Trying to quit smoking? Patches, drugs help: study

Key points
- Smokers have considerably more success when they use nicotine patches or prescription medications than when they try to go it alone, an international study found.
- A cigarette filter can take between 18 months and 10 years to decompose.
- Nicotine and carbon monoxide levels in blood reduce by half.
- Lungs start to clear out mucous and other smoking debris.
Trying to stop smoking? Smokers have considerably more success when they use nicotine patches or prescription medications than when they try to go it alone, an international study found.
Past research has yielded conflicting evidence on the effectiveness of such aids since they seem to work in clinical trials, but less so in a real-life setting.
But the current researchers, whose findings appear in the journal Addiction, found that some quitting aids were linked to four-to-six-fold higher success rates.
"Smokers in the United Kingdom, Canada, Australia and the United States are more likely to succeed in quit attempts when they use (drugs) or nicotine patch," wrote study leader Karin Kasza, a statistician at Roswell Park Cancer Institute in Buffalo, New York, and colleagues.
Kasza and her team surveyed more than 7,400 adult smokers in the United States, the Britain, Canada and Australia on their quit attempts, including whether they even remembered every time they resolved to give up cigarettes.
They then tracked these people to see how many had succeeded in staying smoke-free for at least six months.
About 2,200 people used a prescription medication or nicotine replacement therapy, but the rest did not.
"The health benefits of quitting smoking are immediate and substantial. They far exceed any risks from the average 5-pound weight gain or any adverse psychological effects that may follow quitting. The benefits extend to men and women, to the young and the old, to those who are sick and to those who are well. Smoking cessation represents the single most important step that smokers can take to enhance the length and quality of their lives."
Among those who used no medication to quit, five percent managed to stay smoke-free for six months.
In comparison, 18 percent of nicotine patch users, 15 percent of people who used buproprion - an antidepressant - and 19 percent of people who used a medication called varenicline stayed off cigarettes for six months.
After taking into account factors that could affect people's success, such as how long and how heavily they had smoked, the researchers determined that buproprion and the nicotine patch were each tied to a four-fold increase in quitting success compared with those who used no medications, and varenicline to a nearly six-fold increase.
Eight percent of people who used oral nicotine replacement products, such as gum, stayed abstinent for six months.
Smoking Facts and Tobacco Statistics
1) There are 1.1 billion smokers in the world today, and if current trends continue, that number is expected to increase to 1.6 billion by the year 2025.
2) who consume approximately 1.7 trillion cigarettes a year, or 3 million cigarettes a minute.
Written and revised by
Gerald Hurowitz, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
health.am provides general information, not medical advice. Always consult a qualified health professional about your own health.
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