RU2132203C1 - Method of tobacco dependency treatment and antitobacco combination preparation - Google Patents

Abstract

FIELD: medicine, in particular, narcology. SUBSTANCE: patient is given time within which he smokes out definite quantity of tobacco articles reduced relative to initial quantity. Every day he takes solution of sodium bicarbonate. At the end of term unloading diet is prescribed. On the last day, patient smokes out the same quantity of tobacco articles with limited space of time and then stops smoking altogether. Then psychotherapeutic seance is performed under conditions comfortable for patient. In this case, patient is subjected to hypnosis and to antismoking psychotherapeutic action designed to remove psychic and physical symptoms of anstinency revealed with subsequent performance of symptomatic therapy on background of taking the antitobacco preparation by patient. Preparation includes, g: nicotinic acid, 0.05; Vinybis, 0.65; pryrroxan, 0.015; nootropyl, 0.4. The method and antitobacco preparation allow patient to get rid of narcotic addiction and guarantee long-time remission. EFFECT: enhanced efficiency of treatment. 10 cl

Description

 The method relates to the field of medicine.

 There is the usual, stereotyped smoking without drug addiction, as well as smoking with tobacco, nicotine addiction.

 This dependence is a manifestation of psycho-emotional, neurotic metabolic "shifts" in the brain and body of a smoker. Without improving this "soil", without removing the "roots" of smoking, it is impossible to achieve persistent, long-term smoking cessation.

 Nicotine in the medical plan belongs to the group of soft drugs, but its role and danger in smoking is that it forms a nicotine addiction, which does not allow the smoker to part with the addiction, while smoking exacerbates any emerging disease in the body. That is why our method focuses on weakening this pathological craving for smoking and creating a competitive anti-smoking dominant on a competitive basis.

 Analogs of the method.

 1. Methodical instructions. Methods of stopping nicotine withdrawal symptoms. Moscow, 1976

 This technique uses complex actions on a tobacco smoker: psychotherapy, hypnosis, as well as drug therapy (aversion therapy - disgust, replacement therapy, psychotropic drugs, vitamin therapy and symptomatic therapy). Symptomatic therapy is carried out with angioneurotic complaints, with an increase or decrease in blood pressure, etc.

 The method does not separate smoking as a bad habit from nicotine addiction. In psychotherapy of smoking, outdated and ineffective methods according to I. Schulz and Dubois are used. Logical arguments and rational beliefs are applied, the basal (subconscious) fear of quitting smoking and neurotic reactions in the smoker are not eliminated.

 Collective psychotherapy, devoid of individual work with smokers, has very narrow indications and low treatment effectiveness for those who seek qualified help. Self-hypnosis according to E. Cue is ineffective, since the smokers' micropsychiatric “soil” helps strengthen tobacco attachment.

 In a hypnotic dream, the will in the fight against smoking does not increase, at the same time, a positive emotional impact and the support of a psychotherapist are required.

 2. Methodical recommendation. Scheme for a clinical examination of tobacco smokers. Moscow, 1984, V.K. Smirnov.

 In this clinical scheme, the diagnosis of tobacco dependence is incorrectly determined. There is no practical classification of the degrees of severity of this dependence. In many ways, the severity of withdrawal is determined by the number of cigarettes smoked, the “experience” of smoking, which is only indirectly related to the presence and severity of nicotine addiction.

 The method determines the mental status and treatment of neuropsychiatric disorders.

 The method does not use the psychotherapeutic formation of an anti-smoking installation. The use of psychotropic drugs inhibits mental activity, suppresses withdrawal symptoms, but at the same time delays treatment, makes it impossible to mobilize the patient’s own will and does not stimulate the restoration of metabolic processes of the body, which gives a combined drug.

 Since smoking operates on several levels of a person - philosophical, philosophical, affects the hierarchy of life values, brain biochemistry, physiology of the body, cellular respiration of tissues, therefore only a complex effect and combined drug can give a lasting and lasting effect, restore its original "health passport" of the smoker.

 3. In the textbook for doctors "Psychotherapy of nicotinism", Moscow, 1977, authors A.G. Filatov, G.P. Andrukh, psychotherapeutic methods of treatment are described, including hypnotic psychotherapy, stress psychotherapy, as well as drug therapy, which serves to develop an aversion to smoking.

 This treatment technique does not have a lasting result, the aversion to smoking passes quickly and the extinction of smoking reflexes is practically not observed. This is due to the fact that homeostasis impaired by a “cliff”, associated with a change in metabolism, its physiological function, and the psychic and personal activity of the smoker, is not affected either during the preparatory period, during the session, or at the supporting stage.

