Tobias

"It is essential that patients with Buerger’s disease stop smoking immediately and completely. This is the only treatment known to be effective in Buerger’s disease. Patients who continue to smoke are generally the ones who require amputation of fingers and toes.

Despite the clear presence of inflammation in this disorder, anti-inflammatory agents such as steroids have not been shown to be beneficial. Similarly, strategies of anticoagulation (thinning of the blood with aspirin or other agents to prevent clots) have not proven effective. The only way to prevent the progression of the disease is to abstain from all tobacco products."

I'm sure your doctor told you this already.

Since nicotine acts to constrict blood vessels, you might consult your doctor over the advisability of using nicotine replacement therapy when you have Buerger's. Ask your doctor for assistance in your efforts, perhaps in the form of a Rx for Zyban. If s/he approves the use of nic replacement in your quit effort, you have several forms to choose from: the patch, gum and lozenges can be purchased OTC; Nicotine inhalers are available with a doctor's Rx. Some quitters use both Zyban and nic replacement.

Good luck with your quit effort. It's the hardest thing you'll ever do but also the smartest. It took a medical situation for me to quit after 38 years.

2 years and counting.