Nicotine Replacement Therapy (NRT)

What is nicotine replacement therapy and what role does it play in recovery? Find out in this comprehensive article.

Table of Contents

Understanding the Scope of Nicotine Addiction

Nicotine is well known to be highly addictive, and its use comes with some serious concerns for both physical and mental health. But despite the consequences, nicotine use is widely popular, with usage options ranging from cigarettes to vapes to other tobacco products commonly known as chew or dip.
Nicotine is so popular that in 2021, 61.6 million (22%) people across the United States alone reported using tobacco products or vaping nicotine, while 43.6 million (15.6%) people reported smoking cigarettes.1 In Ohio, around 17% of adults reported smoking.2
Of those who use nicotine products, around 8.5% of Americans 12 and older are dependent on nicotine and meet the criteria for nicotine addiction.3

Our Commitment to Your Recovery

The nicotine replacement therapy (NRT) program at Arrow Passage Recovery, in Massillon, Ohio, is committed to helping people overcome addictions of all types, including nicotine, and live a healthier and more fulfilling life.

Whether it’s nicotine addiction or other substances, we’re here to help you find lasting wellness and sobriety! In this article, we’ll explore the effects of nicotine addiction and how nicotine replacement therapy is a great option for smoking cessation and overcoming addiction.

What is Nicotine Addiction?

Nicotine addiction is a complex condition characterized by intense cravings and withdrawal symptoms. It affects the brain’s reward system, making it difficult to quit despite the harmful consequences.
Understanding the nature of nicotine addiction is crucial for developing effective cessation strategies. Nicotine addiction can look differently from individual to individual, which shows how important it is to understand how nicotine works and its wide range of effects.
Nicotine is a highly addictive chemical that’s found in tobacco and vape products. It stimulates the brain to release “feel-good” chemicals, like dopamine.
These good feelings make tobacco a hard habit to break. But, even though it can make a person feel good, nicotine can come with a significant amount of health issues.

Understanding the Dangers of Nicotine Dependence

Nicotine dependence and use can lead to:
  • Emphysema
  • Chronic bronchitis
  • Heart disease
  • Stroke
  • Respiratory cancers – especially lung cancer
  • Weakened immune system
  • Increased stress
On top of the serious health concerns of nicotine use, it can also lead to both physical and psychological dependence on the substance.

Physical and Psychological Dependence on Nicotine

Nicotine addiction manifests differently in individuals. While some may primarily experience physical symptoms like cravings and irritability, others might grapple more with psychological challenges such as anxiety or depression.
Understanding these unique experiences is key to tailoring effective cessation strategies.

Physical Dependence

When people regularly use tobacco or nicotine products, their bodies start to expect it and will show signs of withdrawal when the product is no longer in their systems.
When suddenly stopping the use of nicotine, there are likely to be withdrawal symptoms, such as:
  • Headaches
  • Increased appetite
  • Trouble sleeping
  • Jitteriness or restlessness
  • Intense cravings
  • Agitation or anxiety
  • Nausea
Physical dependence can make nicotine addiction particularly difficult to overcome.4 Physical withdrawal is a significant obstacle in quitting smoking, as the body must readjust to functioning without nicotine.

Psychological Dependence

Nicotine is not only physically addicting, but it can also hold a strong grip on people psychologically. Smoking or vaping often becomes a part of daily routines being paired with things like taking a break, enjoying a cup of coffee, finishing a meal, or dealing with stress.
In general, nicotine products can be a quick way to relieve stress or anxieties. This can create a deep mental association, embedding the habit even further.

Challenges of Quitting Nicotine Use

Quitting nicotine use presents a significant challenge due to nicotine’s physical and psychological hold. Many individuals with nicotine addiction will try quitting several times before they are successful.
The path to stopping nicotine use typically involves a holistic approach, which might include:
  • Behavioral therapies
  • Support groups
  • Nicotine replacement therapy
  • Medications to ease withdrawal symptoms and curb cravings
Understanding both the physical and psychological factors of nicotine addiction is crucial for anyone aiming to end a nicotine addiction. It’s about more than just managing physical cravings; it’s also about altering daily habits and finding new ways to handle stress without resorting to tobacco use.

Underscoring the Need for NRT

Many people struggle with the intense cravings and other withdrawal symptoms when trying to go “cold turkey” or abruptly stopping nicotine use, which is where nicotine replacement therapy can help.
With persistence and the right support, such as the nicotine replacement resources available at Arrow Passage Recovery, overcoming nicotine’s hold and stepping into a healthier, nicotine-free life is entirely possible.