 The proposed method for the treatment of nicotinism solves the problem of taking into account the entire complex of the above effects on the psyche and somatics of smokers.

 In hypnosis, the brain is inhibited, therefore, hypnotic psychotherapy of smoking does not give a long-term and lasting effect. The emotional effect of nausea, vomiting from tobacco smoke in hypnosis is unproductive and leaves small trace reactions in the human psyche. The use of an emetic dose of apomorin for most smokers is simply dangerous to health (there are direct contraindications for such procedures). There are the same contraindications for the treatment of smoking by stress psychotherapy according to K.M. Dubrovsky.

 One rational therapy for smoking does not give the desired effect.

 Treatment with pilocarpine according to I.V. The shooter, as shown by many years of experience, is also ineffective.

 The solution to the above problem is aimed at achieving the result of creating a long-term lasting effect on smoking cessation by forming in the brain an “anti-smoking dominant” - a hotbed of excitement that competes with the “smoking center”.

 Typically, specialists in the treatment of tobacco dependence are engaged in this task after the start of active treatment: medication, psychotherapeutic, acupuncture, coat of arms, aromatherapy, etc. There are no sources of information in the scientific literature of the Russian Federation and CIS countries that indicate the formation of a dominant before the start of treatment.

 In the proposed method, the formation of the installation (dominant) is carried out by "programming" the smoker through dosed physical activity, hydrotherapy, unloading diet, mechanical reduction of cigarettes smoked, and methods of projective and positive psychotherapy.

 The novelty of the method lies in the correct appointment of individual terms for the patient to form a persistent anti-smoking dominant, which is determined based on the current working summary diagnosis of smokers, age, gender and the number of cigarettes smoked.

 The relationship of all these elements is taken into account.

 In contrast to the known methods in this method, the formation of an anti-smoking dominant is carried out on a "pure" mental basis without drugs, reflexology, etc. Only a change in behavioral feasible to the individual is carried out: in diet, physical activity, hydrotherapy.

 Hence, the subsequent treatment session, conducted on prepared mental soil, has the greatest effectiveness in treatment, as well as subsequent maintenance therapy.

 Analogs of an anti-tobacco combination drug.

 G.P. Andrukh, O.S. Rodbil, Yu.N. Komarov, Smoking, 1998

 Professor Andrukh G.P., complex drug therapy of tobacco smoking is carried out as follows.

 These are drugs: 1 from the group of substitution therapy: lobesil, cytitone, tabex; 2 from the group of non-specific action used in symptomatic therapy of a smoker; 3 from the group of aversion action.

 The first group of drugs, acting on the autonomic nervous system, similarly to nicotine, softens the narcotic need for it. Nevertheless, long-term studies have shown the low effectiveness of such "substitution" drugs, and their toxicity narrowed the scope of indications for their use and did not allow the use of their long period necessary to consolidate the result of treatment. Aversion drugs that cause an aversion to tobacco smoke and sensitize the body to nicotine (apomorphine, thermopsis herb, solutions of copper nitrate, zinc nitrate, emethine hydrochloride, glycerin, collargol, etc.). In addition to widespread contraindications to the health of smokers, who in 75% of use already detect serious disorders of organs and systems. These drugs also have a very short period of exposure to the smoker. All this led to the fact that such therapy has practically ceased to be used in medical practice.

 The proposed composite anti-nicotine preparation acts on the pathogenetic links of smoking due to the use of multivitamin treatment, anti-drug, restoration of homeostasis in the body and vascular disharmony.

 V.K.Smirnov. Tobacco addiction and tobacco smoking. 1993 year

Professor Smirnov V.K. uses a combined pharmacological effect on the smoker in the following areas:
1. Applies alkaloids of H-cholinomimetic action, which have a substitution effect. This is anabazine, lobelin, cytisine.

 2. Means that mimic the effects of nicotine are used - nicoretta.

 3. At the same time, tranquilizers and antidepressants were prescribed.

 Unfortunately, anabazine and nicoretta (chewing gum with nicotine) had practically no effect on metabolism, or a change in smoker's homeostasis. They only softened the conditioned reflex reactions of chewing and sucking in the smoker. Micro-doses of nicotine entering the blood, more likely had the meaning of "placebo", without affecting the mechanism of attraction to smoking and its withdrawal symptoms.

