Chew is far more addictive than smoking tobacco. It is very hard to break this physical addiction which is as strong to the receptors in the brain as heroin. Even those with sincere desire, intellectually motivated to quit, have difficulty doing so. Given this strong addiction most people are unable through self-determination alone to beat it. Many need to have Rx strength nicotine substitutes to get off spit tobacco. These are available from doctors as nasal sprays, and as inhalers like those used for asthma. The nicotine content of these is far higher than the gums, patches, and lozenges on the OTC marketplace. Of course any doctor prescribing these is going to want to see a reduction in their use over time as the person slowly weans himself or herself from the addition. But they are far safer than the alternative, and may be the only good solution to getting off the addiction. Do not view this solely as a failing of him as an individual, and insistence of his cessation may only cause other emotional repercussions for all. He needs support and the proper medical help to break the cycle.

As a side note, while I am not personally endorsing it, there is a new product on the market called Blue Whale. It is nicotine containing chew substitute made from tea leaves. The manufacturer claims that it contains none of the known carcinogens found in spit tobacco. As these products are not controlled by the FDA (including all tobacco products or they wouldn