and talk to your health care provider if this happens. You may need to use it less often. You could also have nicotine withdrawal symptoms if your NRT dose is too low.

Special note: This form of NRT poses an extra risk to small children and pets because the used cartridges still have enough nicotine in them to cause harm if it gets on skin or mucous membranes (for instance, if licked or touched to the eyes, mouth, or other mucous membrane). Be sure to store and dispose of the cartridges away from children and pets. Call Poison Control and get emergency help if there’s any question of overdose.

Nicotine lozenges

Nicotine lozenges can be bought without a prescription.

The lozenge is available in 2 strengths: 2 mg and 4 mg. The needed dose should be based on how long after waking up a person normally has their first cigarette. So, if you smoke your first cigarette within 30 minutes of waking up, use 4 mg nicotine lozenges. If you smoke your first cigarette more than 30 minutes after waking up, use 2 mg-nicotine lozenges. Some people who are using NRT prefer the lozenge to the gum because its use is less conspicuous.

How to use nicotine lozenges

The recommended dose is 1 lozenge every 1 to 2 hours for 6 weeks, then 1 lozenge every 2 to 4 hours for weeks 7 to 9, and finally, 1 lozenge every 4 to 8 hours for weeks 10 to 12. The lozenge makers also recommend:

  • Do not eat or drink for at least 15 minutes before using a lozenge or while using a lozenge. (Some drinks can reduce how well the lozenge works.)
  • Do not use more than 1 lozenge at a time and do not use one right after another.
  • Suck on the lozenge until it is fully dissolved, about 20 to 30 minutes. Move it from side to side in your mouth. Do not bite or chew it like a hard candy, and don’t swallow it. The nicotine absorbs through the mucous membranes of the mouth.
  • Do not use more than 5 lozenges in 6 hours, or more than 20 lozenges per day.
  • Stop using the lozenge after 12 weeks. If you still feel you need to use the lozenge, talk to your doctor.

Possible side effects of the nicotine lozenge

  • Nausea
  • Hiccups
  • Sore throat
  • Coughing
  • Heartburn
  • Headache
  • Gas
  • Trouble sleeping
  • Racing heart

Choosing and using the right nicotine replacement therapy for you

No one type of nicotine replacement therapy (NRT) - by itself or in combination - is necessarily any better than another. When choosing the type of NRT you will use, think about which method will best fit your lifestyle and pattern of smoking or using smokeless tobacco. For example, do you want/need something in your mouth or something to keep your hands busy? Are you looking for once-a-day convenience? How urgent are your cravings for nicotine?

Here are some important points to think about as you decide:

  • Nicotine gums, lozenges, and inhalers are substitutes you can put into your mouth that let you control your dosage to help keep cravings under better control.
  • Nicotine gums and lozenges are generally sugar-free, but if you are diabetic and have any doubts, check with the manufacturer.
  • Nicotine nasal spray works very quickly when you need it.
  • Nicotine inhalers allow you to mimic the use of cigarettes by puffing and holding the inhaler. It also works very quickly.
  • Nicotine patches are convenient and only have to be put on once a day.
  • Both inhalers and nasal sprays require a doctor’s prescription.
  • Some people may not be able to use patches, inhalers, or nasal sprays because of allergies or other conditions.
  • Nicotine gum may stick to dentures or dental work making it hard to chew before “parking.”

Whatever type you use, take your NRT at the recommended dose. NRT is not recommended for long-term use, but if it's needed to prevent relapse, continuing to use NRT is preferable than returning to smoking.

If you use a different dose or stop taking it too soon, NRT can’t be expected to work like it should. If you smoke very heavily very lightly, or are a smokeless tobacco user, talk with your health care provider about how to get the NRT dose that best fits your needs.

(Video) What is the Single Best Thing You Can Do to Quit Smoking?

What is light, average, andheavy smoking?

Most nicotine replacement therapy (NRT) products recommendations are based on how much you smoke. But there’s no formal category in any textbook or group that defines how much smoking is considered light, average, or heavy smoking.

