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Diseases » Smoking Cessation




Smoking cessation is otherwise called quit smoking. It is an action leading to discontinuation of smoked substances like tobacco, nicotine. About one-third of worlds adult populations are smokers (57% men & 43% women). Tobacco causes of death about 3.5 million every year and it is the most preventable cause of death (50 million) in United States. Cigarettes cause approximately 20% of deaths in U.S about 20 million people try to quit smoking every year.

Firstly when starting smoking it will seem to be cool, and fashion to express the personality. But after smoking for some time may be days to years you will be arising with some problems and try to quit but you again end up with starting to smoke again. It is very difficult to quit smoking but the only way to quit smoking is to know need of smoking. Medical treatment just helps in the process of quit smoking.

Benefits: 

Smoking cessation has many health benefits for men and women. The earlier a person quits, the greater the benefits they include:

• Can live longer and better life

• Pregnant women can protect the health of their own baby

• Can reduce the risk of second heart attack

• Can reduce the chances of lung, skin, neck cancer

• People who are living with children will be healthier

Risks: 

Risk factors of smoking cessation are,

• Lung cancer - it increases roughly 50-100% of smoking each cigarette per day

• Heart disease- it increases roughly 100 % per each pack/day

• There is twice the risk of dying before the age 65

• Smoking each cigarette takes of 5-20 minutes of life

Symptoms:

• Depression

• Anger

• Anxiety

• Irritability

• Difficulty in concentrating

• Restlessness

• Head ache

• Stomach pain

Plan for quitting:

• Get ready to quit by setting an exact date

• Change the environment by removing tobacco products, ash trays from home and working places

• Tell family members, friends, co-workers that you are going to quit and ask their support

• Talk to doctor to help you in quit smoking

• Go for individual counseling

• Try to be away from friends, family members, co-workers who smoke

• Try to change the place of eating and have an different route to eat and work like drink coffee instead of tea

• Try to keep your mind busy by reading news paper, magazine when people asks to smoke

• Look for new ways to relax and to cope up with depression or anxiety

• Drink lot of water

Methods:

The following are some of the methods used for Smoking Cessation

Behavioral therapy:

• Identify the situation for desiring a cigarette after meals, driving, alcohol, happy and bad times

• Smoke until you get vomiting. It is the best method

Cognitive therapy: 

• List out five things why you want to smoke and why you want to quit

• Make list of all above things when you desire to smoke

• Write down every cigarette you smoke and track the time and need for smoking prior to your quit date

Cold turkey - It is very popular and effective method used for smoking cessation. It needs strong motivational factors. The only drawback of this is it has highest failure rate

Hypnosis and Acupuncture are the other methods used in the process of smoke cessation

Treatment:

Medications- Various drugs and therapies are used for smoking cessation. These include:

Pharmacotherapy- In this pharmaceutical drug is used, they include

Clonidine (Catapres)- it is an alpha-adrenergic agonists, it is used in high blood pressure patients, inhibits the adrenaline system and reduces the desire to smoke in some individuals

   Side effects are dizziness, drymouth, nausea, constipation, daytime sleepiness

Clonidine (Catapres-TTS)- it is available as clonidine skin patch

   Side effects are hair loss, skin irritation, developing rash, burning sensation of skin

Mecamylamine (Inversine) - it is a non- competitive antagonist at nicotinic receptors. It is used as anti-addictive drug for smoking cessation in hypertension people

   Side effects are constipation, nausea, blurred vision, dizziness, impotence

Bupropion (Wellbutrin) - it is an antidepressant used to reduce cravings and withdrawl of smoking cessation. It is used to help in the process of quit smoking in people with symptoms like depression, anxiety.

   Side effects are headache, irritability, memory loss

Bupropion (Zyban) - it is used to help people who are dependent on nicotine to give up smoking.

   Side effects are dizziness, rashes, sweating, chest pain, dry mouth, depression

Nicotine Replacement Therapy - used to reduce the severity of withdrawal symptoms and desire in people who are planning to quit smoking. These are available in various forms like:

Nicotine transdermal patches- these are available over counter and help in quit smoking process and usually removed at bed time. These include: Habitrol Transdermal System, Nicotrol Patch, Nicoderm CQ Patch.

   Side effects are head ache, blurred vision, dizziness, insomnia, nausea

Nicotine chewing gum- by chewing the gums cravings for smoking may reduce. These include: Nicotine Polacrilex, Nicorette Gum

Nicotine nasal spray- it is used to abort the cravings in heavily addicted people. These include: Nicotrol Nasal Spray

   Side effects are cough, sneezing and larcanation

Nicotine inhaler - it consists of mouth piece and plastic cartridges, when people inhale maximum amount of nicotine is deposited at oral mucosa and maximum blood levels are achieved by this. These include: Nicotrol

   Side effects are cough, irritation of mouth and throat

Nicotine lonzenges - these dissolve under the tongue over a 24 period. These include: Nicotine Polacrilex




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