NRT: A Proven Solution

Nicotine replacement therapy provides smokers with a lower dose of nicotine, minus the harmful chemicals found in cigarettes.5 This helps to ease the transition away from smoking.
Nicotine replacement therapy comes in several forms, such as:
  • Patches: These are worn on the skin and deliver a steady dose of nicotine throughout the day
  • Gum and Lozenges: Chewed or dissolved in the mouth, these release nicotine quickly to counteract urgent cravings
  • Inhalers: These devices allow you to inhale nicotine vapor, mimicking the act of smoking, which can be particularly satisfying for the tactile habits associated with smoking
  • Nasal Sprays: These are often used for immediate relief and deliver a quick hit of nicotine directly through the lining of the nose

How Does NRT Work?

Nicotine replacement therapy works by providing a controlled dose of nicotine to the body without the tar, carbon monoxide, and other harmful substances found in cigarettes. This helps to ease withdrawal symptoms and reduce the urge to smoke.
NRT products have lower doses of nicotine, so they still activate the nicotine receptors in the brain, but the impact on the body is more gradual.
This controlled delivery helps to slowly wean the body off nicotine. This works by reducing the severity of withdrawal symptoms and making the process of quitting less daunting.

The Effectiveness of Nicotine Replacement Therapy

Numerous studies have shown that nicotine replacement therapy can increase the chances of quitting by 50% to 70%.6 But it does not address the mental, emotional, and social aspects of nicotine use.
By alleviating the withdrawal symptoms and reducing cravings, nicotine replacement therapy can allow individuals the ability to focus more on the behavioral changes needed to quit smoking.

Taking a Comprehensive Approach to a Nicotine-Free Life

When combined with support from healthcare professionals and smoking cessation programs, nicotine replacement therapy has been shown to nearly double the quit-success rates compared to those trying to quit without any aid.7
Nicotine replacement therapy is not only about replacing one source of nicotine with another; it’s about giving the body and mind the chance to adapt to new habits and healthier choices.
With the right approach and support, nicotine replacement therapy is a valuable tool in the journey towards quitting smoking.

Side Effects of Nicotine Replacement Therapy

Nicotine replacement therapy can be a great tool to help people quit smoking, but like many medications and treatments, it can also come with its share of side effects.
Of course, side effects do not affect everyone, and each person will react differently, but some of the potential side effects include:
  • Skin irritation, which can be common with patches
  • Mouth sores or discomfort from chewing gum
  • Throat irritation is often associated with inhalers
  • Nasal discomfort from the use of nasal sprays
  • Dizziness and headaches can occur if the nicotine dosage is too high
  • A racing heartbeat is sometimes reported by new users
  • Sleep disturbances, including insomnia or vivid dreams
If any of these things happen, don’t panic. It’s best to contact a health professional. They can help you adjust the treatment to help individuals stay on track with quitting without feeling uncomfortable.

Managing Side Effects of NRT

Like all treatments, nicotine replacement therapy can have side effects, including skin irritation from patches, mouth soreness from gum, and throat irritation from inhalers. These are generally mild and manageable.
Health professionals often help manage these by adjusting the type, dosage, or method of nicotine replacement therapy. Keeping a medical provider informed of any side effects can ensure that the benefits of quitting nicotine use outweigh the discomfort of side effects.
At Arrow Passage Recovery, we’re here to help you lead a substance-free life. We’ll help ease the potential side effects of NRT while providing the whole-person, psychological support you need for lasting recovery.

Is NRT Right For You?

While nicotine replacement therapy is widely beneficial, it’s not suitable for everyone. Those who are actively smoking or using tobacco products should not use nicotine replacement therapy. Combining nicotine replacement therapy with active tobacco use can lead to nicotine overdose.
For those who have had a recent heart attack or severe heart issues like worsening angina or arrhythmias, it’s best to avoid the use of nicotine replacement therapy. Pregnant women should also proceed with caution and only under medical advice, as nicotine can impact fetal development.
Additionally, if you’re allergic to any ingredients in nicotine replacement therapy products, they’re not the right choice for you. Always discuss your options with a healthcare provider to find the safest and most effective way to quit nicotine use.
Reach out to the Arrow Passage Recovery team for the guidance and support you need throughout the recovery process.

Addressing Common Concerns and Misconceptions

When considering NRT, it’s important that you have all the facts in order.
Here are four common myths followed by information to debunk the misconception:
  1. “Nicotine replacement therapy is as harmful as smoking:” Unlike cigarettes, NRT does not contain tar, carbon monoxide, or other harmful chemicals found in tobacco smoke. It is a much safer alternative that provides nicotine to help manage withdrawal symptoms and cravings8
  2. “NRT is addictive, and you can never stop using it:” NRT is designed to be a temporary aid in the nicotine cessation process. It helps reduce nicotine dependence gradually, and the dosage is typically tapered down under medical supervision to prevent a new long-term addiction
  3. “Nicotine replacement therapy doesn’t really work:” Research shows that NRT can double the chances of quitting nicotine successfully, especially when combined with behavioral support and counseling9
  4. “Using NRT means you’re not truly quit:” Ending nicotine use is about eliminating the harmful effects of tobacco. NRT helps manage withdrawal symptoms and reduce the urge to use, which is a legitimate method in the journey toward being nicotine-free
Addressing each misconception involves providing accurate information and reassurances about the benefits and purposes of nicotine replacement therapy.
If you or your loved one have additional questions about NRT, know that we’re here to provide you with the answers you need for knowledgeable recovery.

