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In the Spotlight

Using the Nicotine Patch to Help You Quit Smoking

By Thomas Booth MD, MS
V.P., Medical Affairs, PersonalMD.com Editor-in-Chief

By Adam Brochert M.D.
Personal MD.com Contributing Editor

 

So youve finally decided to quit smoking  good for you! By now youve probably heard about all the health risks of smoking and may have even experienced some of them yourself. Just as a reminder, though, smoking is the number one cause of preventable deaths in the United States (cigarettes are responsible for at least 1 of every 5 deaths in this country!). This article will focus on using the nicotine patch to aid you in your quest to get back to a smoke-free lifestyle.

There are many therapies that can be used to help a person quit smoking. Treatments range from the nicotine patch, nicotine gum, and a medication called Zyban (which in the past was used to treat depression) to acupuncture and hypnotism. Quitting smoking can be extremely difficult, especially when one tries to quit "cold turkey." Dont be afraid or embarrassed to ask for help in reaching your goal of quitting!

One of the more popular forms of treatment for smoking cessation is the nicotine patch. People who use the patch are three to four times more likely to quit smoking than those who use no treatment at all. Remember, however, that there is no "magic bullet" to make you stop smoking and every person who gets treatment of any form still has to be very motivated to quit.

There are several brand names for the nicotine patch, including Nicoderm, Habitrol, Prostep and Nicotrol. The point of all these nicotine patches is to deliver a steady amount of nicotine into the body to reduce cravings. Nicotine is thought to be the main addictive substance found in cigarettes, so the patch aids in reducing withdrawal symptoms. The patch is easy to used and tolerated well by most people.

A new patch is generally applied to the skin each morning and left on for twenty-four hours. The patch should be placed on a relatively hairless area of skin somewhere between the neck and the waist  most people prefer the upper arm or chest area. Once applied, the patch does not result in any restrictions on activity and is often hardly noticed.

The patch is usually used for a total of roughly eight weeks, as scientific studies have shown no advantage to a longer duration of treatment. During the first four weeks a high dose of nicotine is inside each patch and this amount is then tapered down once or twice over the next four weeks. Certain individuals may benefit from a different dosing schedule  talk to your doctor about the best treatment for you.

Side effects of the nicotine patch are generally mild. The most common side effect, which occurs in up to 50% of people, is a local skin reaction. This is often mild and can be minimized or eliminated by rotating the area where the patch is applied. For moderate skin reactions a steroid-containing skin cream may be required and roughly 5% of people must discontinue using the patch because of severe skin reactions. The other fairly common side effect is insomnia. This often resolves as time goes on but the patch can be taken off before going to sleep at night if needed.

Talk to your doctor about the possibility of using nicotine patches. Most people can use nicotine replacement without any difficulty. As other articles on this site discuss, there are also alternative nicotine delivery systems that may be preferable for certain individuals, such as nicotine gum or nasal spray.

Quitting smoking can be frustrating and, at times, may seem like an overwhelming task. The nicotine patch is one form of treatment that may help you reach your goal of quitting. Some people say that smoking is so pleasurable that they cant live without it. If you ask the people who have severe emphysema or lung cancer, though, they will tell you they wish they did live without it. Good luck!

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