Górki 17A, 60-204 Poznań
Opening hours:Mon - Sun: 8:00 AM - 8:00 PM
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In the United States, 70 percent of smokers want to quit, and every year 40 percent stop smoking for at least one day. Of those who try to quit on their own, 80 percent go back to cigarettes within a month, and only 3 percent of smokers quit for good each year. These figures come from a US review of research on nicotine dependence.
This is due to nicotine's effect on the brain. Nicotine stimulates nicotinic receptors and increases dopamine release. With daily smoking, the brain adapts to it, so stopping cigarettes causes irritability, low mood, restlessness and anxiety, and in some people a feeling that nothing is enjoyable. Withdrawal-related anxiety and stress strongly encourage a return to smoking, and another cigarette briefly relieves them.
The World Health Organization classifies nicotine dependence, also called nicotine addiction, as a disease and describes it in ICD-10 under code F17.2 and in ICD-11 under code 6C4A.2. Tobacco-related diseases are caused mainly by other components of smoke, but it is nicotine dependence that makes a smoker inhale them for years. That is why we treat it like other forms of dependence, with sessions with an addiction therapist and, if the doctor recommends one, a medicine. A patient whose mood clearly worsens after quitting tells the doctor, and suicidal thoughts need immediate medical help.
Quitting smoking extends life even for people who have smoked for many years. According to the WHO, a person who stops smoking at around the age of 50 gains about 6 years of life, and at around the age of 60 about 3 years. After 10 years without cigarettes, the risk of cancer of the mouth, throat, oesophagus, bladder, cervix and pancreas also falls.
Other members of the household also gain from quitting. A parent who stops smoking protects their child from tobacco smoke, which increases the risk of lower respiratory tract infections and middle ear disease.
At Nasz Gabinet in Poznań, patients do not have to face quitting alone, even if they are still considering whether to try. After smoking a cigarette or experiencing side effects, patients can arrange an earlier appointment at ul. Górki 17A or by video in the app.
In Poznań, medical consultations take place at Nasz Gabinet, ul. Górki 17A, daily from 8:00 to 20:00, or by video in the app. No referral is needed. We also treat residents of Gniezno, Piła, Leszno and Konin through the app. At the end of the consultation, the doctor decides whether to recommend medication and when treatment should start.
Patients purchase one of two treatment options in the app. The Anti-Nicotine Course costs PLN 350 and includes a medical consultation with an e-prescription for the selected medicine. The Anti-Nicotine Treatment Plan costs PLN 2499 and combines a consultation, prescriptions for 3 months of medication and 10 addiction therapy sessions. Patients fill the e-prescription at a pharmacy and pay for the medicine separately.
No. The patient does not have to come with a date set for their last cigarette. Someone whose family, or the doctor treating their high blood pressure or asthma, is urging them to quit can also come, even if they are not yet sure they want to try. We then talk about how much and in what situations the patient smokes, how their previous attempts went and what worries them most, for example cravings at work or putting on weight.
A review by Cochrane, an independent scientific organisation that brings together the results of studies on one topic, covered 42 studies involving more than 31,000 smokers. In 17 studies, brief advice from a doctor was compared with no advice. More people quit after advice than without it. The authors assumed that without any help 2 to 3 percent of smokers quit, and that brief advice from a doctor raises this figure by a further 1 to 3 percentage points. In direct comparisons, longer and more intensive advice gave a small additional benefit.
We do not recommend medication just in case. The Desmoxan manufacturer intends cytisine for people seriously committed to stopping smoking, so the doctor considers it once the patient has made that decision. Patients who need time after the first conversation do not have to start immediately. People also dependent on alcohol or medication can receive addiction therapy in Poznań.
The doctor chooses from cytisine, nicotine replacement therapy, varenicline and bupropion. For each medicine, we give how it works, by how much it increased the number of non-smokers in studies and how much it cost in online pharmacies in September 2026.
Cytisine is the active substance in Desmoxan, Tabex and Recigar. Its structure resembles nicotine and it binds to the same receptors in the brain, but stimulates them more weakly, so it reduces cravings and the pleasure of a cigarette. In 4 studies involving 4,623 people, 30 percent more people taking cytisine than people in the placebo group were not smoking after at least six months. Most cytisine products are available without a prescription, and in September 2026 a pack for the whole 25-day course cost about PLN 40 to 78.
NiQuitin Przezroczysty is worn around the clock, in strengths of 21, 14 and 7 mg, and Nicorette Invisipatch for 16 hours, in strengths of 25, 15 and 10 mg. Nicotine passes through the skin without the tar and carbon monoxide from smoke, and its blood level stays steady, without the sharp rise that follows a puff on a cigarette. With the NiQuitin 21 mg patch, this level averages about 17 ng/ml, compared with an average of about 44 ng/ml after half an hour of smoking cigarettes. Patches increased the number of non-smokers by 64 percent compared with placebo or no treatment. They are sold without a prescription, and 10 weeks of treatment with 24-hour patches cost about PLN 606 to 930 in September 2026.
