Many people who successfully quit used multiple approaches, including counseling or a support system, so you might find that a combination of methods works best for you. Be sure to talk to your doctor to make sure any alternative treatment you try is safe for you.

Acupuncture

Acupuncture may be effective for helping people quit smoking. An acupuncturist will insert thin needles (that are about as thin as a strand of hair) into certain pressure points on the body. People receive acupuncture for various conditions such as chronic pain and migraines. Acupuncture is generally safe; however, tissue injury may occur if needles are inserted improperly. If the needles aren’t sanitized, there is also a risk of infection.

Effective for Quitting Smoking

One study looked at the effect acupuncture had on smoking cessation. Participants received acupuncture needles in various parts of the ear where they remained for about 20 minutes. For help resisting smoking in between sessions, acupuncturists provided tiny balls (the size of the tip of a ballpoint pen), that were taped to participants’ ears with invisible tape. When a craving for a cigarette hit, the participant was instructed to press gently on the ball, which stimulated the acupuncture point. As a result, the number of cigarettes that each person smoked per day decreased—the average time to relapse was 38.71 days, which was longer than 35 days for people who used e-cigarettes and 14 days for people who used nicotine patches as a method of quitting. The authors of the study concluded that acupuncture was both an effective and safe method to help people quit smoking.

Black Pepper

Black pepper essential oil may reduce the severity of cigarette cravings. In one study, participants inhaled one drop of pepper oil on a tissue for two minutes whenever they were struck with a craving.

May Reduce Cravings

The participants reported that both black pepper oil and angelica oil reduced the intensity of their cravings; in addition, the oils made cravings less frequent. Black pepper oil was more effective at reducing cravings, whereas angelica oil was more effective in extending the time in between cravings.

Hypnotherapy

Hypnotherapy is a type of treatment, usually aided by a therapist, in which a person is brought into a “trance” or a state of consciousness that is deeply connected with their inner thoughts and feelings. It may help patients cope with emotional distress and trauma. Hypnosis is generally considered a safe treatment when performed by a trained therapist or professional.

Mixed Results for Smoking Cessation

According to one randomized trial, hypnotherapy is only slightly more effective than behavioral counseling in helping people quit smoking. Participants who underwent hypnotherapy had a 29% success rate of abstaining from cigarettes after one year of quitting. Those who did counseling had a 28% success rate of smoking abstinence, so the results were similar. In another study, hypnotherapy was compared with nicotine replacement therapies (NRTs). The conclusion was that hypnotherapy was more effective than NRT in long-term abstinence, though there was no improvement in abstinence when the two therapies were combined. CBT has been shown to help improve self-control when it comes to resisting the urge to smoke cigarettes.

St. John’s Wort

St. John’s is an herb that has been used medicinally for centuries. It is used to treat the symptoms of depression, symptoms of menopause, attention-deficit/hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), among many other conditions. Whether it is effective for these conditions is up for debate. According to the National Center for Complementary and Integrative Health, St. John’s Wort has been shown to be as effective as a standard antidepressant when taken for mild and moderate depression for a short-term period. It is not proven to be an effective long-term treatment for depression; it is also not proven to be effective in treating more severe types of depression.

More Research Is Needed

Though some people take St. John’s Wort for smoking cessation, it is not proven to be effective for that purpose. More research is needed to know for sure. Although St. John’s Wort appears to be reasonably safe when taken alone, it can interfere with the effectiveness of prescription and over-the-counter medications, including antidepressants, drugs to treat HIV infections and AIDs, drugs to prevent organ rejection for transplant patients, and oral contraceptives. St. John’s wort is not recommended for people who are pregnant or breastfeeding. Be sure to talk to your doctor before taking this or any other herbal supplement.

Fresh Lime Juice

Limes might be an affordable, accessible alternative to nicotine gum for smoking cessation. Researchers in one study measured smoking abstinence in participants who used lime juice as a cessation method and compared them with those who used nicotine gum.

May Help Smoking Abstinence

After seven days, people who consumed lime juice were found to have higher smoking abstinence rates than those who used the nicotine gum. However, nicotine gum was better at reducing cravings for cigarettes. It’s not known for sure why lime juice may help with cravings. Researchers have noted that people who smoke commonly have lower levels of vitamin C in their bodies which may increase cravings, and lime juice can replenish vitamin C in the body. Further studies are needed to fully understand how lime juice can lead to smoking cessation.

The herb lobelia (Lobelia inflata) has been promoted to help people fight the effects of nicotine withdrawal and it is found in many anti-smoking products. The active ingredient in lobelia is lobeline, and it is thought to have similar actions on the body as nicotine. Lobelia is a potentially toxic herb, however, so it is not recommended as a method to quit smoking. It is also in the FDA’s Poisonous Plant Database. Lobelia can cause dry mouth, profuse sweating, nausea, vomiting, diarrhea, tremors, rapid heartbeat, confusion, seizures, and coma. In larger doses, it can even cause death. People with heart disease, high blood pressure, heart disease, tobacco sensitivity, paralysis, seizure disorder, shortness of breath, or who are recovering from shock are at particularly high risk. Children and people who are pregnant or breastfeeding should not take lobelia.

Lifestyle Changes

There are also lifestyle changes—from diet to sleep—that can help you quit smoking. Make sure you’re drinking enough water. Staying hydrated is a great preventative measure to take to manage cravings. Limit your intake of caffeine and sugar. One study links caffeinated beverages and sugary beverages (like energy drinks) with increased smoking. Deep breathing and meditation have been linked with smoking cessation. Also, be sure you’re getting enough physical activity and enough sleep. Taking care of your body and fulfilling these basic needs can go a long way in supporting smoking cessation.

A Word From Verywell

If you’re considering the use of any form of alternative medicine to help you quit smoking, talk with your doctor first. Many supplements and herbs, for instance, have warnings stating that people with certain medical conditions and/or people who are pregnant or breastfeeding shouldn’t take them. Quitting smoking isn’t easy, but you may find some relief by trying which natural remedies—along with other forms of treatment like counseling or nicotine replacement therapy—work best for you.