 [ Symptoms ] i have tried patches and lozenges but was unable to quit smoking i smoke a pack a day any ideas  i have emphysema too [ Disease ] based on my own experience having smoked for over 25 years nonstop what finally worked for me was to do it in 3 steps over a period of 3 4 weeks go down to 10 a day for a few days but no more that a week then 5 and then stay on 1 a day for 1 2 weeks making sure the 1 a day is smoked at different times of the day avoiding as much as possible favorite times such as after a meal or with coffee or a drink by the time the last week is over withdrawal effects after complete stoppage will be negligible if absolutely necessary you may extend the one a day or reduce to 2 3 a week for another week or 2 but the key is to never go back up to higher levels after completely off the habit it is not catastrophic to smoke one cigarette if you feel a real urge to do so as long as you never exceed your min exit dose if that ever happens it becomes crucial to go 100 smoke free at which point the addiction is 95 gone