How to stop smoking

Nicotine patches work well for most regular smokers and can be worn round the clock (24 hour patches) or just during the time you are awake (16 hour patches), and they work by releasing nicotine directly into the bloodstream through the skin.

How to use patches

There are two ways to use patches: just during the time you are awake (16 hour patch) or both day and night (24 hour patch). The 24 hour patch may cause some sleep disturbance but is helpful for people who have strong cravings during the early morning.

Patches also come in different strengths. Whichever strength you start on you should aim to gradually reduce the strength over time before stopping the usage of patches completely.

Who should use patches

Patches are useful for those who are concerned about discretion (they can be worn easily beneath clothing) or dislike the taste of the oral products. They release a steady amount of nicotine. They may also cause skin irritation for some people.

These are small tablets containing nicotine which dissolve quickly under your tongue.How to use microtabs

Microtabs are designed to be dissolved under the tongue. Make sure you don’t chew or swallow them – this may cause unwanted side effects.

When you quit you should use one or two tablets every hour for up to three months after you quit. You should then be able to gradually cut back your consumption. Once you are taking one or two tablets a day you should be able to stop completely.

Who should use microtabs

Microtabs can also be used by those who are trying to reduce the number of cigarettes they smoke, as well as those who have quit completely. You should stop smoking within 6 months of using microtabs.

Side effects of microtabs

Possible side effects include: hiccups, sore throat, burning sensation in mouth.

Lozenges are placed in the mouth and dissolve slowly to release the nicotine and take about 20-30 minutes to dissolve.

How to use lozenges

Nicotine lozenges work in a similar way to nicotine gum. To release the nicotine from the lozenge, suck until the taste becomes strong or hot. After this you can rest the lozenge inside your cheek – once the taste fades you will need to suck again to release more nicotine. Suck until the lozenge has completely dissolved – each one should last 20 to 30 minutes.

You should use lozenges for about twelve weeks. For the first six weeks you should have one lozenge every one to two hours. You should then reduce your intake to one lozenge every two to four hours, finally reducing to once every four to eight hours in the last two weeks of treatment.

Who should use lozenges

Lozenges are helpful because they provide short bursts of nicotine. Lozenges should not be used by people with mouth ulcers.

Inhalators look like a plastic cigarette. The inhalator releases nicotine vapour which gets absorbed through your mouth and throat. If you miss the ‘hand to mouth’ aspect of smoking, these may suit you.

How to use inhalators

A nicotine inhalator works by releasing nicotine vapour when you suck on it. Inhalers work very quickly so you should reach for your inhaler whenever you feel strong cravings for a cigarette. Each inhalator contains a disposable cartridge which has enough nicotine for around 3 to 4, 20 minute puffing sessions. This equates to around 400 puffs.

You should use the inhalator for a total of twelve weeks. Use between six and twelve cartridges per day for the first eight weeks depending on how many cigarettes you smoke. For the following two weeks reduce this by half, finally stopping the use of the inhalator completely in the last two weeks of treatment.

Who should use inhalators

The advantages of inhalators are that they work much more quickly than gum or lozenges. They can be therefore used directly when you experience cravings for a cigarette. They also feel very similar (because of the motion involved in using them) to a cigarette so become a good replacement – especially for those who miss the ‘hand to mouth’ aspect of smoking.

The spray delivers a swift and effective dose of nicotine through the lining of your nose.

How to use nasal spray

You use the nasal spray by releasing one spray into each nostril twice an hour. It should be used no more than five times an hour and no more than forty doses a day. Each dose will give the equivalent nicotine contained in one cigarette. This is the fastest way that nicotine can enter the bloodstream reaching the brain within 10 minutes.

You should use the nasal spray for a total of twelve weeks. Use between one and two doses per hour for the first eight weeks depending on how many cigarettes you smoke. For the following two weeks reduce this by half, finally stopping the use of the nasal spray completely in the last two weeks of treatment.

Who should use nasal spray

The advantages of nasal sprays are that they work much more quickly than gum or lozenges. They can therefore be used directly when you experience cravings for a cigarette – and most closely mimic the rush you get from smoking than any of the other forms of nicotine replacement therapy(NRT).

The nicotine nasal spray is the strongest form of NRT. This can be a very useful and effective form of medication for highly dependent heavy smokers who have difficulty giving up using other methods.

However this method is not suitable for everyone and may cause side-effects such as nose and throat irritation, coughing, and watering eyes.

*Service users requiring more information on how to access Champix please call 01869 814216*

Champix is a medicine which is used for adults to help them stop smoking. Champix contains the active substance varenicline.

Champix can help to relieve the craving and withdrawal symptoms associated with stopping smoking. The treatment is more likely to succeed in smokers who are motivated to stop smoking, this is because Champix blocks the effect of nicotine.

The treatment with Champix lasts for 12 weeks.

The medicine can only be obtained with a prescription.

*Only available to people aged 18 or over.*

^ Prescription only medicationBupropian also known as Zyban is a tablet which helps you to stop smoking. You start taking Zyban one to two weeks before you quit and treatment usually lasts for a couple of months to help you through the withdrawal cravings. It’s only available on prescription and is not available if you are pregnant, or if you have a pre-existing medical conditions – discuss this treatment option with your advisor and/or your GP.

This 1mg fresh mint flavour mouth spray gets to work on cravings in 60 seconds. One dispenser contains 150 sprays of 1mg nicotine per spray. Spraying 1-2 sprays of Quickmist into the mouth is equivalent to one cigarette.

How to use

If using for the first time or if you have not used the spray for 2 days, you must first prime the spray pump. Priming: Point the spray away from you and any other adults, children or pets near you. Press the top of the spray with your index finger 3 times until a fine spray appears. Spray into your mouth avoiding the lips and try not to inhale while spraying and not swallow for a few seconds after spraying. If you find the taste too harsh try spraying onto your hand and use your tongue or finger to transfer spray to mouth (more controlled and effective). Use 1-2 sprays every 30 minutes to 1 hour. No more than 4 sprays per hour. Do not exceed 64 sprays per 24 hours.