To free yourself from tobacco, above all you need to be motivated, well-informed and well-equipped. But even with determination, quitting smoking remains a demanding process for most smokers. The good news is that by adding effective cessation aids, you can increase your chances to succeed! However, ensure that you make enlightened choices: the cessation aids are not all of equal value and will not all meet your needs.
In this section, you will find answers you have always asked yourself on this subject:
You can also download our tool “I’m getting ready to quit”, which summarizes the main facts about cessation aids.
The nicotine contained in tobacco may create a dependency similar to cocaine addiction. When you stop smoking, the brain, deprived of its usual dose, indicates that something is missing through symptoms such as headache, insomnia, and irritability. This is known as physical withdrawal. But did you know that there are treatments that reduce the effects of physical withdrawal and lessen your desire to smoke? Using them can really boost your chances of success and reduce your risk of relapsing.
You can assess your degree of dependency on tobacco by answering a short questionnaire, the Fagerström Test. If you get a high score, you may be more dependent and would benefit even more from using a pharmacological aid.
How to choose a treatment
Three pharmacological treatments have been proven effective through scientific testing.
Ideally, each should be used in combination with smoking cessation counselling sessions (offered by a trained professional) to increase your chance of success. It is important to respect the treatment duration and directions for use of these products. When taken correctly, these medications are safe and do not lead to dependence.
- Nicotine replacement therapies (NRTs)
NRTs are offered over-the-counter in the form of a patch, gum, lozenges, inhaler and even mouthspray.
This type of treatment consists in helping the body get used to living without tobacco, by gradually reducing the nicotine doses to which it is accustomed. The treatment usually lasts 12 weeks, and it is recommended that you stop smoking before starting the treatment.
- Varenicline tablets
Available by prescription only, varenicline – which does not contain nicotine – diminishing the satisfaction or sense of well-being that smoking provides. It acts on the nicotine receptors in the brain, by reducing the intensity of the desire to smoke. It also reduces nicotine-withdrawal symptoms.
It is recommended that you start the treatment 1 week before quitting. This allows the concentration of medication to increase sufficiently in your body. The treatment usually lasts 12 weeks, but may be extended up to 6 months.
- Bupropion tablets
Available by prescription only, bupropion – which does not contain nicotine – was originally an anti-depressant, and has been discovered to also be an effective smoking cessation aid. The exact mechanism by which it works in smoking cessation is not known, but it has proved to reduce the need to smoke and the withdrawal symptoms.
It is advised that you begin to take the tablets 1 week before stopping smoking to allow the medication time to take effect. The treatment usually lasts 12 weeks, but may be extended.
Do the pharmacological aids produce undesirable side effects?
Although capable of helping reduce and alleviate a number of physical and psychological symptoms caused by withdrawal from nicotine, pharmacological aids can also have certain side effects. Among other things, they can cause nausea, sleep problems and headaches.
Feeling unwell because of withdrawal can be confused with certain side effects associated with pharmacological aids. It must be borne in mind that giving up smoking may entail certain symptoms, whether or not pharmacological aids are used. If you’re using a pharmacological aid and are not feeling well or are experiencing symptoms, consult your physician or pharmacist to discuss the matter, rather than abandoning your treatment.
Are the treatments expensive?
Most pharmacological treatments are covered by the public prescription drug insurance plan or by private insurance plans. A prescription from your doctor or pharmacist may be needed in order for you to be reimbursed. Ask one of these health care professionals about how to claim a refund.
Certain alternative approaches, such as acupuncture, hypnosis, aversion therapy, phytotherapy, and homeopathy, claim to help with smoking cessation. However, no scientific study has confirmed their effectiveness in helping you beat your dependency on tobacco.
The relaxation effect of some approaches may be of help as a complement to a pharmacological aid. But before turning to one or another of these approaches, get information on the therapist’s training, the safety of the method or means used, the number of sessions, the cost, and whether that cost can be reimbursed by your insurance plan.
If you are planning to use natural products, get information from a doctor or a health care professional on the risks of interaction with other medications that you might be taking.
An electronic cigarette (e-cigarette) is an electronic device containing a battery and a microprocessor that produces a vapour. There are 2 types of e-cigarettes: those that contain nicotine and those that do not. Even though the sale of electronic cigarettes has not been regulated in Canada, they are gaining in popularity, in part due to Internet marketing. E-cigarettes appear to be promising cessation aids for certain types of smokers. However, Health Canada and the Direction nationale de santé publique du Québec (Quebec Public Health Department) recommend that Canadians exercise caution, because their composition may not correspond to what is indicated on the packaging; for example, they may contain nicotine even though is it written “without nicotine” on the packaging. It is therefore recommended to discuss the issue with your doctor or pharmacist.
During the Challenge, participants are allowed to use e-cigarettes as a smoking cessation aid. However, note that all prize winners must pass a nicotine screening test, regardless of the cessation aid used. To learn more, please see the "Rules" section.
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