NRT provides the brain with an alternative source of nicotine, which eases these symptoms. When NRT is used before quitting , brain receptors are already filled with nicotine when a cigarette is smoked. Second, NRT replaces a harmful way of delivering nicotine with a safe alternative. Some people may worry that taking more nicotine will cause side effects. Smoking is dangerous because of the many harmful chemicals present in cigarette smoke, including arsenic and formaldehyde.
None of these are present in NRT. Finally, NRT is not as addictive as smoking. Some people are concerned about becoming addicted to NRT. But the way cigarettes deliver nicotine makes them far more addictive than NRT. Cigarettes deliver nicotine to the brain extremely quickly, and do so alongside other chemicals, which increase the force with which nicotine affects the brain. Watch the video and read the information below to learn about nicotine patches and how to use them to help you stop smoking.
Read more. The nicotine mouth spray is a type of nicotine replacement therapy NRT that can be used to help you stop smoking. The nicotine mouth spray helps to reduce cravings and feelings of withdrawal by replacing some of the nicotine you would normally get from smoking.
The nicotine mouth spray is often used together with the nicotine patch, which is a long-acting type of NRT, to help you quit. Watch the video and read the information below to learn about the nicotine mouth spray and how to use it to help you stop smoking.
The nicotine gum is a type of nicotine replacement therapy NRT that can be used to help you stop smoking. Nicotine gum helps to reduce cravings and feelings of withdrawal by replacing some of the nicotine you would normally get from smoking. Nicotine gum is often used together with the nicotine patch, which is a long-acting type of NRT, to help you quit. Watch the video and read the information below to learn about nicotine gum and how to use it to help you stop smoking.
The nicotine inhalator is a type of nicotine replacement therapy NRT that can be used to help you stop smoking. The nicotine inhalator helps to reduce cravings and feelings of withdrawal by replacing some of the nicotine you would normally get from smoking.
The nicotine inhalator is often used together with the nicotine patch, which is a long-acting type of NRT, to help you quit. Watch the video and read the information below to learn about the nicotine inhalator and how to use it to help you stop smoking. The nicotine lozenge is a type of nicotine replacement therapy NRT that can be used to help you stop smoking. It helps to reduce cravings and feelings of withdrawal by replacing some of the nicotine you would normally get from smoking. Nicotine lozenges are often used together with the nicotine patch, which is a long-acting type of NRT, to help you quit.
Watch the video and read the information below to learn about the nicotine lozenges and how to use them to help you stop smoking. When you stop smoking, your body craves nicotine. In the first few days and weeks after stopping, you will likely feel some nicotine withdrawals. It's easier to deal with nicotine withdrawal when you know what to expect. Calling the Quitline increases your chance of quitting successfully.
Quit Specialists are trained to listen carefully to you to help meet your needs. Updated February 17, American Cancer Society. Nicotine Replacement Therapy for Quitting Tobacco. Updated January 12, Nicotine replacement therapy. Updated January 6, Wadgave U, Nagesh L. Nicotine replacement therapy: an overview. Int J Health Sci Qassim. Updated November 13, Your Privacy Rights. To change or withdraw your consent choices for VerywellMind.
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I started with one or two pieces occasionally, then one or two a day, and finally up to a dozen pieces a day, and continued at the rate for several years, maybe 4—5 years [ It is really awful to be addicted to a substance, and I reached a point where my throat hurt, my teeth hurt, I had a headache most days, [ In an e-mail message, this participant G. She had been diagnosed with depression after a severe traumatic stress and took antidepressants paroxetine for several years after that. She said: "I think the depression was a natural reaction to [the traumatic stress].
Nicotine was part of my self-medication duringall this". This participant reported that he had occasionally used small quantities of tobacco snuff as a child, between the age of 11 and 14, but not any more since then. He also said he had suffered from depression and had been prescribed fluoxetine by his family doctor. He reported:. I have experimented with LSD, psilocybin, amphetamines but not currently using any of these. Several years ago, purely out of interest I bought a pack of nicotine gum to see what the effect of nicotine would be.
I remember feeling quite ill [ It was about a year or so later [ I didn't expect that I would ever become addicted [ Within a short period of time I was using 15 pieces per day.
Just as people say about smoking, I genuinely enjoyed using the gum [ On several occasions I stopped using it 'cold turkey'. The symptoms were mainly light headedness and difficulty in concentration, most of the time I just bought more gums — like a smoker [ Most of my life I have suffered from depression [ I hadn't considered until then that nicotine could have such a stabilising effect. I would very much like to quit. The gum is very expensive [ Nicotine gum is a form of self-medication [ I would argue that my state of mind has become more calm and regulated since using nicotine gums and reverts to previous, unsatisfactory state when I stop using nicotine gums.
These two participants G. Both answered "extremely true" to: "I use nicotine gums because I am addicted to them". Both had made a serious attempt to stop using NRT in the previous year, but only one reported more details about that quit attempt, which lasted 60 days and was accompanied with "very strong" urges to use nicotine gum. Both reported usually chewing their first gum of the day 10 minutes after waking up, both "fully agreed" with: "after a few hours without chewing a nicotine gum, I feel an irresistible urge to chew one", "the idea of not having any nicotine gum causes me stress", "sometimes I drop everything to go out and buy nicotine gums", "chewing a nicotine gum calms me down when I am stressed", and: "after chewing a nicotine gum, I am able to concentrate better".
In an online study of nicotine gum users, we identified 5 never smokers who used the nicotine gum daily. There was reasonable evidence that most of these 5 never smokers were addicted to the nicotine gum. Of particular interest are the two cases of never users of tobacco including smokeless tobacco who reported being addicted to the nicotine gum.
This is to our knowledge the first report of such cases. Surprisingly, these 5 never smokers had been using the nicotine gum for many more years than ever smokers, and they tended to be more dependent on the gum. For cigarette dependence, FTND scores of 5 or more reflect a strong dependence [ 14 , 15 ]. Four of the 5 never smokers had FTND-gum scores of 5 or more, which suggests that these people were strongly dependent on the gum. Three of the 5 never smokers in the present study had CDS-gum scores at or above 50, which suggest that they were strongly dependent on the nicotine gum.
Never smokers had substantially higher NDSSgum Tolerance scores than ever smokers, which may reflect that ever smokers were already tolerant to nicotine before they started using the gum. Never-smokers reported classical criteria of dependence, such as a compulsion to use the gum, use in higher dosage and for a longer duration than initially intended, withdrawal symptoms, unsuccessful attempts to stop and gum use despite its high cost [ 16 , 17 ].
Their open-ended answers also reflected classical criteria of dependence, such as failed quit attempts followed by urges to use the gum, relief of withdrawal symptoms e. People who were addicted to the nicotine gum could easily find our questionnaire, because it was listed on top of the list in Google.
In spite of this effective enrolment strategy, we identified only two never-users of tobacco among daily gum users, which suggests that NRT use in never-users of tobacco is a rare phenomenon.
Similarly, a previous survey in people who responded to a newspaper ad that read: "Are you addicted to nicotine gum? Furthermore, there was no report of subsequent nicotine dependence in never smokers who were treated with nicotine for ulcerative colitis, aphtous ulcers and sleep-disordered breathing [ 18 - 21 ].
The short-tem effect of the nasal spray was also tested in never smokers, with no report of never smokers getting addicted to this fast delivery product [ 22 - 24 ]. In a previous survey, 0. However, some adolescents will endorse using any product when a list is presented to them, e. In two surveys in the USA, 2. The latter study did not report any case of NRT dependence in adolescent never smokers [ 27 ].
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