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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should Tobacco Addiction Be Weaned Off?

i take avg.6 medium pouches of rajnigandha everday
i stated taking tulsi with it recently but know i feel very slow ,lazy.irritated .
i want to leave the habbit have tried many times but after few days failed to control the urge of my teeths to chew
please help and advice me so that i can leave the habbit
Mon, 19 Jan 2015
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Psychiatrist,  's  Response
Hi.

I had gone through your query.

Sudden tobacco cessation can lead to psychological and physical withdrawal symptoms.
Urge and withdrawal symptoms make you feel week and lead to take it again.Anti craving agent can help to reduce craving like bupropion and nortryptiline.

Initially for 2 weeks NRT(nicotine replacement therapy) instead of rajanigandha.

Bupropion 150 mg for 1 week then 150 mg twice in a day for 3 months.

Anxiolytic and nortyptiline if require.

regular follow up and motivational counseling for maintenance of abstinence.

Consult psychiatrist for better assistance.
Thank you.
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How Should Tobacco Addiction Be Weaned Off?

Hi. I had gone through your query. Sudden tobacco cessation can lead to psychological and physical withdrawal symptoms. Urge and withdrawal symptoms make you feel week and lead to take it again.Anti craving agent can help to reduce craving like bupropion and nortryptiline. Initially for 2 weeks NRT(nicotine replacement therapy) instead of rajanigandha. Bupropion 150 mg for 1 week then 150 mg twice in a day for 3 months. Anxiolytic and nortyptiline if require. regular follow up and motivational counseling for maintenance of abstinence. Consult psychiatrist for better assistance. Thank you.