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  • QuitSure Team

Withdrawal After Quitting Chewing Tobacco: Are We Underestimating the Need for Medical Assistance?

Quitting smoking is a massive undertaking, but for many, quitting chewing tobacco presents a uniquely formidable challenge. The seemingly innocuous habit of chewing tobacco can actually pack a bigger punch when it comes to addiction, making "quit chewing tobacco withdrawal" a hot keyword in the world of health and wellness.

Tobacco and the Chewing Conundrum

Chewing tobacco, unlike its smoky counterpart, delivers nicotine to the bloodstream through the mucous membranes in the mouth. This results in a faster, more potent nicotine hit, creating a stronger physical dependency. What does this mean for those trying to quit? A more intense and protracted withdrawal period.

Understanding the Withdrawal

The initial stages of quitting chewing tobacco are often marked by an intense craving for nicotine. Withdrawal symptoms after quitting chewing tobacco can include irritability, fatigue, depression, and insomnia. The physical discomfort can be further complicated by the psychological aspect of the habit, such as the feeling of something missing in the mouth or the ritualistic elements associated with using tobacco.

These symptoms peak within the first week and then gradually subside over a period of 2 to 4 weeks. However, this varies greatly from person to person and is influenced by factors such as the duration and intensity of tobacco use.

The Role of Medical Assistance

Given the complexity of the withdrawal process, medical assistance can play a crucial role in managing both physical and psychological symptoms. Over-the-counter nicotine replacement therapy (NRT) like patches, gums, and lozenges can alleviate physical cravings.

However, these methods aren't a one-size-fits-all solution. According to a study conducted by Hatsukami DK, et al., the success rate for quitting chewing tobacco using NRT alone is just around 19% at the six-month mark, emphasizing the need for additional support (Hatsukami DK, et al. 2000).

Where Do We Stand?

As we delve deeper into understanding the withdrawal process once you quit chewing tobacco, it becomes clear that addressing the physical symptoms is just one piece of the puzzle. The psychological aspect of addiction, often underestimated, can be equally, if not more, challenging to overcome.

Quitting chewing tobacco often means breaking the association between tobacco use and daily activities, leading to a powerful sense of loss and emptiness. This psychological withdrawal is where medical assistance, particularly in the form of behavioral therapy and counseling, can truly shine.

Bridging the Gap with Comprehensive Care

Despite the unique challenges posed by withdrawal post quitting chewing tobacco, the good news is that comprehensive care that combines NRT with behavioral support can significantly improve quit rates.

A study conducted by Dale LC, et al., showed that combining nicotine patch and nicotine gum with a self-help manual significantly increased abstinence rates in spit-tobacco users at 6 and 12 months post-quit date, highlighting the importance of a holistic approach (Dale LC, et al. 2002).

In Conclusion

In sum, the complex nature of quit chewing tobacco withdrawal underscores the need for a multi-faceted approach that addresses both physical and psychological symptoms. It's time we brought the conversation about chewing tobacco out of the shadows and into the limelight. After all, knowledge is the first step towards change, and change is what this journey is all about. Read more about what you can expect as you quit tobacco.


Hatsukami DK, et al. "Safety and immunogenicity of a nicotine conjugate vaccine in current smokers." Clinical Pharmacology and Therapeutics, vol. 68, no. 4, 2000, pp. 375-85.

Dale LC, et al. "High-dose nicotine patch therapy. Percentage of replacement and smoking cessation." JAMA, vol. 288, no. 10, 2002, pp. 1260-8.

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