Based on the Treating Tobacco Use and Dependence: 2008 Update, explain what interventions were found to be the most effect for smoking cessation

Combining counseling with medication was found to be more effective for smoking cessation than using medication without counseling. Medications used to quit smoking include Bupropion SR, Varenicline, and nicotine gum, inhalers, lozenges, nasal sprays, and patches. More than eight sessions of counseling combined with one of these medications was found to be the most effective, though medications are not recommended for adolescents, pregnant women, or those with medical contraindications. Varenicline, a medication that stimulates nicotine receptors, was found to be the most effective, though all of the medical interventions were found to have roughly the same smoking abstinence rates. Among nicotine replacements, a nicotine patch plus a gum or nasal spray was found to be the most effective combination.
The Department found that tobacco use treatments, ranging from brief clinician advice to specialist-delivered intensive programs, including medication, have been shown not only to be clinically effective but also to be extremely cost effective relative to other commonly used disease prevention interventions and medical treatments.

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