Can butting out help you kick drugs, too? Ottawa study says yes

Can cutting back on smoking cigarettes help some drug users quit opioids?Researcherswith the Ottawa Hospital Research Institute think so.

After a six-month trial involving 80 smokers all drug users in one of the city's poorest neighbourhoods, their findings areabout to be published in the medical journal BMJ Open, an online publication of the British Medical Journal.

The researchersset up shop in a building behind the Shepherds of Good Hope shelter on Murray Street and began recruiting participants in 2016.

Participants smoked on average 20 cigarettes a day when they entered the program. Within six months, they had reduced that average to nine cigarettes a day.

"The majority who followed [the program] not only reduced their tobacco, but also other drugs," said Dr. Smita Pakhale, a respirologist and lead researcher on the project, called PROMPT.

Fentanyl, OxyContin, heroin

While they curbed their smoking habit, nearly one in five participants saidthey also reducedtheir use of such highly addictive drugs as fentanyl, OxyContinand heroin. Some were able to quit the drugs altogether.

Many participants reported improving theirsocio-economiccondition by reconnecting with family, finding jobs, taking coursesand enrolling in drug treatment programs. They also improved their general health through better diet and exercise.

"The fog was out of their head so they started making all these changes," Pakhale said.

The program provided participants with one-on-one counsellingas well as free smoking cessation aids such as the nicotine patch.

'I can do this'

ParticipantTara Finnessyis one such success story: on methadonefor a drug addiction when she entered the PROMPT program in 2016, Finnessy said quitting smoking an addiction she'd had since she was 11changed her entire perspective.

"When I started to reduceand started to feel better, it started to tell my mind that I can do this," said Finnessy. "And if I can do this, in this areawhich has always been the most difficult, it started getting me thinking about other areas of my life."

Finnessy said she soon changed her diet, stopped drinking, curbed her medical marijuana consumptionand weaned herself off methadone.

"So it just made all these things fall into line and made me look at myself in a much different light," Finnessy said.

Pakhalesaid a big part of the program's apparent success is rooted in neurobiology.

"This is not black magic. It's not voodoo," Pakhale said. "It's the neurobiology of that addiction."

'King of addictions'

Pakhale calls tobacco smoking the "king of addictions" for its grip on the brain's neuro-receptors. Smoking cigarettes activates those receptors by releasingdopamine, causing pleasure.

"That's how people get addicted and stay addicted.These are the same dopamine pathways that reinforce the other addictions," Pakhale explained.

Ironically, not smoking can achieve the same effect.

"It started to give me a good feeling the way the cigarettes did," Finnessy said."I started feeling betterless depression, I no longer take anti-depressants, I exercise."