 The use of psychotropic drugs has some of the contraindications to the health of a smoker of a mental and somatic nature. On the other hand, the use of standard psychotropic drugs has a different, not always predictable effect on smokers with different clinical forms of smoking. The specific gravity of the symptoms of ideator, dissociated, psychosomatic forms of tobacco dependence is definitely impossible to diagnose. Hence, sometimes the treatment tactics are determined “blindly” and the prognosis of anti-smoking therapy is unclear. It is known that in most smokers psychotropic drugs suppress the volitional component, which complicates and complicates their therapy.

 Urakov I.G., Rokhlina M.L., Vlasova I.B., Kirillova L.A. Clinic and treatment of complicated and uncomplicated substance abuse. 1986. Guidelines.

 With regular tobacco smoking, deviations in the emotional and affective spheres are noted, which allows tobacco dependence to be considered as part of substance abuse. Therefore, the treatment of tobacco dependence is largely identical to the treatment of substance abuse.

 Professor Urakov I.G. et al. Offers a comprehensive drug therapy of various types of substance abuse.

 He uses multivitamins for detoxification. In the acute period of withdrawal, pyroxan is added, which well removes the vegetovascular phenomenon in smokers. Pyroxan lowers blood pressure, which improves well-being in smokers with hypertension syndrome.

 To suppress the pathological craving for smoking, pyrogenic drugs are used - pyrogenal, sulfosine.

 Agripe disorders are eliminated by phenazepam, chlorprotixen, eunoktin. Anxiety is relieved by sonapax. Behavior is corrected by non-aleptyl.

 The main drug for suppressing the pathological mechanism of attraction in tobacco toxicity is pyrogenal or sulfosine. These drugs, causing a sharp temperature reaction, can only be used in a hospital under the supervision of a doctor. They require a thorough examination of the smoker for inflammatory foci in the body, the state of the cardiovascular system. Thus, this effective combinatorial treatment of smokers is indicated only for persons under the age of 35 who are practically healthy. At the same time, smokers seeking help from a doctor require safety and comfort from treatment and rarely agree to treatment with pyrogenal or sulfosine.

 M.L. Rokhlina, I.G. Urakov. Clinic and treatment of withdrawal from polydrug abuse and complicated opium addiction. 1985. Guidelines.

It is known that when smoking the smoker's body receives: narcotic substance - nicotine and toxic radicals - components of tobacco smoke (about 30 natural poisons). This combination refers to multi-drug use. Tobacco also has an “identical effect” with opium substances. Therefore, the combination of drugs used in polydrugs complicated by opium addiction is used by some authors in the treatment of moderate to severe tobacco dependence. The treatment complex and the combination of drugs in smokers with moderate and severe drug dependence are directed:
1. to restore the patient's somato-vegetative sphere;
2. his mental activity.

 Pyroxan, tranquilizers and antidepressants are used. Emotional tension and aggression, often manifested when quitting smoking in the acute phase of withdrawal, is relieved by chlorpromazine, haloperidol, majeptyl and cyclodol. To restore sleep, eunoktin, tizercin was used.

 The negative sides of this combination of drugs with the addition of antipsychotics are: reduced patient capacity for treatment, mental retardation, asthenic disorders: weakness, lethargy, and increased fatigue. The restoration of the patient's functions with general strengthening and biogenic stimulants is delayed for several months. Such a "protracted" treatment does not suit smokers who have a not so large supply of mobilization and reserve mental and physical forces.

 As the closest analogue of the proposed anti-tobacco combination drug, the drug described in Methods for the Relief of Nicotine Abstinence. Guidelines M., 1976, p. 30 and containing nicotinic acid was selected.

The proposed combined preparation solves the following problems:
it does not suppress the psyche and does not inhibit biochemical processes, but, on the contrary, immediately turns on the activity of enzyme systems, restores metabolic processes, turns on the body's natural adaptive mechanisms, and increases its immune reserve forces.

 The smoker's brain chemistry in our method is changed in the right direction not by antipsychotics and other psychotropic drugs, but by the “anti-smoking program” introduced into the subconscious, which is carried out in a state of hypnosis and a comfortable state.

 The above results are achieved in that the anti-tobacco combination drug containing nicotinic acid additionally includes Vinibis 0.65 g, pyroxan 0.015 g, nootropil 0.4 g and nicotinic acid 0.05 g.

