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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Trying To Quit Smoking, Methylphenidate Heightens Cravings. Alternative?

i am trying to quit smoking , however, i take methylphenidate . this medication heightens my cravings for smoking cigarettes. is there an alternative herbal leaf to tobacco that can be smoked with out any effects at all or a placebo cigarette that is an actual cigarette that can be smoked? the main problem is the habit of oral fixation.
Thu, 4 Jul 2013
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Addiction Medicine Specialist,  's  Response
Hi,

Nice to know that you are trying to quit smoking. Methylphenidate is stimulant similar to amphetamines and is therefore associated with a risk of dependence. No herbal tobacco options are available that do not have any adverse effects. However you can try an e-cigarette which is widely available, resembles a conventional cigarette and being aerosol-based, does not produce smoke. You can use nicotine-free fluid in the cartridge if you wish. However, if you use nicotine containing fillers, you expose yourself to the harmful effects to nicotine but still get to avoid the cancer producing contents found in smoke.

Hope this has been of help. Best wishes.
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Trying To Quit Smoking, Methylphenidate Heightens Cravings. Alternative?

Hi, Nice to know that you are trying to quit smoking. Methylphenidate is stimulant similar to amphetamines and is therefore associated with a risk of dependence. No herbal tobacco options are available that do not have any adverse effects. However you can try an e-cigarette which is widely available, resembles a conventional cigarette and being aerosol-based, does not produce smoke. You can use nicotine-free fluid in the cartridge if you wish. However, if you use nicotine containing fillers, you expose yourself to the harmful effects to nicotine but still get to avoid the cancer producing contents found in smoke. Hope this has been of help. Best wishes.