These are general guidelines:

  • Light smoking: Fewer than 10 cigarettes per day
  • Heavy smoking: A pack a day or more
  • Average smoking falls in between.

How do I know what NRT dose to use based on my smokeless tobacco use?

NRT products are supposed to roughly match the amount of nicotine you typically took in through tobacco. It can be more of a challenge to get the dose right for smokeless tobacco users, since NRT products are labeled for people who smoke.

Certain types of NRT may help more than others. If you look at the way the tobacco is used, nicotine gum and lozenges are most like using smokeless tobacco. They also let you control your dose to help keep nicotine cravings down. To avoid withdrawal symptoms, you want to aim for a nicotine dose fairly close to what you got from snuff or tobacco use.

These are general guidelines:

  • A heavy user is a person who uses more than 3 cans of snuff or 3 pouches of tobacco a week, and would typically use the higher doses of NRT (the dose for people who smoke heavily).
  • Those who use 2 to 3 cans or pouches per week would usually try the moderate doses.
  • Those who use less than 2 would start with the lowest doses of NRT.

If you’ve decided to try NRT, discuss your dose with a health care provider before you quit tobacco.

Combining the patch and other nicotine replacement products

Using the nicotine patch along with shorter-acting products, like the gum, lozenge, nasal spray, or inhaler, is another method of NRT. The idea is to get a steady dose of nicotine with the patch and then use one of the shorter-acting products when you have strong cravings. In general, people who have smoked heavily do better with this combination approach. If you’re thinking about using more than one NRT product, be sure to talk to your health care provider first.

High-dose nicotine replacement therapy for people who smoke heavily

For people who have been smoking heavily, Another option is to useNRT at a higher than usual dose based on the amount of nicotine that they’ve been getting from cigarettes. At this time, not much is known about this option. High-dose NRT should be considered only with a health care provider’s guidance and close supervision.

Can you get too much nicotine from NRT?

Nicotine overdose is rare, but possible. Nicotine replacement therapy (NRT) products are labeled to match the amount of nicotine you get from NRT to the amount you got from tobacco. If used this way, you should get a nicotine dose fairly close to what you’ve been getting. You don’t want to get more than that, because higher doses of nicotine can cause harm. To avoid this, follow dosing instructions carefully. Also, don’t use heat (like a heating pad or heat lamp) on the skin near your nicotine patch – you could absorb more nicotine due to the increased blood supply.

Nicotine absorbs through the skin and mucous membranes, so you must store and dispose of your NRT safely. Nicotine overdose can be fatal, but this is rare and requires taking in very high doses of nicotine. Overdose is more of a problem in children and pets because of their smaller size. Keep NRT and used gum, patches, empty cartridges, bottles, etc., safely away from children and pets. Never drop them on the street or in open trash cans where kids and animals can reach them.

Symptoms of nicotine overdose

Here are some symptomsof too much nicotine:

  • Headache
  • Nausea and vomiting
  • Belly pain
  • Diarrhea
  • Agitation, restlessness
  • Fast or irregular heartbeat
  • Cold sweat
  • Pale skin and mouth
  • Weakness
  • Tremors (shaking)
  • Confusion
  • Disturbed vision and hearing
  • Weakness
  • High blood pressure, which then drops
  • Dizziness or faintness due to low blood pressure
  • Seizures
  • Fast breathing in early poisoning, breathing may stop later

Call Poison Control and get emergency help if you suspect an overdose. If you’re taking NRT as prescribed and are still having mild symptoms such as headache, vomiting, diarrhea, or sweating, lower your dose and talk to your health care provider.

Does nicotine cause cancer?

No, nicotine has not been found to cause cancer. While nicotine is the addictive substance in tobacco, it is other compounds in tobacco that can cause cancer. Using NRT to quit tobacco does not increase your risk of cancer – in fact, it can help lower your risk if it helps you stop using tobacco.