Arrow Passage Recovery's Outpatient NRT Therapy

Arrow Passage Recovery’s outpatient program offers a structured yet flexible treatment approach. We create our program to fit into the daily lives of our participants.
This model provides a range of therapeutic services designed to support recovery – all while allowing clients to continue living at home and maintaining daily commitments.
Our Ohio-based outpatient program includes:
Our outpatient treatment is aimed at addressing both the physical and psychological aspects of addiction. This approach helps ensure that treatment integrates smoothly with personal and professional life, supporting a balanced path to recovery.

Integration of Nicotine Replacement Therapy in the Treatment Plan

Nicotine use is very common among people dealing with substance misuse, with about 60% to 80% of those who meet the criteria for drug dependence also using nicotine.10
Since tobacco use is so widespread, Arrow Passage Recovery offers nicotine replacement therapy as part of the treatment plans for those wishing to reclaim autonomy over their lives. NRT helps ease the discomfort of withdrawal symptoms and cravings, making the quitting process more manageable.
To make the most of nicotine replacement therapy, clients are encouraged to stick closely to their prescribed plan. This can help them gradually wean off of nicotine, reducing cravings and withdrawal symptoms.

Creating a Whole-Person Treatment Plan

At Arrow Passage Recovery, our compassionate team combines nicotine replacement therapy with complementary evidence-based and holistic treatment modalities, ensuring a balanced approach to well-being.
We know that everyone has their own unique needs, goals, and experiences with substance-use and recovery. We’ll work alongside you to create a personalized wellness plan.
NRT is just one part of a comprehensive treatment approach that also includes behavioral therapies, counseling, and group sessions, providing well-rounded support for recovery.

Benefits of NRT Therapy in an Outpatient Setting

Receiving nicotine replacement therapy in an outpatient setting offers significant benefits. Some of these benefits include:
  • Flexibility: Clients can integrate treatment seamlessly into their daily lives without needing to step away from family or job responsibilities.
  • Support: Regular therapy sessions provide continuous support and adjustment of treatment plans based on individual progress.
  • Accessibility: Easier access to treatment resources and support networks helps maintain motivation and adherence to the cessation program.
At Arrow Passage Recovery, we value our client’s individual needs and histories to create a path towards successful recovery from nicotine addiction.

Looking Beyond Symptom Management

We’re here to help you heal from the inside out — so we go deeper than just treating any overarching symptoms.
Arrow Passage Recovery emphasizes a personalized approach to recovery, where treatment plans are created to meet each client’s specific needs and circumstances. This individualized strategy not only addresses nicotine addiction but also considers underlying challenges and co-occurring disorders.
By addressing the whole person and all concerns, this approach enhances the effectiveness and sustainability of recovery. This personalized, flexible approach ensures that each individual’s journey towards recovery is supported and aligns their treatment with personal health goals and lifestyle.
We’ll help you create a life you love.

The Role of Long-term Support and Behavior Modification

Quitting nicotine is not just about overcoming physical withdrawal; it requires long-term behavioral changes and support. Incorporating behavior modification strategies, such as identifying triggers and learning new coping mechanisms, is crucial.

Continuous support from healthcare providers, support groups, or alumni services can reinforce these new behaviors, significantly enhancing the likelihood of a successful quit journey. By addressing both the physical and psychological aspects of addiction, individuals can achieve a sustained recovery.

At Arrow Passage Recovery, we’re here to provide you or your loved one with the accessible and effective support you need — right here in your home state of Ohio.
nicotine replacement therapy

Take the First Step Toward a Smoke-Free Life

If you’re ready to quit smoking, there’s no better time than now to take that first step towards a healthier future. NRT, along with personalized support, can significantly increase your chances of long-term success.
Arrow Passage Recovery offers a comprehensive outpatient program that can help you manage withdrawal symptoms effectively while you continue to meet your daily responsibilities. We value our client’s needs and goals, making sure we are providing the most quality and innovative care.

Pull Back to be Propelled Forward - Like an Arrow

To learn more about how nicotine replacement therapy can fit into your life or to discuss your options for quitting smoking, contact Arrow Passage Recovery today for a consultation.

Reach us today by calling 866-850-3296 or visiting us online. Set up a time to talk about your needs and how we can support your journey to becoming nicotine-free.

Embrace the support and treatments available, and start your journey to a healthier, nicotine-free life today!

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