Nicorette Classic Gum in 2 and 4 mg strengths, Nicorette Spray at 1 mg per spray and NiQuitin MINI lozenges deliver nicotine through the lining of the mouth when the patient feels like smoking. After starting to chew the gum, nicotine can be detected in the blood within 5 to 7 minutes. Among people chewing gum, there were 49 percent more non-smokers than in comparison groups, and among people using lozenges 52 percent more. All these forms are available without a prescription. In September 2026, 105 pieces of 4 mg gum cost PLN 78 to 100, and a spray with 150 doses PLN 62 to 85.
Varenicline, the active substance in Champix, in 0.5 and 1 mg tablets, binds to nicotinic receptors in a similar way to cytisine. In 41 studies, it more than doubled the number of non-smokers. It requires a prescription, but in September 2026 we did not find it in the pharmacies we checked.
Bupropion, the active substance in Zyban, in 150 mg tablets, is an antidepressant that contains no nicotine. In 45 studies, 64 percent more people were not smoking after treatment than in placebo or no-treatment groups. The medicine requires a prescription, and the marketing authorisation for Zyban expired in December 2023.
The same condition may rule out one medicine and call only for caution with another. Unstable angina is a contraindication to cytisine, while with a nicotine patch the manufacturer advises caution in this situation. Current or past seizures rule out bupropion, with varenicline the manufacturer advises caution, and with nicotine replacement therapy the doctor weighs up benefits and risks. The patient therefore brings a list of their conditions and all their medicines to the appointment, and the doctor chooses the medicine and dose.
According to the manufacturer of Desmoxan, cytisine is not used in unstable angina, after a recent heart attack or stroke, in clinically significant heart rhythm disorders, during pregnancy or while breastfeeding. Caution is needed in ischaemic heart disease and heart failure, high blood pressure, atherosclerosis and other peripheral vascular diseases, peptic ulcer disease, gastro-oesophageal reflux disease, an overactive thyroid, diabetes and schizophrenia. The medicine is also not recommended for people with impaired liver or kidney function, people under 18 or people over 65.
The manufacturer of NiQuitin patches advises caution in conditions including uncontrolled high blood pressure, heart failure, severe heart rhythm disorders, after a recent heart attack or stroke, severe peripheral vascular disease, atopic dermatitis, moderate or severe liver or kidney failure, an active stomach ulcer and an overactive thyroid. A person with diabetes monitors their blood sugar during treatment. In a person with heart disease, combining a patch with gum or spray needs to be assessed by medical staff.
Any form of nicotine replacement therapy, including patches, can make symptoms worse in people with active inflammation of the oesophagus, mouth or throat, gastritis or peptic ulcer disease. A patient with such symptoms mentions them before the doctor chooses a medicine.
In mild and moderate kidney impairment, the dose does not change. For a patient with moderate impairment who tolerates side effects poorly, the doctor may reduce the dose to 1 mg a day. In severe impairment, the patient takes 0.5 mg once a day for the first 3 days and then 1 mg once a day. According to the manufacturer, the medicine should not be used in people with end-stage kidney failure, and it is used with caution in people with a history of seizures.
Contraindications include current or past seizures, a tumour of the central nervous system, current or past bulimia or anorexia nervosa, severe liver cirrhosis, a history of bipolar disorder, concurrent treatment with MAO inhibitors, and abruptly stopping alcohol or benzodiazepine sedatives.
For parents of young children, as for other patients, the doctor assesses whether medication is needed and which medicine can be used. Additional questions concern where smoking takes place at home, whether the mother is breastfeeding and where nicotine medicines will be stored.
In an analysis of 60 studies, babies and young children living in a home where someone smoked had a 54 percent higher chance of lower respiratory tract infections and a more than two and a half times higher chance of bronchiolitis. Children living with a smoker had a 62 percent higher chance of middle ear disease. According to a review of studies that followed children over a longer period, passive smoking increases wheezing and asthma in children and teenagers by at least 20 percent.
Some parents smoke only on the balcony or outside the house so that the child does not breathe in smoke. In a Swedish questionnaire study of 1,990 children aged 12 to 24 months, one in five children had at least one parent who smoked. For 7 percent of the children, their parents smoked indoors, and for 13 percent only outdoors. A cough lasting more than 2 weeks after an upper respiratory tract infection and wheezing without infection were statistically significantly more common in children whose parents smoked indoors than in children of non-smoking parents. The authors concluded that the widespread belief that smoking outdoors is enough to protect a child from smoke needs further research. The study was based on a postal questionnaire, so it does not show the causes of these differences.
