Q. I would like to quit smoking, but failed with the nicotine patch in the past. I heard that Zyban was helpful. Should I try it?

A. In the comparative trial that looked at the effectiveness of Zyban vs. the nicotine patch in helping quit smoking, Zyban actually had higher success rates. As long as you do not have a seizure disorder (Epilepsy) or Anorexia Nervosa or Bulimia, and are not already on Wellbutrin, you can use Zyban. One nice thing about Zyban is that once you pick your quit date, you begin Zyban one to two weeks before the quit date, and continue smoking as usual until the quit date. Zyban is taken one tab each day for the first 3 days, then twice/day for 2 to 3 months. The most common side effects are insomnia and dry mouth. Many insurers cover the cost of Zyban (about $3.00 per day).

I also would suggest utilizing the Zyban Advantage Plan (ZAP) which is free additional support services that you simply call a 1-800 # to enroll. Also, if you could attend a group smoking cessation program, quit rates tend to be higher, but you also may follow up with your personal physician for counseling.

For more info: http://www.glaxowellcome.com/

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