minyan gal – “The Chantix instructions clearly state that a patient may not use any type of nicotine replacement while taking the medication.”
These instructions are from the company to protect them from lawsuits. – It doesn’t necessary mean it’s medically correct.
Here is an abstract from a medical article -Take it or leave it:
“Combination treatment with varenicline and nicotine replacement therapy
1.Jon O. Ebbert, M.D., M.Sc., Mayo Clinic College of Medicine, Rochester, MN
2.Michael V. Burke, Ed.D., Mayo Clinic College of Medicine, Rochester, MN
3.J. Taylor Hays, M.D., Mayo Clinic College of Medicine, Rochester, MN
4.Richard D. Hurt, M.D., Mayo Clinic College of Medicine, Rochester, MN
* Received June 23, 2008.
* Accepted November 8, 2008.
Abstract
Introduction: A paucity of data exists regarding the safety and effectiveness of combination treatment with varenicline and nicotine replacement therapy (NRT).
Methods: We reviewed the clinical experience of two groups of cigarette smokers enrolled in a residential tobacco treatment program: (a) patients receiving combination treatment with varenicline and NRT (N = 104) and (b) usual-care patients receiving treatment before the release of varenicline (N = 135).
Results: (Didn’t copy – look up yourself)
Discussion: Our findings suggest that combination therapy with varenicline and NRT is safe and well tolerated among patients in a residential tobacco treatment program.
I would assume this would apply to outpatient therapy too.
You can also combine NRT with Zyban.
“where I live, there is no such thing as addiction therapy for smoking.”
There is something called “quitlines”. If you can’t find a therapist, you can use the phone for therapy!
“As for the patch, I can use that but cannot use the gum because of dental difficulties.”
NRT consists of: patches, gum, lozenges, spray and inhalers.
Try combining the patch with any of the last three.
WHEN THERE IS A WILL -THERE IS A WAY! (Or a lot of relatives.)
Maybe Hashem sent you here for me to be the right messenger.