Comparing Stop-Smoking Medicines

Comparing Stop-Smoking Medicines

British Columbia Specific Information

The BC Smoking Cessation Program helps eligible B.C. residents stop smoking or using other tobacco products by assisting with the cost of smoking cessation prescription drugs or nicotine replacement therapy (NRT) products. For more information about the program, including how to get started, visit BC Smoking Cessation Program. For information about the health risks from smoking, tips on how to quit, an overview of smoking cessation aids, and more, see our Quit Smoking health feature. For more tools and resources to help you quit smoking and remain smoke-free, visit Quit Now.

Topic Overview

Several medicines can help you stop smoking. You can take medicine to reduce your craving for nicotine. You also can use nicotine replacement products to reduce cravings and give you smaller and smaller amounts of nicotine.

Your doctor can help you decide which medicine—or combination of medicines—will work best for you. Most people find that it helps to use more than one at the same time. If you have health problems or are pregnant, you may not be able to use some of these medicines.

Medicines used to stop smoking

What it is and how it works

Pros and cons

Varenicline (Champix)

  • It's a pill that helps reduce the craving for nicotine.
  • It blocks the effects of nicotine if you smoke while taking it. So this makes smoking less pleasurable.
  • You will need a prescription.

Pros:

  • It doubles or triples your chances of quitting.
  • It's easy to use.
  • While taking varenicline, some studies show that people have a better chance of quitting when they stop smoking a little bit at a time.

Cons:

  • Health Canada warns that you should stop taking the medicine and call your doctor right away if you feel depressed, suicidal, or very angry while taking it.
  • Side effects include nausea, insomnia, abnormal dreams, and feeling very tired.
  • You might not be able to take it if you have certain health conditions, such as kidney disease.
  • There may be a small increase in risk for heart problems (including heart attack).

Bupropion (Zyban)

  • It's a pill that helps reduce the craving for nicotine.
  • You will need a prescription.

Pros:

  • It doubles your chances of quitting.
  • It's easy to use.

Cons:

  • Health Canada warns that you should stop taking the medicine and call your doctor right away if you feel depressed, suicidal, or very angry while taking it.
  • You might not be able to take it if you have certain health problems, such as seizures or an eating disorder, or if you abuse alcohol.
  • Side effects include dry mouth, trouble sleeping, dizziness, upset stomach, and (in rare cases) seizures.

Nicotine patch

  • The patch sticks to your skin to slowly release nicotine into your bloodstream.
  • You don't need a prescription.

Pros:

  • It doubles your chances of quitting.
  • It's easy to use. You put it on once a day.

Cons:

  • Side effects include a rash where you wear the patch, insomnia (if using 24-hour patch), and nausea.

Nicotine gum or lozenge

  • It releases nicotine slowly in your mouth.
  • You don't need a prescription.
  • Heavy smokers do best with the strongest form (4 mg of nicotine).
  • If you are using the patch, adding gum or a lozenge can give you extra help.

Pros:

  • It doubles your chances of quitting.
  • You can use it whenever you have a craving, as long as you don't exceed the daily dose.

Cons:

  • Gum can taste bad (but mint and citrus flavours are available).
  • Gum can cause a tingling feeling on the tongue, nausea, or heartburn.
  • Lozenges can cause upset stomach, heartburn, nausea, or gas.
  • You will need to avoid beverages (especially coffee, juices, and soda pop) for 15 minutes before and after use. If you don't, your body may not absorb the nicotine as well because of the acid in the drinks.

Nicotine inhaler

  • It delivers a puff of nicotine vapour into your mouth and throat.
  • You don't need a prescription.
  • If you are using the patch, adding an inhaler can give you extra help.

Pros:

  • It doubles your chances of quitting.
  • You can use it whenever you feel stress, as long as you don't exceed the daily dose.
  • It satisfies the need to have something in your mouth to take the place of a cigarette.

Cons:

  • Side effects include cough, scratchy throat, and upset stomach.
  • It may not be a good choice if you have asthma, allergies, or sinus problems.
  • You'll need to puff often to feel an effect.

Credits

Current as of:
October 28, 2021

Author: Healthwise Staff
Medical Review:
Adam Husney MD - Family Medicine
Brian D. O'Brien MD - Internal Medicine
Kathleen Romito MD - Family Medicine
Elizabeth T. Russo MD - Internal Medicine
John Hughes MD - Psychiatry