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Tobacco-Alcohol Treatment

Tobacco treatments generally include a variety of products that allow the user to wean himself from nicotine dependence. These products include:

  • Patches come in various strengths to tailor fit smoker need. The treatment period is anywhere from eight to ten weeks. The patches are customer friendly in that they are easy to use, automatically gives the right dose in a 24 hour period, which helps with early morning cravings. It has been noted that patches may disturb sleep patterns and do not satisfy the oral fixation that many smokers are accustomed to.
  • Gum comes in strengths of 2 mg for light smokers to 4 mg for heavy smokers. The treatment period last from one to twelve weeks. The gum method is easy to regulate dosage and has been shown to prevent overeating. The gum also acts as a substitute for oral satisfaction.
  • Spray is used once or twice an hour as required, with a treatment period from one to eight weeks, then reduce dosage by 50% for the following two weeks. The spray does give fast relief to heavy smokers. However, nasal irritation can originate at the onset of use.
  • Inhaler come in the form of cartridges and require six to twelve cartridges per day with treatment lasting anywhere from one to eight weeks. Because the inhaler is used via the mouth, it has been reported to satisfy oral fixation. For heavy smokers the inhaler may not be enough, but can be used with another treatment method. An inhaler is only given through a doctor’s prescription.
  • Bupropion is in tablet form and come in 150 mg dosage, with varying times per day intake as per doctor’s order. The smoker will begin taking this medication eight to fourteen days prior to quitting, treatment will resume anywhere from seven to twelve weeks. This method is easy to use with short term research showing remarkable improvement in reduction in urges to smoke. On the downside, this medicine can cause possible sleep disruptions, may cause headaches, risk of seizures and dry mouth.

Resource: RhodeIsland Tobacco Control Program


Alcohol treatments are more varied. Common avenues used by alcoholics are facilities that specialize in alcohol addiction, including inpatient residential programs, outpatient programs, and day-treatment programs. Alcoholics can also seek assistance from sober living homes, halfway homes, and recovery homes. There are thousands of treatment centers across the US as well as over 80 in Nebraska. In addition, support groups and 12-step programs for alcoholics are also utilized to free a user from this addiction. More information about treatment programs for alcoholics is below:

  • Inpatient residential programs are available for individuals who are clinically assessed by a health care professional. Inpatient programs are intensive in that they provide patients with 24 hour care in a concentrated program consisting of individual and group counseling, education and activities for detoxified alcoholics/addicts, and their families.
  • Outpatient-programs use a broad variety of techniques such as cognitive-behavioral therapy, problem solving groups, and twelve step programs. Outpatient programs have a low success rate with heavily addicted individuals. Those who moderately abuse drugs or alcohol and have strong support systems may find that this form of care is enough to end their drug addiction.
  • Day-treatment programs are an outpatient form of rehabilitation treatment. They are appropriate for persons who are physically and emotionally stable enough to receive treatment during the day and return to their homes during the evening.
  • Sober Living Homes, half way homes, recovery homes cater to post alcohol rehab patients. The homes provide the needed structure to live a sober life and transition back into society and employability.

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