Cytisine is not taken while breastfeeding, because the manufacturer of Desmoxan lists it among the contraindications. Nicotine from cigarettes and from nicotine replacement therapy passes into breast milk. According to the manufacturer of NiQuitin patches, however, the baby is exposed to a relatively small amount of nicotine from replacement therapy. This exposure is less dangerous than passive smoking. It is best for a breastfeeding mother to quit without medication, and if she cannot, medical staff may recommend replacement therapy. Gum, a lozenge or the spray should then be used just after a feed, so that as much time as possible passes before the next one. The manufacturer does not recommend combining a patch with oral forms while breastfeeding because there are no studies, unless medical staff consider it necessary.
A dose of nicotine that an adult smoker tolerates well can cause severe or even fatal poisoning in a small child. Patches, gum, lozenges and spray should be kept out of children's reach. A removed patch is folded in half, sticky side in, put into the opened sachet or wrapped in a piece of aluminium foil, and only then thrown away. If you suspect that a child has swallowed nicotine gum or a lozenge, sucked on a patch or stuck one on themselves, get urgent medical help.
Parents of young children can have medical video consultations in the Nasz Gabinet app. Those choosing the treatment plan work with an addiction therapist on what to do during moments when they used to go out for a cigarette, such as during the child's nap or after bedtime.
The treatment plan includes 10 video sessions with an addiction therapist in the Nasz Gabinet app. The early conversations explore why the patient wants to stop. We look for reasons that matter to the patient personally, even if their family encouraged the appointment. One approach is motivational interviewing, a conversation in which patients calmly explore their doubts and their reasons for change.
Patients then examine when, where and why they reach for a cigarette, for example to release tension at work. This helps them prepare for the quit date, from which they stop smoking completely. We align the date with the medication schedule; with cytisine, it must be no later than day 5. By then, patients have a plan for cravings. They also work with the therapist on daily routines, practising ways to manage stress and emotions, and discussing lifestyle changes and concerns about weight gain.
Later in therapy, patients maintain new habits and begin to see themselves as non-smokers. They also prepare for a possible lapse, so that one cigarette does not lead back to smoking. During this time, the doctor assesses withdrawal symptoms, decides on nicotine replacement therapy or cytisine, and provides support particularly during quitting. Follow-up dates are agreed individually.
Above all, the Nasz Gabinet app helps the patient not to miss any doses. It sends a reminder for every dose in the treatment plan, so with cytisine the patient gets 6 reminders a day, every 2 hours, in the first 3 days of treatment. From the quit date, the app also counts the days without cigarettes and the złoty the patient has not spent on cigarettes.
If side effects such as sleep disturbances occur, the doctor decides whether to change the medicine or dose at an appointment, including online. Purchasing a course or treatment plan in the app gives access to the programme. Contact Nasz Gabinet in Poznań for help with purchasing or installation.
Patients arrange an earlier appointment and, with the treatment plan, a therapy session, to adjust their strategy for difficult situations straight away rather than waiting until the course ends. Research shows that smoking during the first 2 weeks after quitting is associated with poorer outcomes at six months.
Two US studies, involving 88 and 112 people quitting with a nicotine patch, looked at whether smoking in the first 2 weeks predicts the result after six months. Among patch users who smoked even once in week 2 after quitting, 83 percent in the first study and 97 percent in the second were smoking after 6 months. Among those who did not smoke at all in week 2, 46 and 41 percent were still not smoking after 6 months. Of the patch users who were smoking after six months, 74 percent had started smoking again in week 1 or 2.
The number of cigarettes smoked before treatment, the Fagerström test score and the carbon monoxide level in exhaled breath did not give consistent predictions of the treatment result. The results describe groups of people and do not determine how treatment will turn out for an individual patient.
Smoking a cigarette while taking cytisine can increase nicotine-related side effects. If treatment results are unsatisfactory, the Desmoxan manufacturer recommends stopping the course; another may begin after 2–3 months. The doctor decides whether one or several cigarettes indicate an unsatisfactory outcome, so patients should arrange an appointment immediately after smoking, including online.
In a session with an addiction therapist, the patient goes back over the situation in which they smoked: where they were, who they were with, what they felt and what led up to the cigarette. They then plan how to act in a similar situation next time. Before the session, the therapist can see the craving records the patient keeps in the Nasz Gabinet app.
Your treatment is led by a doctor specialising in addiction medicine together with certified addiction therapists. Meet our team.
Medical doctor, addiction treatment specialist
Lek. med. Bogdan Bas has specialised in addiction treatment for over 15 years, combining medicine and psychotherapy into a modern treatment method.
Doctor of psychology, certified addiction therapist
Graduate of the University of Wrocław.
Psychologist, certified addiction psychotherapy specialist
Graduate of SWPS University of Social Sciences and Humanities.
Book your first appointment
A 3-month treatment plan for PLN 499: a medical interview in the chat, an e-prescription for the medicine and reminders for every tablet in the app. Consultations with a psychologist are paid separately.
