stop smoking leaflet
Post on 13-Apr-2017
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STOP SMOKING BREATHE EASY
INTRODUCTION
Cigarette smoking accounts for 6 million deaths annually worldwide mainly
due to cancer, heart disease and smoking related lung disease. India is no
exception with more that 1/3rd of Indian Adults using Tobacco either as
smokeless tobacco (26%) or as smokers (14%). Tobacco use is a risk factor
for six of the 8 leading causes of death in India.
WHY QUIT SMOKING?
Giving up smoking at any age has major short and long term health benefits.
The earlier you quit, the greater the benefits. People who quit smoking before
the age of 50 reduce their risk of dying over the next 15 years by one-half, as
compared to those who continue to smoke. Exposure to second hand smoking
to your family and children
can lead to serious health
problems too.
Cardiovascular disease
Cigarette smoking doubles
the risk of developing
coronary heart disease and
giving up smoking reduces
your chance of dying from it
by half within one year of quitting.
Lung disease
Smoking increases the risk of chronic obstructive pulmonary disease (COPD)
and stopping smoking can reduce further damage to the lungs, and improve
chronic cough. Smoking predisposes exposed children to asthma.
Cancer
Cigarette smoking is responsible for almost 90 percent of cases of lung
cancer. Smoking cessation reduces the risk of lung cancer within five years of
stopping. Stopping smoking may also reduce the risk of other cancers, such
as cancers of the head and neck, esophagus, pancreas, and bladder.
Other conditions
Smoking increases bone loss (osteoporosis) and increases the risk of hip
fracture in women. Pregnant women who smoke have an increased risk of
underweight babies and birth defects. Smokers have increase risk of sexual
problems (e.g., impotence) and gastric ulcers. Stopping smoking reduces the
risk of these conditions.
PREPARING TO QUIT —
Quitting and staying away from cigarettes is difficult, but not
impossible. Smoking is an addiction and giving up smoking requires individual
approach. Generally, after deciding to quit smoking, the first step is usually to
set a quit date. This is the day when you will completely quit smoking. Ideally,
this date should be in the next two weeks, although choosing a special date
(eg, birthday, anniversary, or holiday) is another option.
Your chance of giving up smoking easily doubles when you use either
medications or counseling or ideally both for giving up smoking. A good start
can be with either:
1) Specialist Consultation to make a QUIT PLAN
2) Medical Therapy and/or counseling
3) Individually Tailored Medication plans
MEDICATION FOR QUITTINGThere are several medications that may help you stop smoking. However it is
important to choose the right medications, the right method of administration
and right combination to get the maximum benefit with which your healthcare
provider can help.
Nicotine replacement therapy: Nicotine Replacement Therapy (NRT) gives
your body the nicotine it craves without the toxic chemicals you get in
cigarettes like cyanide or carbon monoxide The usual recommendation is to
use a skin patch for sustained relief and a short acting method (gums or
lozenges) for breakthrough relief from effect of nicotine withdrawal.
Varenicline: The drug is started 7 days before the quit date and continued for
12 weeks. It should not be taken by patient with history of depression or
mental health problems.
Bupropion: This is preferred in patient with depression or the ones who are
worried about weight gain following smoking cessation. The therapy is started
a week before the quit date and carried on for 12 weeks. It should not be
taken by people with history of fits/seizure disorders.
BEHAVIORAL THERAPY AND COUNCELING
Multiple studies show that using behavioral changes with a medication
increases your chances of success. A psychologist can help develop coping
skills for the situations or activities that increase your risk of smoking or
relapse. For example:
●Make lifestyle changes to reduce stress and improve quality of life
●Tell family & coworkers about the plan to quit and ask for support
●Minimize time with smokers. People who live with smokers can consider
negotiating with them to stop smoking at home or in the car
●Recognize that cravings frequently lead to relapse. Avoid smoking in home
and car and places where you spend a lot of time
●Avoid thoughts like "having one cigarette will not hurt"
RISKS OF QUITTING SMOKING
Generally, any risks of smoking cessation are far outweighed by the benefits.
●Symptoms of withdrawal are common and generally peak in the first three
days and include difficulty sleeping, irritability, frustration or anger, anxiety,
difficulty concentrating, and restlessness. These cravings are a common time
for ex-smokers to relapse. The cravings will go away if ignored.
●Depression●Weight gain can occur up to 3-5Kg while stopping smoking because people
tend to eat more after quitting. An exercise program and eating a reasonable
diet can minimize weight gain.
RELAPSE
Most smokers make many attempts to quit before they are able to quit
completely. Smoking is a "relapsing" condition, and relapse should not be
thought of as failure. Review your previous
attempts for what worked and what led to
relapse. The relapsed patients are likely to
need individualized tailored plan from their
healthcare provider to achieve long lasting
smoking cessation.
Consider rewards for not smoking; use the
money saved on cigarettes for a special treat such as a movie, a new outfit, or
a special dinner.
Each quit should be regarded a victory, and the longer it lasts, the better.
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