Home » OTC » Path to a Smoke-Free Life: Quit Smoking with FDA-Approved Aids
Smoking significantly increases the risk of lung cancer, cardiovascular diseases, strokes, coronary heart disease, and chronic lung conditions. Despite these dangers, many find it difficult to quit. Fortunately, over-the-counter smoking cessation aids can help individuals combat nicotine addiction. Studies indicate that using FDA-approved cessation aids can double the success rate of quitting smoking.
Nicotine is the main addictive substance in tobacco. When smokers try to quit, their bodies crave the nicotine they’re accustomed to, leading to withdrawal symptoms like sleep disturbances, irritability, and anxiety. This often drives them back to cigarettes to satisfy their nicotine needs.
Smoking cessation aids, such as nicotine patches or gum, provide the body with nicotine without smoking. They gradually reduce nicotine intake, helping smokers quit. This method is called “Nicotine Replacement Therapy” (NRT).
In the U.S., the FDA has approved several NRT products, available both over-the-counter and by prescription.
Over-the-counter NRT products
In the U.S., over-the-counter NRT products such as nicotine patches, gum, and lozenges are available for those 18 years and older. Brands like NicoDerm CQ (for patches) and Nicorette (for gum) are particularly recommended by American pharmacists for their effectiveness in helping people quit smoking.
NicoDerm CQ Nicotine Patches Step 1:21mg x 14 Step 2:14mg x 14 Step 3:7mg x 14
Rite Aid Nicotine Patches Step 1:21mg x 14 Step 2:14mg x 14 Step 3:7mg x 14
Nicorette Nicotine Gum 2mg x 160 pieces | Mint flavor
In the U.S., the only prescription nicotine replacement therapy (NRT) product is Nicotrol, which is available as a nasal spray and an oral inhaler. It’s designed exclusively for adult use. Nicotrol offers a regulated dose of nicotine to help manage withdrawal symptoms. Since nicotine in cigarettes is addictive, quitting can lead to cravings, irritability, and tension.
You can use the Nicotrol Inhaler whenever you feel the urge to smoke. For the initial 3 to 6 weeks, it’s common to use at least 6 cartridges daily, but always follow your doctor’s advice.
Ensure you don’t use more than 16 cartridges in a single day. Stick with this regimen until you’ve completely stopped smoking and have determined the best dosage and routine for you. After about 3 months, your doctor will guide you in gradually decreasing the dosage, with the goal of you not smoking and eventually not needing nicotine replacement.
It’s vital that you quit smoking altogether when using Nicotrol products. If you stop using the medication suddenly, you might experience withdrawal symptoms. To avoid this, your doctor might gradually decrease your dose. If you’ve been using nicotine for a long time, or in high doses, and still haven’t quit after 4 weeks, notify your doctor.
Remember, many smokers don’t quit on their first try. If this happens, you might need to pause using the product and make another attempt later.
FDA Recommendations on NRT
According to the FDA, pregnant or breastfeeding women should only use NRT products with a doctor’s approval. Additionally, individuals with the following health conditions should consult a doctor before using NRT products:
Diabetes
Heart disease
Asthma or gastric ulcers
Recent heart attack
Untreated high blood pressure
Arrhythmia
Taking medication for depression
Taking other prescription smoking cessation aids
If you experience the following symptoms while using NRT medication, stop using it immediately and seek medical attention:
Nausea
Dizziness
Weakness
Vomiting
Rapid or irregular heartbeat
Inability to use lozenges or gum due to oral issues
Skin swelling caused by patches that does not easily subside
Smokeless placebo inhaler
Besides nicotine patches and gum, the placebo inhaler is another popular choice for quitting smoking. It replicates the sensation of smoking without containing nicotine, ensuring it’s non-addictive.