 Moreover, a method of treating tobacco dependence, including examining a patient, conducting a psychotherapeutic session on him with a view to quitting smoking and symptomatic therapy, has the peculiarity that before the session of psychotherapeutic treatment the patient is assigned a period during which he must every day to smoke a certain amount of tobacco products (50% of the original cigarettes) with daily use of a solution of drinking soda, and holding at the end indicated th term of the discharge diet, and the last day of the appointed term tobacco smoked for a limited length of time, and during a session of psychotherapy patient entered into hypnosis.

 At the same time, the amount of tobacco products smoked at the appointed time can be equal to 50% of the number of tobacco products originally smoked by the patient during the day, and the solution of drinking soda is taken upon waking up and 1-2 hours before dinner, with 2 g of drinking soda being stirred every time in 100 g of cold boiled water. An unloading diet should be carried out 1-3 days before the end of the appointed period and includes 4 meals a day with an interval of 3.5-4 hours. Moreover, on the last day of the appointed period, each subsequent tobacco product is smoked 30-40 seconds after smoking the previous tobacco product.

 A session of psychotherapeutic exposure can be carried out at least one day after the end of the prescribed period for smoking a certain amount of tobacco products.

 A session of psychotherapeutic intervention is carried out in two stages: for 20-25 minutes the patient is introduced into hypnosis, and during the next 15-20 minutes, anti-smoking behavior is instructed. Moreover, it is carried out using music and aromatherapy, and medical passes are carried out by the doctor above the patient’s head and body at a distance of 5-10 cm. Symptomatic therapy is carried out for 30 days with daily use of two capsules of an anti-smoking drug, including yourself in one capsule: Vinibis - 0.65 g, pyroxan - 0.015 g, nootropil - 0.4 g and nicotinic acid - 0.05 g and 100 g of water washed down.

 Technology method.

In order to cure, rid a person of smoking, 4 conditions are required:
1. The patient’s desire to recover, his inner disposition to completely and permanently stop smoking. With voluntary-compulsory treatment, you will not achieve a guaranteed result.

 2. It is important to recognize the direct link between smoking and your health.

 3. It is necessary for the smoker himself to actively help the doctor in his therapy for quitting smoking. Do not wait passively for a miracle from pills, needles and any advertised and patented products, all the more so rely entirely on the actions of a doctor. Remember that two people are involved in the healing and healing process: the patient and the doctor. And, of course, we never forget about the psychological support of relatives and friends of smokers.

 4. The fourth condition already refers directly to the treatment - to clearly and strictly follow the medical instructions and directions “before” the treatment session and smoking cessation, as well as “after” the session for 2-3 months.

 If the patient guarantees the exact fulfillment of these conditions, the doctor, in accordance with the proposed methodology, guarantees a painless and safe way to quit smoking for many years or for life. Based on the extensive experience in the treatment of smokers (over 2,000 smokers were treated in the centers of Moscow and Kazan according to this methodology), the most difficult for the former smoker is the first year when severe stresses and habitual smoking situations “remind” of old smoking associations, which, in in turn, leads to thoughts or revision of their anti-smoking behavior, or other emotional stresses. Therefore, in accordance with the proposed methodology with the “former smoker”, the doctor and the patient, as a rule, still meet 1-2 times for the first year after smoking cessation to fix the anti-smoking dominant and improve the patient’s mental state.

 All smoker's therapy is divided into three stages: preparatory, actually therapeutic and supportive.

A smoker who seeks medical help is completely examined at the first stage. The following diagnoses are made to him:
the first is narcotic, i.e. the degree of tobacco dependence and the presence of neuropsychiatric disorders are determined;
the second is personal, i.e. individual characterological features of the patient;
the third is somatic, i.e. the presence of existing diseases of the systems and organs of the smoker;
the fourth is psychosocial, i.e. hierarchy of life values, philosophical understanding of the problem, as well as the micro-social climate of smokers.

 After establishing a consolidated diagnosis for the patient, an individual recovery scheme and tactics of therapeutic measures at all stages of treatment are determined.

 Depending on the general diagnosis, the patient is assigned a period of time during which he smokes 50% of the cigarettes and, accordingly, the date of the second meeting with the doctor. At this stage, the patient is simultaneously given a series of tasks on physical activity, hydrotherapy, diet and other means and techniques that contribute to the normalization of his blood pressure.

 For example, for men aged 35-45 years, the period for forming an anti-smoking dominant is 12-14 days. However, for hysteroid and asthenic personality types, this period is reduced by 5-7 days. For epileptoid, torpid - the period is extended by 3-5 days. For smokers up to 20 cigarettes per day, this period does not exceed 12 days. Smoking over 30-35 cigarettes increases the period to 21-24 days. Conversely, smoking below 15-10 cigarettes can reduce the period to 7-10 days.

