Nicotine Replacement Therapy vs. Vaping: What’s the Best Way to Quit Smoking?

Nicotine Replacement Therapy vs. Vaping: What’s the Best Way to Quit Smoking?

Every week, I speak to people who are ready to quit smoking — but feel overwhelmed by the options. Should you use a patch? A lozenge? Try vaping?

The good news is: there’s no one-size-fits-all, and just because something worked for your friend doesn't mean it's a guaranteed answer for you.

But we have more tools than ever to help you quit!

Below I talk about the main choices so you can think about what will work best for you.

What Is Nicotine Replacement Therapy (NRT)?

NRT gives you a controlled dose of nicotine—without the harmful chemicals in cigarettes like tar and carbon monoxide. It helps reduce withdrawal symptoms like cravings, irritability, and difficulty concentrating while you break the habit.

There are several forms of NRT available over the counter and through NHS stop smoking services. Each works slightly differently.

NRT Options: A Quick Guide

Type How It Works Best For Pros Cons
Patch Worn on the skin; delivers a steady dose of nicotine all day People with regular routines or morning cravings Discreet, simple, long-lasting Doesn’t tackle sudden cravings
Lozenge Dissolves slowly in the mouth Smokers who need something "to do" with their mouth Fast-acting, helps with hand-to-mouth habit May taste unusual; frequent doses needed
Sublingual spray Sprayed under the tongue; absorbs quickly Strong, sudden cravings Very fast relief (within 60 seconds), portable Can tingle or sting at first; needs frequent use
Gum Chewed intermittently to release nicotine Craving control and oral habit Keeps your mouth busy, fast-acting Some dislike the taste or texture
Inhalator Puff on a mouthpiece containing a nicotine cartridge People who miss the hand-to-mouth ritual Mimics the feel of smoking, quick relief Less discreet, frequent use needed

Most people do best with a combination, such as a patch for steady coverage plus a fast-acting option (like spray or lozenge) for breakthrough cravings.

How Does Vaping Compare?

Vaping (also called e-cigarettes) delivers nicotine as a vapour instead of smoke. It mimics the act of smoking more closely than NRT, which some people find helpful.

Pros of vaping:

  • Delivers nicotine quickly
  • Feels similar to smoking (hand-to-mouth, inhaling)
  • Wide variety of flavours and devices
  • More effective for some people who haven’t succeeded with NRT

Cons of vaping:

  • Not completely risk-free (long-term effects still being studied)
  • Some people find quitting vaping itself tricky later on
  • May not be suitable for people with lung conditions
  • Devices can be costly or confusing to start with

Important: Vaping is far less harmful than smoking, but not entirely harmless. It’s recommended for smokers trying to quit—but not for non-smokers or young people.

NRT vs. Vaping: Which Is Better?

Feature NRT Vaping
Safety record Decades of evidence, very safe Still being studied, but safer than smoking
GP/pharmacy support Widely available and supported by NHS Available but less regulated
Mimics smoking habit Inhalator helps; other forms don’t Yes—very similar
Craving relief Patch (slow), spray/lozenge (fast) Very fast
Cost Often cheaper or available on prescription Initial setup cost, then varies by device/liquid
Quit rates Effective, especially when used in combination Studies show vaping may be more effective for some

Good to know: You can combine vaping with behavioural support or even NRT (under guidance), especially if cravings are intense.

Tips for Success, Whatever You Choose

  • Set a quit date and prepare ahead
  • Avoid triggers (e.g. alcohol, stress, certain routines)
  • Get support—NHS stop smoking services can double your chances of quitting
  • Don’t be discouraged by slip-ups—they’re part of the process
  • Use enough nicotine—many people under-dose at first - your pharmacist can help you get the right first dose for you.

Final Thoughts

There’s no “right” way to quit—it’s about finding what fits your body, lifestyle and motivation. Whether you go for a patch, a spray, or a vape, the most important thing is that you’re moving toward a smoke-free future.

NRT increased your chances of successfully quitting by around 70% compared to going "cold turkey". There are other things that increase your chances too - friends and family support and also the support of healthcare professionals such as your Weldricks Pharmacist or a Stop Smoking service.

Talk to your pharmacist—we’re here to help you find your best quit method and support you along the way. You don’t have to do it alone.

FAQs

What is the difference between NRT and vaping?

NRT provides a controlled dose of nicotine through patches, gum, lozenges, sprays, or inhalators without harmful tobacco smoke. Vaping delivers nicotine as a vapour and mimics the hand-to-mouth action of smoking. Both are used to help people quit smoking.

Is NRT safer than vaping?

Yes. NRT has been used safely for decades and is supported by the NHS. Vaping is significantly safer than smoking but the long-term effects are still being studied. Both are considered much safer alternatives to smoking.

Which is more effective—vaping or NRT?

Studies suggest that vaping may be more effective for some people, particularly those who haven’t succeeded with NRT. However, NRT is proven to increase quit success by about 70% and is often most effective when combined (e.g. patch + lozenge).

Can I use NRT and vaping at the same time?

Yes, in some cases. Under the guidance of a healthcare professional, it may be appropriate to combine vaping with NRT to better manage cravings—especially during the early stages of quitting.

Is vaping available on the NHS?

Vaping products are not currently available on NHS prescription in most areas. However, the NHS supports vaping as a quitting aid, and some stop smoking services may provide guidance on using e-cigarettes safely.

What NRT products are best for sudden cravings?

Fast-acting NRT options such as nicotine lozenges, sublingual sprays, or gum are best for dealing with breakthrough cravings. They deliver nicotine quickly to reduce withdrawal symptoms.

How long should I use NRT or vape when quitting?

Most people use NRT for 8–12 weeks, gradually reducing the dose. With vaping, there's no set duration, but the goal should be to stop vaping over time. A pharmacist or stop smoking advisor can help you create a quit plan.

What are the side effects of NRT and vaping?

Common NRT side effects include skin irritation (patches), mouth discomfort (gum/lozenges), or throat irritation (sprays). Vaping can cause dry mouth, cough, or throat irritation. Both are generally well tolerated compared to smoking.

Can I quit smoking cold turkey instead?

You can, but success rates are much lower. NRT and behavioural support can double your chances of quitting. Vaping also increases success rates for many people who have struggled with other methods.

Where can I get help to quit smoking?

You can get personalised support from your local Weldricks Pharmacy or your nearest NHS stop smoking service. Many services offer free nicotine replacement therapy and advice tailored to your needs.

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