Quitting smoking: How to quit
Visit Tools for a smoke-free life for additional resources including videos and an online quit planner tool.
Learn about the many ways to quit smoking. What could work for you? The right combination of tools and support can almost triple your chances of success!
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Methods to quit smoking
A common approach to quitting smoking includes finding support, picking a date, making a quit plan and sticking to it! That said, you are unique and your approach should be too. Choose from a number of different methods, used alone or in certain combinations.Footnote 1
What's the best way to quit smoking?
Studies show the following combinations of tools and support can nearly triple your chances of successFootnote 2:
- Varenicline medication and counselling
- Combining nicotine replacement therapies (NRT): long-acting (patch) and short-acting (gum, lozenge or inhaler)
Studies show that using any one of the following can almost double your chances of success:
- A single form of NRTFootnote 3
- Bupropion medicationFootnote 4
- CounsellingFootnote 5
These proven methods are a great place to start, but there are other options to consider as well. After all, the best way to quit smoking is whatever works for you.
Counselling
Quit counsellors (or "quit coaches") give confidential one-on-one support to people interested in quitting smoking. Whether in-person, online, by text or by phone, they can help you develop a structured quit plan, answer your questions about quitting and refer you to services in your community.
Reach a quit coach by consulting provincial and territorial services or calling 1-866-366-3667
Nicotine replacement
Nicotine replacement therapy (NRT) is a proven method that can greatly improve your odds of quitting success.Footnote 6 It can help ease the physical withdrawal symptoms when you quitFootnote 7, so you can focus on your goals without worrying about cravings.
NRT is available in long-acting and short-acting forms, each with their own purpose. The long-acting form provides a baseline amount of nicotine to the body over a longer period of time. Short-acting types deliver nicotine quickly, allowing you to deal with cravings in the moment.
Yes, long-acting and short-acting forms can safely be used together when used correctly. In fact, this combination is likely to boost your success. Eventually, taking NRT less and less frequently will help wean your body off nicotine.
- nicotine patch (long-acting) delivers a slow, steady-stream of nicotine into your body through a small sticker on your skin. It's available in different strengths, so you can control your withdrawal symptoms and cravings by gradually reducing your body's dependence on nicotine.
- nicotine gum delivers nicotine to your body quickly. It's not chewed like ordinary gum; the nicotine is absorbed through your gums and cheek, so you need to bite the gum a few times and then keep it against your cheek for it to work correctly.
- nicotine inhaler delivers nicotine quickly through a plastic cylinder or cartridge held between your fingers. You puff on the inhaler and nicotine vapour is released and absorbed through the lining of your mouth and throat instead of your lungs. It may also help by mimicking the hand-to-mouth routine of smoking. Unlike vaping devices or e-cigarettes, inhalers do not use heat to generate aerosol.
- nicotine lozenges release nicotine quickly as the tablet dissolves in your mouth, similar to a hard candy. You rest the lozenge against your gums, moving it occasionally to another spot.
You can buy NRT without a prescription from your local pharmacy. Getting advice on how to use it effectively can help you succeed. A quit coach or counselor can share the availability of programs that provide NRT in your area - some even offer free NRT. Reach one by consulting provincial and territorial services or calling 1-866-366-3667
Prescription medication
Prescription medications, such as varenicline or bupropion can help ease your withdrawal symptoms and reduce your urge to smoke. They have different actions but both change the way that parts of your brain react to nicotine. Some medications are taken before you actually quit smoking, and some can be taken with other methods like the patch or nicotine gum. It depends on which prescription and program your doctor recommends.
Prescription medications can have side effects but your doctor can recommend the right course of action should you experience any.
Cytisine (a natural health product)
Cytisine is an organic compound derived from the golden rain plant (Cytisus laburnum) that works by partially blocking the receptors in the brain that recognize nicotine. It has been approved for smoking cessation in Canada since 2017 as a natural health product. Evidence suggests that cytisine is a safe, efficacious, and cost-effective option.Footnote 8
Cytisine is available for purchase without a prescription at select pharmacies and online directly from the manufacturer. However, your doctor or pharmacist can still help you decide if it is the right option for you. Closely following the specific dosing instructions is important to quit success.
Advantages of using approved quit aids (NRT, medications, cytisine)
Quit aids that are approved for therapeutic use or as natural health products under the Food and Drugs Act:
- Include forms of NRT, the safest and least addictive way to use nicotine
- Include effective medications and other non-nicotine based products
- Have undergone stringent safety testing
- Most have been in-use for many years
- Have specific guidelines that guide their use
- Have well-known main effects and potential side effects
Sudden attempt or "Cold turkey"
Quitting "cold turkey" means to immediately stop smoking without the help of medication or any form of NRT. It's a method that works differently for everyone. Some people manage their withdrawal symptoms better than others. If you're planning to quit cold turkey, make sure you know what to expect in terms of potential withdrawal symptoms and how to manage the cravings.
