I was talking to a doctor about smoking. He explained to me that smokers are very picky about the amount of nicotine in their system. When monitored, smokers will smoke another cigarette when their nicotine level drops to their minimum level -- inhaling more deeply until it's on target again, then finishing the cigarette with shallower inhales.
Chantix and other smokers' quitting medications deliver a set dosage of nicotine to one's system, dropping it down gradually until one is weaned from the physical addiction. But it's one-size-fits-all.
Why isn't this medication tailored to the individual? That would seem to be a no-brainer. Your thoughts?
Actually, Chantix doesn't deliver nicotine. It blocks the receptors that find it enjoyable.
It is also probably the most psychologically dangerous drug on the market. When it was released, it immediately began causing episodes of severe depression and psychosis, suicidality, and even homicidal urges.
But back to nicotine release. I don't think it would make any difference, and here's why.
People drastically over-simplify what smoking addiction is. It's not all -- or even mostly -- about nicotine. And this is why nicotine therapy usually fails, even at high doses.
Cigarettes contain MAOI's. Sound familiar? It should. We sell MAOI's commercially as anti-depressants. And they are really, really addictive. Coming off them has to be done slowly, and it's often pretty painful. A lot of people are WAY more addicted to that than they are to nicotine.
Nicotine is addictive, but in truth, MAOI's are much more so.
In addition to that, the entire habit of smoking is almost idyllically relaxing. It's based on breathing. Breathing in toxins, yes, but still -- deep breathing. And occupying your mouth. And being alone for a few minutes. The habit would still be relaxing even if you took the cigarette out of the equation and just performed the same motions. And for some people with compulsive tendencies, the HABIT is what they're most addicted to.
I do NOT recommend e-cigarettes for safety reasons and they've recently been shown to give off metal particles and a lot of other fun stuff, but I have seen some people quit cigarettes using a zero-nicotine e-cigarette, simply because the habit is what they're really addicted to.
So you've got, at a minimum, three things involved here:
You have nicotine. Somewhat addictive, and it's also a concentration enhancer, so some people feel it helps them work and socialize.
You have MAOI's. Profoundly addictive, and an anti-depressant and anti-anxiety med. This is why so many mentally ill people smoke, and this is why so many people have a crisis when they quit.
You have the habit. For some, this is also very addictive. The entire routine is very relaxing. Even a non-smoker might come to enjoy pantomiming smoking.
The truth is that none of the mainstream quit-smoking aids are even BEGINNING to address the real addictions smokers have. It's as if they aren't even trying, honestly. And rather than try harder, they just release a drug that doesn't seem to do anything but make people psychotic and suicidal.
Sometimes the incompetence of it all is so bad that it makes me wonder if they're just trying to kill smokers faster.