Medications for Tobacco Treatment

Many people want to try to quit without using any tobacco treatment medication. Sometimes it is because they feel they should be able to quit without help, or they feel medication probably won't help, or some feel that medications hurt you and should be avoided at all cost. I thought it might be helpful as you contemplate quitting to give you information about the different medications available so that you can decide (after speaking to your health care provider) what might work best for you. Because of the interest in Chantix, which has been expressed on the blog I thought I begin by providing information on this medication first and later I will add information on Nicotine Replacement Therapies and Zyban. Do not take Chantix if you are pregnant or nursing. If you have experienced depression or other mental health problems discuss with your physician if this is appropriate medication for you.
When you smoke, or use tobacco, the nicotine goes to the brain and attaches to nicotine receptors in the brain. This sends a message to a different part of your brain to release a chemical called dopamine. Dopamine gives you a feeling of pleasure, which doesn't last long, so soon your body will again crave nicotine. It is a vicious cycle.
Chantix acts differently than other tobacco treatment medication (nicotine replacement therapy NRT) or an anti depressant drug like Zyban. Chantix acts on the nicotine receptors in two ways. It blocks some of the rewarding effects of nicotine and it also stimulates the receptors in a way that reduces feelings of withdrawal. In studies it has been the most affective medication currently available. It does have some side effects, some common ones are nausea, constipation, gas, headache, trouble sleeping and bad dreams. The most common side affect, nausea, can be helped by taking the medication with food and water. Chantix should not be used if there is significant Renal impairment and/or if you are undergoing dialysis you need to really consult with your physician.
This is a prescription drug. Chantix should not be taken while pregnant, or nursing.
Recommended treatment is for at least 12 weeks. The treatment begins with:
Days 1-3 1 pill (0.5 mg) per day.
Days 4-7 1 pill (0.5 mg) twice a day in the morning and afternoon
Day 8 is your quit day
Day 8 to the end 1 pill (0.5 mg) twice a day in the morning and afternoon
The manufacturer, Pfizer, pre-packages Chantix so they are laid out day by day.