The patient at the first call for help receives the following task:
- During the first term, he is allowed to smoke 50% of the number of cigarettes that he originally smoked during the day. Experience in the treatment of smokers shows that the body is quite enough of this number of cigarettes and it only takes a little strong-willed effort to distract from the thought of smoking, which is regularly enough present in the mental activity of smokers in between smoking.

 - After a certain appointed time for the patient is assigned to "cliff" and smoking. The appointment of the "date" occurs when the formed anti-smoking motivation. From the start of treatment until the “cliff”, the patient takes 4 g of drinking soda daily: 2 g upon waking up and 2 g after work 1-2 hours before dinner. Stir the soda in 100 g of cold boiled water. It is necessary to drink slowly, in small sips. It is known that “western” cigarettes “acidify” the blood when smoking, changing the body's pH to the acid side. Therefore, ingestion of drinking soda "alkalizes" the blood and shifts the metabolism and pH of the body towards normal non-smoking body homeostasis.

 - After the “cliff” an anti-smoking treatment session is carried out. 3 days before the session, unloading diet therapy is performed. This diet allows you to increase the susceptibility of the body during the treatment session. The diet is based on the complete rejection of salt in food, fat - in the form of sausage, fatty meat. Refusal of sugar, sweets. Allowed to use honey, not more than 2 teaspoons per day. It is necessary to eat at least 4 times a day with an interval of 3.5-4 hours, increasing the proportion of vegetables and fruits to 80%.

 - Before the session at the end of the appointed period, "twin" smoking is carried out. Those. the same 50% of the cigarettes are smoked, but after smoking each cigarette after 30-40 seconds, it is necessary to re-smoke another cigarette. Such a "poisoning", nicotine saturation of the body allows the patient to more easily tolerate smoking cessation in the next 1-2 days before the treatment session according to the author's method. Quitting smoking within 2 days before the session allows you to detect the physical and mental symptoms of withdrawal symptoms in smokers for their subsequent elimination at the treatment session and subsequent supportive treatment.

 Therapeutic anti-smoking session.

 The purpose of the treatment session is to introduce anti-smoking trace emotional reactions into the subconscious, rational, psychotherapeutic effects on projective anti-smoking behavior, elimination of neurotic reactions, fear, anxiety. All these manipulations are carried out against the background of positive emotions, comfortable conditions.

 The patient before the session, 10 minutes before the start, give 100 g of the soothing collection of herbs. They sit in a comfortable chair or lay on a medical couch. Then enter into a state of hypnosis of the second degree.

 The patient clearly hears the doctor’s voice throughout the session. Through music, aromatherapy, light stimulate the right hemisphere (unconscious, intuitive, emotional), while the cortex and the left hemisphere of the brain are inhibited (analysis, logic, sanity). The doctor pronounces a special "anti-smoking formula." A hypnosis session lasts 20-25 minutes. Then the "exit" from this state. Using inertia and “non-criticality” of the brain after the session, the doctor continues the anti-smoking briefing for 15-20 minutes.

 The patient, sitting in a comfortable chair in the "coachman's position" or lying on a medical couch, is introduced by special psychotechnics into moderate hypnosis. Aromatherapy, special music, healing passes above the patient’s head and body are used at a distance of 5-10 cm from the patient’s skin surface. Music, smells act on the right hemisphere of the brain, the stimulation and excitation of which in turn inhibits the left hemisphere of the brain.

After the treatment session, symptomatic treatment is performed. At the same time, a combined anti-smoking drug is given. The composition of the anti-smoking drug:
1. Vinibis - 0.65 g
2. Pyroxan - 0.015 g
3. Niacin - 0.05 g
4. Nootropil - 0.4 g
At one time, 2 capsules of the drug are taken. The course of treatment is 30 days, ingestion 20-40 minutes before breakfast, washed down with 100 g of water.

 Vinibis is a complex of vitamins, amino acids, trace elements. Restores metabolism and deficiency of vitamins, minerals in smokers. It is a biostimulator, an immunomodulator for asthenic reactions in a patient who has quit smoking.

 Pyroxan - deactivates, eliminates the craving for nicotine. Nootropil and nicotinic acid restore and strengthen the walls of blood vessels, improve brain nutrition.

 During the first year after quitting smoking, as a rule, 1-2 control appearances to the doctor are prescribed for holding fixing sessions aimed at eliminating neurotic reactions, anxiety, restoring the psycho-emotional balance and asthenic conditions.

