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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Ways To Wean Off The Habit Of Chewing Ghutka

hii sir iam eating gutkha from 8 years & i need to stop it now iam very much careful about my health now so i stoped eating it 1 week ago but now iam wishing it alot how to get rid of this i can stop by eating onces a week or i should stop it completely please suggess me thank you
Thu, 11 Dec 2014
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Psychiatrist,  's  Response
Hi.

I understand your concern about tobacco addiction.

Tobacco or gutka contains nicotine and sudden cessation of nicotine will lead to withdrawal symptoms. It can be avoid or prevent by gradully decrease amount of gutka over 1 month of period.

Along with that medicines like bupropion,verniciline,nortryptiline etc are very useful to decrease craving.


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 require.
4. regular follow up and motivational counseling.

Consult psychiatrist and get help.

Thank you.
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Suggest Ways To Wean Off The Habit Of Chewing Ghutka

Hi. I understand your concern about tobacco addiction. Tobacco or gutka contains nicotine and sudden cessation of nicotine will lead to withdrawal symptoms. It can be avoid or prevent by gradully decrease amount of gutka over 1 month of period. Along with that medicines like bupropion,verniciline,nortryptiline etc are very useful to decrease craving. 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 require. 4. regular follow up and motivational counseling. Consult psychiatrist and get help. Thank you.