Is Chantix better than nicotine replacement?

August 1st, 2008 by Kurt Niland

Smoking cessation today isn’t as simple as it used to be. Years ago, smokers had a couple of choices: cold turkey or hypnotherapy. Then, as awareness about the dangers of smoking grew, thanks to efforts by the government and independent health groups, so too did the number of smoking cessation aids. First came prescription-only nicotine gum, which was quickly succeeded by a procession-soon-to-be-explosion of over-the-counter therapeutic nicotine — gum, patches, lozenges. In 1997, the approved bupropion (a.k.a. Zyban/Wellbutrin) for use in smoking cessation. Meanwhile, all sorts of gadgets and gimmicks flooded the market. And then came Chantix.

Heralded by many doctors and other experts as the most promising smoking cessation aid yet developed, for the unique way in which it blocked nicotine from reaching key receptors in the brain, Chantix was set to take over the stop-smoking world. The prevailing attitude seemed to be “it’s high tech, therefore it’s better.”

But is Chantix better? A study comparing the effectiveness of to NicoDerm CQ reveals that in the short term, yes, is better. In the long term, however, the same study indicates there is no difference. The study randomly administered either 12 weeks of or 10 weeks of the NicoDerm patch to 746 participants and followed their progress for a year. showed a higher rate of success over NicoDerm during the last 4 weeks of treatment. After a year, however, the rates of success were statistically the same.

While browsing the web for the latest news about , I come across a lot of emails, blog posts, and reader comments written by people who are taking or are considering taking it. It occurred to me today that this blog could serve as a forum for discussing smoking cessation methods and comparing them to . As a former user of , I actually have more than the -recommended 12-week experience with the drug, but that’s another story and I’ll save it for another post!

  • It's always interesting to see just how fast the FDA backtracks on former approvals. I hope no one was seriously injured or harmed from this. In some ways, you've got to wonder if it is safer to keep smoking.
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