Product	Patches	Gum	Spray	Inhaler	Bupropion
Treatment Period	Preferably 8-10 weeks	Up to 12 weeks	Up to 8 weeks, then reduce the dose by 50% for 2 weeks	As for spray	7 to 12 weeks. Start taking 8 to 14 days before quitting.
Dosage	Various strengths for heavy and light smokers depending on brand. Choose between 24 and 16-hr. patches.	4mg for heavy smokers, 2mg for lighter smokers. 10-15 pieces a day.	Dose once or twice an hour as required (don’t use more than 64 sprays in 24 hrs.).	6 to 12 cartridges per day.	(Day 1 to 3) 1 x 150mg tablet each morning. (Day 4 onwards) 1 x 150mg tablet a.m. and p.m.
Pros	Very easy to use. Automatically gives the right dose. 24-hr patches can help with early morning cravings. Not addictive in the long term.	Easy to regulate dose. Can help prevent overeating. Gives extra help at difficult moments.	Gives fast relief to heavy smokers. Easy to adjust dose.	Helps keep hands and mouth busy. Easy to regulate dose. Could help prevent overeating.	Good short-term research results. Easy to use. Noticeable reduction in urges to smoke.
Cons	24-hr patches may disturb your sleep. Not orally gratifying. Small possibility of skin reaction.	Tricky with dentures. Need to use correctly	May cause nasal irritation at first. Dependence more likely. Requires doctor’s prescription	May not suffice for heavy smokers if used alone. May attract attention when used in public. Requires doctor’s prescription.	Possible sleep disruption. Seizure risk. May cause headaches & dry mouth. Requires doctor’s prescription.

JSI is the consulting firm hired by the Rhode Island Department of Health to provide quit smoking services to Rhode Islanders. JSI has become a recognized leader in the implementation of improvements in health care services. The ultimate objective of JSI's information dissemination and tobacco treatment activities is to improve public health by preventing and reducing the toll of tobacco-related illness. JSI’s Try-To-Stop Tobacco Resource Center of Rhode Island features toll free Helplines 1-800-Try-To-Stop (1-800-879-8678) and 1-800-8-Déjalo (1-800-833-5256) which expands access to care by making tobacco treatment available to smokers who might not otherwise receive assistance in quitting.

Highlights

For Physicians:
Treating Tobacco Use and Dependence
This Summary is from the updated guideline, Treating Tobacco Use and Dependence, which reflects new, effective clinical treatments for clinical treatment of tobacco dependence. Get free patch, free gum, free counseling call 1-800-Try-To-Stop (1-800-879-8678). For Spanish services Ya No Fumo! Call 401-728-5920

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