From the Research
The most cost-effective method for smoking cessation is nicotine replacement therapy (NRT), particularly nicotine gum or patches, as it provides a controlled amount of nicotine to reduce withdrawal symptoms while eliminating exposure to harmful tobacco chemicals. A typical regimen starts with higher-dose nicotine patches (21mg/day for those who smoke more than 10 cigarettes daily) for 6 weeks, followed by 14mg/day for 2 weeks, then 7mg/day for 2 weeks 1. Alternatively, nicotine gum (2mg or 4mg pieces) can be used when cravings occur, not exceeding 24 pieces per day. These products typically cost $30-60 per month, making them more affordable than prescription medications.
For implementation, combine NRT with behavioral support such as counseling or support groups, and set a specific quit date. Gradually reducing cigarette use while starting NRT can improve success rates. The effectiveness of NRT doubles the chances of quitting successfully compared to willpower alone, with success rates of 20-25% versus 10-12% without support 2. Other methods, such as bupropion and varenicline, are also effective but may have higher costs and potential side effects 3, 4, 5.
Some key points to consider when using NRT for smoking cessation include:
- Starting with a higher dose of nicotine for heavier smokers
- Gradually reducing the dose over time
- Using a combination of NRT products, such as gum and patches, for better results
- Providing behavioral support and counseling to improve success rates
- Monitoring for potential side effects and adjusting the treatment plan as needed.
Overall, NRT is a cost-effective and evidence-based method for smoking cessation, and its use should be encouraged and supported by healthcare professionals 1, 5.