 Conclusion

 Tobacco smoking is a complex biopsychosocial phenomenon with elements of stereotypical reflection. It follows that any monotherapy in people with tobacco dependence does not achieve the effect. However, monotherapy techniques that are widely used in the West and in Russia (anti-nicotine patches, tape recordings with autogenous training, chewing anti-nicotine gums, mouthpieces, mock cigarettes, infusions of oats, thyme, etc.) still remain ineffective, which generates among doctors and the public disbelief in the efficacy of anticotinic therapy.

In turn, the so-called "complexity", which is used by a number of specialists, is in fact only a mechanical combination of 2-3 or more methods at one medical stage of the "break" of smoking. A true integrative approach in the treatment of tobacco dependence is a combined effect on the human body at all levels:
First: at the philosophical, worldview level (on the value and meaning of life, on the social role of the individual in society, the hierarchy of life values).

 Second: at the personal and psychological levels (correction of characterological deviations and reorientation of the psycho-hygienic thinking of the subject).

 Third: at the mental level (suppressing cravings for smoking through exposure to brain biochemistry and its psycho-emotional structures).

 Fourth: at the physiological level (changes in metabolic processes in the body, dosed physical activity, increased immune defense of the body, normalization of blood pressure).

 As a result, through a change in the patient’s lifestyle, we change the quality of life of the smoker, which allows him not only to quit smoking, but also not to smoke again.

 The results of the clinical use of our method for 13 years have shown that with sufficient internal motivation of the smoker to get rid of addiction or tobacco addiction when the conditions of this technique are met, the treatment result and a long-term positive prognosis are guaranteed.

Claims (10)

 1. An anti-tobacco combination drug containing nicotinic acid, characterized in that the drug additionally contains Vinibis, pyrroxan, nootropil in the following ratio of components: nicotinic acid - 0.05 g, Vinibis - 0.65 g, pyroxan - 0.015 g, nootropil - 0 40 g  2. A method of treating tobacco dependence, including examining a patient, conducting a psychotherapeutic session with a smoking cessation setting, symptomatic therapy with the introduction of an anti-smoking drug, characterized in that before the psychotherapeutic effect is administered, the patient is prescribed a period during which he smokes a certain and shortened to the initial amount of tobacco products, daily taking a solution of drinking soda, while at the end of the term - against the background of an unloading diet, in the last the first day, the patient smokes the same amount of tobacco products for a limited period of time, then completely stops smoking, and the psychotherapeutic session is carried out in conditions comfortable for the patient, at the same time he is introduced into hypnosis, an anti-smoking psychotherapeutic effect is carried out to eliminate the revealed mental and physical symptoms of withdrawal symptoms subsequent symptomatic therapy while the patient is taking an anti-tobacco drug.  3. The method according to claim 2, characterized in that the amount of tobacco products smoked at the appointed time is 50% of the number of tobacco products originally smoked by the patient during the day.  4. The method according to claim 2 or 3, characterized in that the solution of drinking soda is taken upon waking up and 1 to 2 hours before dinner, each time 2 g of drinking soda is stirred in 100 g of cold boiled water.  5. The method according to any one of claims 2 to 4, characterized in that the unloading diet is carried out 1 to 3 days before the end of the prescribed period and includes 4 meals a day with an interval of 3.5 to 4 hours.  6. The method according to any one of claims 2 to 5, characterized in that on the last day of the appointed time, each subsequent tobacco product is smoked 30 to 40 seconds after smoking the previous tobacco product.  7. The method according to any one of claims 2 to 6, characterized in that the session of the psychotherapeutic effect is carried out at least one day after the end of the prescribed period for smoking a certain amount of tobacco products.  8. The method according to any one of claims 2 to 7, characterized in that the psychotherapeutic session is carried out in two stages: within 20 to 25 minutes under hypnosis and within 15 to 20 minutes after leaving it with a psychotherapeutic briefing on anti-smoking behavior.  9. The method according to any one of claims 2 to 8, characterized in that the session of the psychotherapeutic effect is performed using music and aromatherapy, and therapeutic passes by the doctor over the patient’s head and body are carried out at a distance of 5-10 cm.  10. The method according to any one of paragraphs. 2 - 9, characterized in that symptomatic therapy is carried out for 30 days with daily use 20 to 40 minutes before breakfast, two capsules of an anti-smoking drug, which includes in one capsule: Vinibis - 0.65 g, pyroxan - 0.015 g, nootropil - 0.04 g and nicotinic acid - 0.05 g and washed down 100 g of water.