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Reviewed by Dr. Arjun Mehta, PharmD — Head Pharmacist. Updated May 2025.
Smokers worldwide
Higher quit rate with Rx
Standard course
Smoking remains the leading preventable cause of disease worldwide. The good news: quitting at any age extends life expectancy, and proven medications triple your chances compared with willpower alone. Combine medication with behavioural support for the best results.
Three first-line options exist: nicotine replacement therapy (patches, gum, lozenges), varenicline (Champix), and bupropion (Zyban). Varenicline has the highest success rate in head-to-head trials but is prescription-only. NRT works best when long-acting (patch) is combined with a fast-acting form (gum, lozenge, spray).
Long-acting steady release. Use full 12-week course. Combine with gum or lozenges for cravings.
Highest success rate in trials. Start 1–2 weeks before quit date. 12-week course.
Antidepressant licensed for smoking cessation. Useful in patients with low mood. Avoid if seizure history.
Typically 12 weeks. Longer courses are reasonable in those at risk of relapse.
Some weight gain is common (3–4 kg average) but is outweighed by the health benefits of quitting.
Most quitters slip several times before quitting for good. Treat any cigarette as a slip, not a failure, and continue the medication.

/our-pharmacists/arjun-mehta/ — Reviewed May 2025
This guide is reviewed every 12 months or sooner when clinical guidance changes. If you have a specific medical question, call our pharmacist team — we answer the phone, not a bot.