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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Quitting Smoking Harm Mentally?

Hi Doctor!!I am male 32 years old having weight 73 kg. I left smoking 13 month ago. I did not face any problem except one. Is there any effect of quitting smoking on brain? I can not concentrate. I am no more hard working. I am no more enthusiastic. Sometimes I cannot remember the small small things. If these are the effect of quitting smoking. Please tell me how to overcome from these? I t really affecting my research life. I am really frustrated about this. Please help me. I do not have any other physical problem.
Mon, 19 Jan 2015
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Psychiatrist,  's  Response
Hi

I understand your concern.

Sudden smoking cessation can lead to psychological and physical withdrawal symptoms.Psychological symptoms are more prominent like craving and anxiety features.
Anti craving agent can help to reduce craving like bupropion and nor tryptiline.
Anxiolytic in initial phase can be useful.

If you are my patients then i would like to treat with following regimen.

1. Initially for 2 weeks NRT(nicotine replacement therapy)
2.Bupropion 150 mg for 1 week then 150 mg twice in a day for 3 months.
3.Anxiolytic and nortyptiline if requir.
4. regular follow up and motivational counseling.

so consult psychiatrist and get proper advise to quit smoking.

Thank you.
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How Can Quitting Smoking Harm Mentally?

Hi I understand your concern. Sudden smoking cessation can lead to psychological and physical withdrawal symptoms.Psychological symptoms are more prominent like craving and anxiety features. Anti craving agent can help to reduce craving like bupropion and nor tryptiline. Anxiolytic in initial phase can be useful. If you are my patients then i would like to treat with following regimen. 1. Initially for 2 weeks NRT(nicotine replacement therapy) 2.Bupropion 150 mg for 1 week then 150 mg twice in a day for 3 months. 3.Anxiolytic and nortyptiline if requir. 4. regular follow up and motivational counseling. so consult psychiatrist and get proper advise to quit smoking. Thank you.