Stopping nicotine replacement therapy

Nicotine replacement therapy (NRT) is meant to be used for a limited period of time. Use should be tapered down before NRT is stopped. Studies to date have not shown that extending NRT use longer than the recommended time greatly impacts quit success. However, long-term NRT use is still preferable to smoking.

(Video) Nicotine Replacement Therapy (NRT) General Facts

Research is still being done to refine the use of NRT. If you feel that you need NRT for a different length of time than is recommended, it’s best to discuss this with your health care provider.

Long-term nicotine replacement therapy dependence

Nicotine replacement therapy (NRT) has the potential for long-term dependence. Nicotine is addictive, and people can transfer their dependence from tobacco to the NRT.

Use NRT only as long as you need it, as prescribed by your health care provider. Talk to your provider if you’re having trouble stopping NRT.


Nicotine Replacement Therapy to Help You Quit Tobacco? ›

Nicotine replacement therapy (NRT) gives you nicotine – in the form of gum, patches, sprays, inhalers, or lozenges – but not the other harmful chemicals in tobacco. NRT can help relieve some of the physical withdrawal symptoms so that you can focus on the psychological (emotional) aspects of quitting.

What is the most effective nicotine replacement therapy? ›

Among the most highly nicotine dependent smokers (those craving a cigarette on waking) the 4 mg gum is the most effective form of replacement therapy; it could enable one third to stop.

What is the success rate of nicotine replacement therapy? ›

NRT is available in a variety of forms, including gums, patches, tablets, inhalers, and sprays. A Cochrane review, including 150 studies and more than 50,000 participants, compared NRT with placebo. Overall, NRT increased successful cessation rates from 10% with placebo to 17% (number needed to treat [NNT] = 15).

What is nicotine replacement therapy examples? ›

Nicotine replacement therapy (NRT)
  • skin patches.
  • chewing gum.
  • inhalators (which look like plastic cigarettes)
  • tablets, oral strips and lozenges.
  • nasal and mouth spray.

What is the best treatment for nicotine addiction? ›

Medications. Nicotine Replacement Therapy (NRT)—A variety of formulations of nicotine NRTs are available over the counter—including the transdermal patch, spray, gum, and lozenges—and are equally effective for cessation.

Is nicotine replacement therapy safe? ›

Nicotine Replacement Therapy is safe to use. Quit-smoking medicines containing nicotine (NRTs) do not cause death and diseases like cigarettes do. Most of the dangers of smoking are due to the hundreds of toxic chemicals in the cigarette smoke, not the nicotine.

How long should you use nicotine replacement? ›

Nicotine gum is usually recommended for 6 to 12 weeks, with the maximum being 6 months. Tapering down the amount of gum you use as you approach 3 months may help you stop using it.

What are the pros and cons of nicotine replacement therapy? ›

What it does: It is a prescribed medication that can help reduce cravings of nicotine. Pros: It's easy to use, can be used in combination with other stop smoking aids and is one of the most successful medications. Cons: It can cause nausea, insomnia and vivid or strange dreams.

What is the purpose of nicotine replacement therapy? ›

Nicotine replacement therapy is a treatment to help people stop smoking. It uses products that supply low doses of nicotine. These products do not contain many of the toxins found in smoke. The goal of therapy is to cut down on cravings for nicotine and ease the symptoms of nicotine withdrawal.

Does nicotine replacement raise blood pressure? ›

The main conclusion was that none of the nicotine patches had any effect on heart rate or blood pressure, although urine epinephrine was increased.

Which medicine is best for quitting smoking? ›

Varenicline is a prescription medication that can help reduce cravings for tobacco and control nicotine withdrawal symptoms. It also blocks nicotine receptors in your brain, which decreases the pleasurable effects of smoking. It takes several days for varenicline to reach effective levels in the blood.