Self-help
Self-help quitting guides can range from books, to audio recordings, to online and spiritually based programs. Health Canada offers free self-help guides for you to try. You can also check out a variety of mobile apps and text support services to help you quit smoking.
Vaping and quitting smoking
Vaping products (or e-cigarettes) are currently regulated as consumer products. To date, none have been approved in Canada as therapeutic products for smoking cessation. While vaping has risks, these products may reduce health risks for people who smoke who can't or don't want to quit using nicotine as they deliver nicotine in a less harmful way than smoking cigarettes. Studies suggest that vaping nicotine may be more effective for smoking cessation than NRT or counselling alone.Footnote 9
Hypnosis, laser therapy, and acupuncture
Though some people report successfully quitting smoking by using other alternative methods, there is limited scientific evidence that hypnosisFootnote 10, laser therapyFootnote 11, and acupunctureFootnote 12, help people quit smoking successfully.
How to quit while pregnant or nursing
Quitting during pregnancy or while nursing requires a tailored approach that is best planned with your healthcare provider. Products that contain nicotine like lozenges or gum, though considered safer than continuing to smoke, are typically recommended only if nicotine-free approaches are unsuccessful. Vaping is not recommended while pregnant or nursing. If trying to quit on your own, you can try nicotine-free approaches like using self-help resources or quitting cold-turkey, or cutting-back the number of cigarettes before quitting.
Free quit counselling, coaching and other services in your province or territory
Making a quit plan
What tools or resources will you try? How will they fit into your overall approach? Making a quit plan will help you answer these questions and learn from past experience to improve your chances of success. A solid plan should be written down because it requires you to think more carefully about what you need to do and how you will do it.
Watch the video on how to make a quit plan
Try our Quit Planner Tool (<10min.)
Footnotes
- Footnote 1
-
U.S. Department of Health and Human Services. (2020). Smoking Cessation. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease.
- Footnote 2
-
Cahill K, Stevens S, Perera R, Lancaster T. (2013). Pharmacological interventions for smoking cessation: an overview and network meta‐analysis. Cochrane Database of Systematic Reviews 2013, Issue 5. Art. No.: CD009329. DOI: 10.1002/14651858.CD009329.pub2.
- Footnote 3
-
Cahill K, Stevens S, Perera R, Lancaster T. (2013). Pharmacological interventions for smoking cessation: an overview and network meta‐analysis. Cochrane Database of Systematic Reviews 2013, Issue 5. Art. No.: CD009329. DOI: 10.1002/14651858.CD009329.pub2.
- Footnote 4
-
Cahill K, Stevens S, Perera R, Lancaster T. (2013). Pharmacological interventions for smoking cessation: an overview and network meta‐analysis. Cochrane Database of Systematic Reviews 2013, Issue 5. Art. No.: CD009329. DOI: 10.1002/14651858.CD009329.pub2.
- Footnote 5
-
Lancaster T, Stead LF. (2017). Individual behavioural counselling for smoking cessation. Cochrane Database of Systematic Reviews, Issue 3. Art. No.: CD001292. DOI: 10.1002/14651858.CD001292.pub3.
- Footnote 6
-
U.S. Department of Health and Human Services. (2020). Smoking Cessation. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease.
- Footnote 7
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Wadgave, U., Nagesh, L. (2016). Nicotine Replacement Therapy: An Overview. International journal of health sciences, 10(3), 425-435, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5003586
- Footnote 8
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Karnieg, T., & Wang, X. (2018). Cytisine for smoking cessation. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 190(19), E596. https://doi.org/10.1503/cmaj.171371
- Footnote 9
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Hartmann-Boyce J, Lindson N, Butler AR, McRobbie H, Bullen C, Begh R, Theodoulou A, Notley C, Rigotti NA, Turner T, Fanshawe TR, Hajek P. Electronic cigarettes for smoking cessation. Cochrane Database of Systematic Reviews 2022, Issue 11. Art. No.: CD010216. DOI: 10.1002/14651858.CD010216.pub7.
- Footnote 10
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Dickson-Spillmann, M., Haug, S., Schaub, M. P. (2013). Group hypnosis vs. relaxation for smoking cessation in adults: a cluster-randomised controlled trial. BMC public health, 13, 1227. https://doi.org/10.1186/1471-2458-13-1227
- Footnote 11
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Yiming C, Changxin Z, Ung WS, Lei Z, Kean LS. (2000). Laser acupuncture for adolescent smokers--a randomized double-blind controlled trial. Am J Chin Med., 28(3-4), 443-449. doi:10.1142/S0192415X00000520
- Footnote 12
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Wang, J. H., van Haselen, R., Wang, M., Yang, G. L., Zhang, Z., Friedrich, M. E., Wang, L. Q., Zhou, Y. Q., Yin, M., Xiao, C. Y., Duan, A. L., Liu, S. C., Chen, B., & Liu, J. P. (2019). Acupuncture for smoking cessation: A systematic review and meta-analysis of 24 randomized controlled trials. Tobacco induced diseases, 17, 48. https://doi.org/10.18332/tid/109195
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