What other methods, in addition to patches, can help me quit smoking? Which one is more effective?

In addition to those already reviewed (nicotine patches, hypnosis, acupuncture…) in question 25, we will try here other strategies that, with greater or lesser success, help or try to help you quit smoking:

BUPROPION It is an antidepressant drug. The mechanism of action by which it helps to quit smoking is unknown. 18-23% of patients do not smoke after one year. More than 10% may have insomnia.

VARENICICLINE It produces a relief effect on withdrawal symptoms and a reduction in the gratifying effects of nicotine. 22-23% of patients do not smoke after one year. Special care should be taken in patients with underlying psychiatric disorders and discontinue treatment in the case of suicidal ideation.

RIMONABANT. It acts at the level of cannabinoid receptors. Some studies show – in a limited way – that 20 mg of rimonabant increases the probability of quitting long-term smoking by about 1.5 times.

SELECTIVE INHIBITORS OF SEROTONINE OBTAINING (IRSS). They are antidepressant drugs such as prozac® or seroxat®. They do not help you quit smoking in the long term.

TELEPHONE ADVICE. Telephone counseling helps you quit smoking. You are more likely to leave it the more calls you make.

EXERCISE. Some clinical trial has provided evidence that exercise helps to quit smoking, but more studies are needed to conclude that it is effective in this regard.

ANSIOLYTICS There is no consistent evidence that anxiolytics (anxiety management drugs, such as diazepam) help to quit smoking, but the available evidence does not prove otherwise.

Dr. Joseph Perez. Clinical Hospital of Z Rehab Center

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