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In the Spotlight

A New Twist on Smoking Cessation: Nicotine Nasal Spray

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

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

 

The decision to quit smoking can be a difficult one. The fact that you are reading this means that you or someone you love may be ready to make that decision. You are, without a doubt, making the right choice. Smoking is the number one preventable cause of disease and death in the United States. By quitting now, you are on your way to better health and a longer life. This article will focus on the use of nicotine nasal spray to help you quit.

There are several weapons to choose from as you prepare to fight your smoking habit. For many, quitting will be the most difficult battle they have ever fought. There should be no sense of shame or embarrassment if you need help in order to stop smoking. Sometimes, we all need a little help!

Ask your doctor what treatments are appropriate for you. Therapies range from nicotine nasal spray and a drug called Zyban (which used to be used to treat depression) to acupuncture and hypnosis. Each person must try to find the treatment that works for him or her. Remember, however, that there is no "magic bullet" that will make you quit smoking. You have to be motivated to quit and prepared to work every day to overcome your addiction.

The nicotine nasal spray is available as a prescription drug. It is designed to deliver nicotine in a more rapid manner than the nicotine patch or gum, which makes the spray more similar to smoking a cigarette in terms of nicotine delivery to the body. Peak levels of nicotine occur in the blood within ten minutes of use and are roughly two-thirds as high as the level that occurs after smoking a cigarette. The device itself is similar to other nasal spray devices used for allergy and cold-type symptoms.

In scientific studies, those who used the nicotine nasal spray were able to quit smoking twice as often as those who used no therapy at all (i.e. those who quit "cold turkey"). This makes the nasal spray equally effective compared to the nicotine patch, gum or Zyban. Actually, all of the above mentioned therapies are roughly equal in effectiveness, so the choice is often based on a persons preference of one therapy or their inability to use one or more of the available therapy options.

Normally, the spray is used once or twice per hour while awake for roughly three months. Your use may be slightly different depending on your individual circumstances. The spray can be used more often than the scheduled doses on an "as needed" basis (i.e. for "break through" cravings). In some circumstances, the nasal spray may be used together with another therapy.

Side effects of the nicotine nasal spray are generally mild, but fairly common. Most people initially experience nasal and throat irritation, a runny nose, watery eyes, sneezing and coughing. It is important to know, however, that tolerance generally occurs to these effects after one week. There have been people who need the nasal spray for longer periods of time but most are able to come off the spray within one year.

Persons using the nicotine spray should not smoke. There is a danger that the levels of nicotine could get too high and become toxic. This is even more important for those who are pregnant or have heart disease because toxic levels of nicotine can have deleterious effects on the heart and may be harmful to the developing fetus.

Talk to your doctor today about using the nicotine nasal spray. Most people can tolerate the nicotine spray without difficulty. As other articles on this website discuss, there are also alternative therapies that may be preferable in your individual circumstance, including Zyban, the patch and nicotine gum.

While quitting smoking may at times seem like an impossible goal to reach, it is worth the effort. There are several different options available to help you achieve your goal, including the nicotine nasal spray. Remember that many people who quit smoking tried five or more times before they were successful. As the old adage tells us: "If at first you dont succeed, try, try again."

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