The sale of nicotine substitutes has fallen by more than 20% since the arrival of the electronic cigarette but we are now seeing a slight recovery. And consultations to help with smoking cessation are always full. Proof that not all smokers wanting to quit tobacco have found the solution that suits them. And that we should perhaps see things differently, as explained to us by Dr. Anne Borgne, the addictologist we interviewed.
What does a tobacco specialist offer to a person who wants to quit?
After an addiction assessment, we offer standard treatment which often includes a nicotine replacement (gum, patch ..) to soothe physical dependence. This decreases the signs of withdrawal (irritability, insomnia, change in appetite …) and allows you to work on behavior. These stopping aid tools therefore retain their full place to support a motivated stopping project or when the motivation to stop is low but it is absolutely necessary to stop because we have just been affected by a health problem. It is also very useful to better endure a period of smoking ban (during a long-haul flight for example).
What has changed in their use?
For a long time, it was the law of all or nothing: it was absolutely necessary to aim full stop. If it remains preferable, we are now also helping smokers who want “just” smoke less. It is estimated that fewer cigarettes per day is always good to take. Above all, it has been observed that it ends up decrease dependency and often leads to stoppages. So do not hesitate to consult for this purpose. This openness also brings in consultation people who would not have come if we asked them to stop completely. To reduce their consumption, they will take gums or patches and smoke. What is accepted today.
Are electronic cigarettes offered?
Unlike substitutes, it cannot be prescribed! But we talk about it if needed. When multiple quit attempts with substitutes have failed, e-cigarettes can boost motivation. It is possible to use it at the same time as a nicotine replacement. This makes it possible to smoke less, therefore to breathe better, and sometimes to stop.
Are substitutes covered by Health Insurance?
It covers treatment with nicotine substitutes (patch, gum, lozenge, inhaler, etc.) on medical prescription from a doctor or midwife, up to € 50 per calendar year and per beneficiary. For pregnant women, this amount is 150 €. Since September 5, 2014, young people aged 20 to 25 can also benefit from a fixed price of 150 €. Nicotine substitutes may possibly be covered by the mutual or complementary health insurance if the contract so provides.
Read also
– A little meditation to not start smoking again
– Smoking cessation: it’s easier as a couple
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