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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Quit Smoking?

Hi! I'm sixteen years old and i have been smoking since i was eight. I smoke a pack to a pack and a half everyday!! its horrible. I really hate smoking. Ive tried to quit before and even with support I just cant seam to do it. The only times I dont have any urges to smoke are when im sick. I know that since im underage i can not get any medications to quit smoking. I was wondering what i can do here though because i really feel i can not quit without a medication. Im desperate for help!! Thanks!
P.s. ive tried nicotine patches 21mg and they didnt help me at all. =[
Mon, 22 Dec 2014
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Psychiatrist 's  Response
Hi.


I had gone through your query.
Main principle of smoking De addiction is motivational interviewing.

treatment goes Step by step.


Sudden smoking cessation can lead to psychological and physical withdrawal symptoms.

Anti craving agent can help to reduce craving like bupropion and nor tryptiline.

If you are my patients then i would like to treat with following regimen(steps)

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 require.
4. regular follow up and motivational counseling.

Better would be consult psychiatrist and get further help.

Glad to help you further.

Thank you.





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How To Quit Smoking?

Hi. I had gone through your query. Main principle of smoking De addiction is motivational interviewing. treatment goes Step by step. Sudden smoking cessation can lead to psychological and physical withdrawal symptoms. Anti craving agent can help to reduce craving like bupropion and nor tryptiline. If you are my patients then i would like to treat with following regimen(steps) 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 require. 4. regular follow up and motivational counseling. Better would be consult psychiatrist and get further help. Glad to help you further. Thank you.