How long do nicotine withdrawals last? ›

How long does nicotine withdrawal last? Nicotine withdrawal symptoms usually begin a few hours after your last cigarette. They are usually strongest in the first week. For most people, nicotine withdrawal fade and are gone after about 2 to 4 weeks.

Is there any medicine to quit tobacco? ›

There are two quit-smoking medicines approved by the U.S. Food and Drug Administration that are pills: bupropion and varenicline. Bupropion has many effects on the brain, including helping people quit smoking.

Can tobacco addiction be cured? ›

Nicotine dependence or addiction can be cured by a combination of counseling or behavioral therapies, and FDA approved anti-smoking medications. The FDA approved medications have been reported to have good quitting rates.

Is nicotine addiction an illness? ›

Addiction is now understood to be a chronic neurological disorder that, like other chronic diseases, responds to treatment.

What is the safest form of nicotine? ›

Is there a safer way to get nicotine? Yes. You can get clean nicotine in a nicotine patch, gum, nasal spray, lozenge, or inhaler; these products don't have tar.

What is the oldest non prescription form of nicotine replacement therapy? ›

The oldest form of nicotine replacement therapy is nicotine gum. The gum is available over the counter (OTC) in 2- and 4-mg strengths. When the 2-mg strength gum is used properly, 0.8 to 0.9 mg of nicotine is absorbed from each dose.

What does nicotine withdrawal feel like? ›

Studies have found that the most common negative feelings associated with quitting are feelings of anger, frustration, and irritability. These negative feelings peak within 1 week of quitting and may last 2 to 4 weeks (1).

What is the safest alternative to smoking? ›

Vaping is considered much safer than smoking as Ecigs do not release the combustion chemicals responsible for the health risks of smoking. Ecig devices are mainly composed of a battery part and an atomiser.

How long after quitting smoking are you considered a non smoker? ›

One Month to One Year After Becoming a Non-Smoker

Additionally, your circulation gradually gets better over the next several months that you remain a non-smoker. By the nine-month mark, your lungs show considerable signs of healing.

Can I smoke while wearing a nicotine patch? ›

Can I smoke with the patch on? No, and this is important! Smoking while wearing the nicotine patch can not only increase your addiction and tolerance to nicotine, but it also puts you at risk for nicotine toxicity. Having too much nicotine in the body can cause dangerous heart rhythm problems that could be fatal.

How does nicotine patch make you feel? ›

Some people experience itching, burning, or tingling when they first apply the patch. This side effect usually goes away within an hour and is a result of nicotine coming in contact with the skin. Some people may experience redness or swelling at the patch site for up to 24 hours.

Do nicotine patches affect sleep? ›

Nicotine patches are available in forms that supply a constant dose of nicotine for either 16 or 24 hours. The 24-hour patch may cause sleep disturbance, such as difficulty sleeping or unusually vivid dreams.

Do nicotine patches have side effects? ›

Possible Side Effects (and what you can do about them): Skin redness, itching, or burning (rotate the patch to a different site each day). Headache (try a lower dose patch). Sleep disturbances such as difficulty sleeping and vivid dreams (remove patch at night).

Which is the most important factor in successfully quitting tobacco? ›

The most important factor in successfully quitting tobacco is a strong personal commitment. People quit on their own or seek professional help.

Which is the most important factor in breaking a nicotine addiction? ›

Which is the most important factor in breaking a nicotine addiction? a strong personal commitment.

Do nicotine patches cause heart attacks? ›

There were initial concerns, though now dispelled, on the risk of heart attack if a person smoked while wearing a nicotine patch.

Does nicotine replacement cause heart disease? ›

Previous research suggests exposure to nicotine replacement therapy (NRT) may be associated with an increased risk of cardiovascular disease (CVD).

Can nicotine patches cause strokes? ›

Conclusions: The use of NRT is not associated with any increase in the risk of myocardial infarction, stroke, or death.

Will CBD gummies help stop smoking? ›

CBD gummies can help people quit smoking by alleviating some of the withdrawal symptoms associated with quitting. CBD gummies can also help smokers relax and manage stress, which can make quitting easier.

