Smoking and Tobacco Cessation Programs

"Quit at Duke"

When you’re ready to quit or reduce your smoking or tobacco use, our trained tobacco treatment specialists will customize a program to help you reach your goal at your pace.

When You Should Schedule an Appointment

You should schedule an appointment with one of our providers if you:

Smoke cigarettes.
Vape or use e-cigarettes.
Use cigars, pipes, hookah, or smokeless tobacco.
Use nicotine pouches or other nicotine products.
Want to quit tobacco completely.
Want to cut back on tobacco or nicotine use.
Have tried to quit before and would like additional support.
Have stress, anxiety, depression, or other mental health concerns.
Are 13 years of age or older.
Are preparing for surgery or another medical treatment.
Have a health condition that could benefit from quitting, such as heart disease, lung disease, or cancer.

Schedule an In Person or Virtual Appointment

You can schedule an appointment with Quit at Duke through Duke MyChart. Simply log in to your MyChart account, select Visits, then Schedule an Appointment. Then choose Smoking Cessation.

Duke MyChart

What to Expect

You don’t have to be ready to quit forever before making an appointment. Whether your goal is to quit tobacco or nicotine, cut back, or simply learn more about your options, our team is here to help.

Your first appointment can be conducted in person or virtually and includes meeting with a doctor, physician assistant, or nurse practitioner who specializes in tobacco treatment. During the visit, we'll take time to get to know you, understand your tobacco or nicotine use, review your medical history, and discuss any previous quit attempts. We’ll also talk about your motivations for making a change—whether it’s improving your health, preparing for a medical procedure, saving money, supporting your family, or achieving another personal goal.

Together, we will create a personalized treatment plan to meet your needs and goals. It may include counseling, medication, or both.

During your care, you can expect to:

Receive a personalized quit plan
Learn strategies to manage cravings and withdrawal symptoms
Identify triggers and develop coping techniques
Explore medication options when appropriate
Receive ongoing support and coaching
Develop a plan for handling setbacks and staying on track

Our goal is to help you build the skills, confidence, and support needed to achieve lasting success. Whether this is your first attempt to quit or one of many, we will work with you every step of the way.

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Treatment Options in the Smoking Cessation Program

Medications

Our treatment specialist may prescribe one or more medications to help you quit smoking or stop using other forms of tobacco. These include nicotine-replacement products (such as patches or gum) that help reduce your dependency on tobacco and prevent nicotine withdrawal. Prescription medications can help address tobacco use driven by routines, triggers, or stress. Others may address related concerns, such as gaining weight. Our flexible tobacco cessation program addresses your needs and goals.

Counseling

You can choose the counseling option that is right for you. We offer one-on-one sessions with licensed experts. You’ll discuss your progress as well as behavioral and social factors that contribute to tobacco use, and you’ll learn tactics to keep you on track. We also offer family counseling sessions, as your chances of success with quitting increase dramatically if your partner or loved ones also quit.

Mindfulness Training for Smokers

Licensed experts run our free, interactive group. They teach mindfulness skills to help you quit smoking, stop using e-cigarettes, or stop using other forms of tobacco. The group setting provides a community of other people working toward the same goal. This group has been shown to double success rates compared with other behavioral programs.

Our Locations

Duke Health offers locations throughout the Triangle. Find one near you.

Find a Location

Call for an Appointment

919-613-7848

Why Choose Duke

Intensive Team Approach

Duke takes a comprehensive approach to tobacco cessation by combining medication and counseling services. This concept, which is supported by published guidelines, is the gold standard of tobacco cessation care and is proven to be more effective than quitting on your own.

Clinical Research

As a leader in tobacco cessation research, we give you access to the most advanced treatment methods through our ongoing clinical trials. To learn more, please visit the Duke Clinical Trials Directory.

Education and Training

Duke and the University of North Carolina are partners in the Duke-UNC Tobacco Treatment Specialist Training Program. It is accredited by the Council for Tobacco Treatment Training Programs (CTTTP) to educate and develop the next generation of tobacco treatment specialists.

Mobile and Telehealth Referrals

Our services are available through virtual visits. We also partner with state and national services to offer alternative resources, like free phone and text quit lines if you can't receive care at Duke. If you need additional options, we will also research other local resources or programs to assist however we can.

Frequently Asked Questions

Do I Have to Be Ready to Quit Today?

No. We can help you reduce tobacco use, prepare to quit, or develop a plan for quitting when you are ready.

Can My Appointment Be Virtual?

Yes. We offer in person and virtual appointments.

Will I Need Medication?

Not necessarily. Your provider will recommend treatment options based on your goals, medical history, and preferences.

What If I've Tried to Quit Before?

Many people make multiple quit attempts before quitting for good. Previous attempts provide valuable information that can help us develop a more effective plan.

What if I Relapse?

Many people need more than one attempt to quit. We will use what you learned from past attempts to adjust your plan and continue supporting you.

What Does it Cost?

Your visits may be covered by your insurance. Consult your insurance provider about the potential cost of your care.

Can I Make an Appointment If I Only Vape?

Yes. Our specialists help people who use e-cigarettes, vapes, nicotine pouches, and other nicotine-containing products.

How Long Does the Program Last?

Treatment is individualized. Some people only need a few visits, while others benefit from longer-term support and follow-up.

Consistently Ranked Among the Nation’s Best Hospitals

Duke University Hospital is proud of our team and the exceptional care they provide. They are why we are recognized as the best hospital in North Carolina, and nationally ranked in 8 adult and 10 pediatric specialties by U.S. News & World Report for 2026–2027.

Patient Resources for Quitting Smoking

QuitlineNC

Smokefree.gov

This page was medically reviewed on 08/14/2026