Methods of quitting\nCold Turkey method\nNicotine Replacement Methods (Patch, Gum, Nasal Spray)\nBehavioral Methods\nCognitive Therapy Method\nOther Methods and adjuncts (acupuncture, hypnosis, medications)\nFactors for relapse while in the process of quitting\nPredictors of successful quitting\nCold turkey method\nThis is the prefered method used by so called self changers, people who quit on their own and without any nicotine replacement by gum, patch or nasal spray. Little is known about this method as any research study would influence the results as it would no longer be a spontaneous process. Strong motivational factors are believed to play the foremost role in successful quitting using this method.\nNicotine replacement therapy\nIn this method the nicotine delivered by the cigarette is replaced with nicotine delivered through the skin (transdermal nicotine or nicotine patch) , the nasal mucosa (nicotine nasal spray) or the buccal mucosa (nicotine chewing gum). Several well designed clinical trials have shown the efficacy and safety of nicotine replacement the goal of which is to reduce cravings and ease withdrawal symptoms.\n\n      Transdermal Nicotine Patches\n      The nicotine patch is usually well tolerated, and provides constant, steady nicotine blood levels throughout the day and night when worn. They are quite simple to use, help prevent weight gain, cravings, and nicotine withdrawal symptoms and are socially acceptable\n      Side Effects of the patch\n      Patches may cause a local skin reaction,and insomnia with nightmares may occur.\n\n      Overdosing in nicotine is possible, especially if a person smokes while wearing the patch. Smoking while wearing a patch is dangerous and may lead to stroke or heart attack.\n      Use of the patch requires abstinence from tobacco products...i.e. no smoking or chewing tobacco.\n\n      Cost\n      Patches are expensive and cost close to $100 per month of use.\n      However bear in mind that smoking 1 ppd costs $1000 per year, which multipied by 10 years approximates the price of a car.\n      Some people are tempted to cut the patch to save money. Nicoderm is the only patch that can be cut without destroying the patch's ability to deliver nicotine through the skin to the bloodstream reliably.. It is not unsafe to cut the other patches as far as I know. However cutting the other patches impairs the transdermal drug delivery system, and may not provide reliable blood levels of nicotine. the key word here is reliable.\n\n      The total dose of nicotine in the patch does not correlate at a milligram to milligram equivalency to the dose delivered to the bloodstream. The drug delivery system of the patch ensures that nicotine is transported thru the skin at a constant rate, and e ach manufacturer uses a different patented technology to do this. Only a portion of the total nicotine contained in the patch is transported thru the skin. Individual differences in skin thickness, location of the applied patch, and other related factors play a role in the total dose delivered.\n      3 Step Tapering Method of using the patch\n          o The 21 mg patch is worn daily for 6-8 weeks for quitters who smoked an average of 1 ppd ( 2 ppd quitters may require 2 patches to alleviate cravings and withdrawal symptoms)\n          o The 14 mg patch is then worn daily for the next 2 to 4 weeks if the ex smoker remains confident in his or her ability to not smoke and if urges or cravings to smoke are controlled.\n          o The 7 mg patch is then worn for 2-4 weeks if the same criteria as above are met.\n          o In the absence of cravings and urge to smoke the patch is then stopped entirely.\n\n      It is important to individualize the tapering method . . . Some people require longer periods of use, others shorter. If cravings intensify , return to the next higher dose of the patch.\n\n      Types of nicotine patches\n            Nicotrol\n            15,10,5 mg 16 hour patches\n     
What are some good ways to stop smoking cigarettes.?