Beat
That Smoking Habit
(HealthScout)
-- When it comes to smoking, quitters always win. But as many
Americans know, it often takes more than one try to kick the habit.
Now researchers
have encouraging news for people who've used the only prescription
drug approved to help smokers quit, only to start puffing again:
You have another chance.
The drug is
called bupropion and it's the only non-nicotine medication that's
been approved as a stop-smoking treatment. But far from being
a magic bullet, bupropion, marketed by GlaxoSmithKline in the
United States as Zyban, is only an aid. The pharmaceutical company
funded the study.
"We're actually
unsure what the exact mechanism of bupropion is," says David Gonzalez
of the Oregon Health Sciences University in Portland, "but what
it does is reduce cravings, blunt symptoms of withdrawal and allow
people to be more comfortable while they're quitting smoking."
Gonzalez studied
450 adult smokers who had been unable to quit or who had relapsed
after treatment with bupropion. They were randomly picked to be
re-treated with bupropion or to get a placebo.
After seven
weeks, 27 percent of smokers taking bupropion were tobacco-free,
compared to just 5 percent who received a placebo. At 12 weeks,
20 percent of the subjects taking bupropion were still not smoking,
compared with 3 percent in the placebo group.
Gonzalez presented
his findings recently at the annual meeting of the Society for
Research on Nicotine and Tobacco in Seattle.
"Even if you've
used bupropion before, or possibly even another quit-smoking product,
you can be re-treated successfully with bupropion," says Gonzalez.
More than 30 percent of people have long-term success after their
first try with the drug, he says.
"Smokers,
like the rest of us, are looking for a medicine that will potentially
take all the symptoms of withdrawal away and help them to go from
smoking to non-smoking with no discomfort. And some patients do
get discouraged because we don't have anything like that," says
Gonzalez.
Dr. John Slade,
chairman of the American Society for Addiction Medicine's committee
on nicotine dependence, says few first attempts succeed.
"Rather than
think of an unsuccessful first-time quit attempt as a failure,
it's better to think of it as a first-time intervention in a disease
that's often been present for decades. Most people have repeated
attempts to stop smoking before they succeed," says Slade.
Slade says
the findings can be a wake-up call to physicians and patients.
"It's a reminder
to clinicians that people should treat tobacco dependence like
the chronic disease that it is, and keep coming back to the tools
that work," he says.
Smoking results
in an addiction to nicotine. But it's also a behavior pattern
that needs to be changed, experts say.
"Nicotine
dependence is a chronically relapsing kind of disease," says Gonzales.
"Quitting is akin to a sort of learning theory. You learn more
about yourself each time you quit and why you keep going back
to smoking."
Gonzales advises
smokers to prepare a plan to quit and seek a doctor's advice.
He also says enrolling in a smoking cessation program, along with
taking medication, can help considerably.
For
advice and information on smoking cessation, visit the
American Heart Association. To learn more about bupropion,
visit the
National Institutes of Health.
Reference
Source 101
For
more information on how to prevent other diseases, use
PreventDisease.com's "Quick
Prevention Resources".
|