How can I speed up nicotine withdrawal? ›

Keep your mouth busy with gum, hard candy, and crunchy (healthy) food. Use nicotine replacement therapy, like gum, lozenges, or the patch. Go for a walk or do some quick exercises when a craving hits.

How can I stop enjoying smoking? ›

13 Best Quit-Smoking Tips Ever
  1. Find Your Reason. 1/13. ...
  2. Prepare Before You Go 'Cold Turkey' 2/13. ...
  3. Consider Nicotine Replacement Therapy. 3/13. ...
  4. Learn About Prescription Pills. 4/13. ...
  5. Lean On Your Loved Ones. 5/13. ...
  6. Give Yourself a Break. 6/13. ...
  7. Avoid Alcohol and Other Triggers. 7/13. ...
  8. Clean House. 8/13.
Nov 13, 2021

Do nicotine cravings ever go away? ›

Cravings for nicotine can start 30 minutes after your last cigarette. This varies depending on how much you smoked and how long for. The cravings peak in 2 to 3 days and usually pass after 3 to 5 minutes. You should stop getting them altogether after 4 to 6 weeks.

Why is breathing worse after quitting smoking? ›

Yes it takes a few months for breathing to get better and many people feel a little worse the first month or two. This is primarily because you are starting to clear a lot of gunk from your lungs also the nicotine withdrawal is probably making you a little more sensitive to your body.

Is it better to quit smoking cold turkey? ›

A 2016 study found that quitting cold turkey is more successful than gradually cutting down on nicotine intake. This research followed up with people at 4 weeks and 6 months after they quit smoking.

What can you substitute for cigarettes? ›

Nicotine chewing gum, lozenges, tablets, mouth sprays and inhalers are 'quick response products'. They can deliver nicotine as soon you're craving it, which helps if your need to smoke changes throughout the day.

What is the best candy to help quit smoking? ›

Zero-Calorie Candy

Gum, mints, cinnamon sticks, and hard candy (butterscotch or cinnamon drops) can help when you feel a craving coming on. Many ex-smokers also claim that flavored toothpicks keep their mouth busy and combat the psychological effects of nicotine withdrawal.

What is the safest alternative to smoking? ›

Vaping is considered much safer than smoking as Ecigs do not release the combustion chemicals responsible for the health risks of smoking. Ecig devices are mainly composed of a battery part and an atomiser.

What is the most successful way to stop smoking? ›

Here are 10 ways to help you resist the urge to smoke or use tobacco when a craving strikes.
  1. Try nicotine replacement therapy. Ask your health care provider about nicotine replacement therapy. ...
  2. Avoid triggers. ...
  3. Delay. ...
  4. Chew on it. ...
  5. Don't have 'just one' ...
  6. Get physical. ...
  7. Try relaxation techniques. ...
  8. Call for reinforcements.

What is the best product to stop smoking? ›

Chantix (Varenicline): Chantix (Varenicline) is a prescription medication taken as a pill, twice a day. It's the most effective single product to help you quit smoking. And it doesn't contain nicotine. It cuts cravings by acting like nicotine on the brain.

What is better Nicorette gum or patches? ›

Patches can provide a steady level of nicotine in the body to help lessen withdrawal, while the gum or lozenge can be used to more quickly relieve cravings as they happen. If you have a lot of cravings while using the patch, you may not be using a strong enough dose. Consider stepping up to a higher dose.


1. All About Nicotine Replacement Therapy (NRT)
2. Nicotine Replacement Therapy Overview | Quit Smoking
3. How I quit smoking: David’s story | Ohio State Medical Center
(Ohio State Wexner Medical Center)
4. Quit Smoking: Nicotine Replacement Products
5. Wellness 101 - How to Quit Smoking
(St. Luke's University Health Network)
6. Quitting Smoking: What You Should Know About Cravings (stop nicotine replacement therapy)
(Addiction Mindset)

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