SpartanII said:
The Electric Hippy said:
The reason methadone works for heroin addicts and NRT does not work for nicotine addicts is because the nature of opiate withdrawl. It is brutal, and possibly lethal. Nicotine withdrawl is an empty, almost hungry feeling. Uncomfortable, yes, but no where near the ordeal that heroin/painkillers can be. If it were a kinder world, addicts of DT drugs (alcohol, opiates, etc.) would not need other supplements. Unfortunately, opiate withdrawl can kill, so it is doomed to use a replacement therapy of some sort.
You definitively state several times that NTR/E-cigs does not work, but then later say that it can work. I see your point though.
Also, opiate withdrawal is usually over-hyped by the media and movies. Being an ex-heroin IV user, I've been through the withdrawal process many times. It was pretty brutal, but never even close to life-threatening. However, for users who have medical conditions, health problems, combine opiates with other drugs, or are elderly, I could see how it could possibly be lethal.
As for the rest of your post, I think we're pretty much on the same page.:thumb_up:
In heavy users, the withdrawl process can send the body into shock, causing seizures and death. While not common, it is still justification enough to not go cold turkey on opiates, at least if you're a heavy user.
I'm not sure where I flipped flopped on my position of NRT not working. Perhaps I was not clear enough in articulating my definition of not working:
When I say that E-cigs do not work, I'm not saying it is impossible to find success with them, only that most people do not have what it takes to use that method of quitting. I've seen this case many times with my customers; they come in after years of me selling them normal cigarettes and think to themselves "Oh, I'll go the e-cig route and it will help me quit". But that never happens. What does happen is one of 3 outcomes; they
1) use the e-cig to cut down on the amount of normal cigarettes they smoke
2) use it only to get nicotine in places where they can't smoke
3) it becomes a novel toy that is soon forgotten (this was my problem)
It is very heartbreaking to hear these people come in and be proud of themselves when they boast:
Customer: "I've done it; I've quit smoking!"
Me: "Oh yeah? Good for you dude! When was your last cigarette?"
Customer: "3 days ago! I'm on the e-cig full on now"
Again, unless you quit using nicotine entirely, then you haven't quit, you've swapped. It's like trading the heroin for Oxycontin; you're still an addict. That is NRT's biggest failure; it
propagates and even encourages addict behavior to someone who is trying to quit (the e-cig is particularly bad about this)
I work at a gas station, and I've seen a lot of both camps: NRT and cold turkey, and based on my experience, more people have success quitting when they just drop cigarettes like a bad habit. Can NRT work? Yes, but it's not for most people IME. Your mileage, of course, may vary.
Peace and Love,
Electric
SpartanII said:
EDIT..
I think I see where my misunderstanding was. I'm talking about using e-cigs to tapper off nicotine and quit., you were referring to swapping one addiction for another, right?
In a way, yes. Most people set out with the intention of tapering off, but it soon becomes an addiction all in its own. They use NRT to get off cigarettes but still smoke cigarettes, rendering the NRT ineffective. It does work for some people; they can use the e-cig/patch/gum for a set amount of time and then never pick up nicotine in any form again. But those cases, IME, are very, very uncommon.