Smoking is a die hard habit and many people eventually die of the same. It remains one of the most common causes of cancer and lung diseases, which eventually lead to death. The irony is that almost all smokers know the harmful effects, but find it hard to quit. With a firm determination, there are people who quit, but then the relapse rate is quite high too.
Many believe that quitting requires a behavioural change. From peer pressure to a lifestyle habit, smoking is a social phenomenon. There are various methods to help quit smoking like quitting cold turkey and nicotine substitutes. Hypnosis is also gaining popularity as a method to help quit smoking. Research has shown an encouraging success rate in the range of 30 to 40% in cases where the desire and commitment to quit are high. This of course is with people who have strong will and are able to be hypnotized.
Hypnosis or hypnotherapy is a psychological technique used as supplemental therapy in a lot of cases, such as weight loss, depression, speech disorders, pain management, de-addiction; the list can be quite long.  It puts the person undergoing therapy into a deep sleep or trance, where they get in touch with themselves and find answers to a lot of questions. It is believed that while hypnosis puts a person to sleep, it also induces a higher level of cognition and a higher level of neurological activity. 
'During the actual session, the smoker is asked to imagine the numerous ill effects of smoking and the need to reduce its harmful effects on the body. This improves the willpower to quit smoking and reduces the desire. They are also advised of the benefits of quitting smoking, including longevity of life and better quality of life. The person is told that quitting smoking before 50 years of age gives a 50% chance of increasing the lifespan by 15 years. Now that is quite motivating for a lot of smokers to give up the habit.
It generally takes about 4 full sessions of hypnotherapy to reach a level where the patient is ready to kick the habits. Also, self hypnosis can be taught where the person can go into hypnosis on his own and enforce smoking cessation. There are even self hypnosis tapes that are available for aid.
However, a word of caution here, hypnosis is not for everybody as not everybody can be hypnotized easily and there has to be a strong belief that it will benefit, only then can smoking cessation be tried with hypnosis. It is still in the testing phase and is to be medically proven as a way to quit smoking.

Hypnotherapy In Smoking Cessation

Smoking can affect your health in all respects, and it is no different when it comes to your heart. Smokers are almost twice as likely to have heart problems compared to individuals who do not smoke.

How does smoking cast an impact on your cardiac health?
Smoking increases the risk of developing various kinds of cardiovascular issues such as stroke and coronary heart disease. It damages the lining of the arteries which, in turn, paves the way for building up of fatty substances called atheroma which narrows down the artery. This may lead to heart attack, stroke, and angina.

Tobacco contains carbon monoxide which reduces the amount of oxygen in the blood. This indicates that the heart has to work harder for supplying the required amount of oxygen. Cigarettes also contain nicotine which stimulates the production of adrenaline. This instigates the heart to beat at a faster pace and raises the blood pressure.

The chemicals present in the smoke of tobacco can harm your blood cells and retard the normal functioning of the heart. When not inhibited, it can lead to atherosclerosis. Atherosclerosis is an ailment in which a waxy material, termed as plaque builds up in the arteries and limits the flow of blood to different parts of the body.

When plaque builds up for a long span of time, it causes coronary heart disease, and you are likely to experience symptoms such as heart failure, chest pain, heart attack, arrhythmia and heart failure and even death.

Smoking is a major risk factor for another fatal ailment called the peripheral artery disease or PAD. PAD is a clinical condition where the accumulation of plaque in the arteries inhibits carriage of oxygen-rich blood to the head, different organs, and limbs.

With regular smoking, the blood is more susceptible to clotting which surges the risk of having a stroke or heart attack.

Is there any effect of second-hand smoking?
Second-hand smoking, also referred to as passive smoking means inhaling the smoke ejected while smoking. When a person is regularly exposed to smoke, he or she is likely to have low levels of good cholesterol, damaged heart tissues, and high blood pressure. Various researchers are of the opinion that second-hand smoke of tobacco is a viable cause of heart ailments in nonsmokers. This means, if you are a smoker, you are definite to harm the members of your surroundings.

Why should you quit smoking?
One of the best ways to decrease the risk of having cardiac ailments is to stop smoking. In case you have never smoked, you should never think of starting it for the same reason. You should also try to avoid second-hand smoke by avoiding going to a smoking zone. It would be a great idea to avoid the company of smokers for the periods when they are smoking.
Stay away from smoking for your heart health.

Can Smoking Affect Your Heart?

If you are concerned about the health of your heart, one of the primary and most important things to do is quit smoking. Avoiding and abstaining from smoking will heal the nicotine damage caused to your heart. This will enable you to lead a long and healthy life. Here are the reasons why you should quit smoking for the sake of your heart:

Reduced risk of heart attack: The benefits of not smoking start hours after you quit, and the heart rate and blood pressure get normalised slowly. By quitting smoking, your chances of having a heart attack are reduced by 50%.
In case of women, quitting smoking has special benefits: Women generally have a smaller body frame than men, and the harmful effects of smoking on a woman s heart are considered to be more dangerous and concentrated. Female smokers under the age of sixty are more likely to experience a condition known as cholesterol plaque erosion, which is a fatal blood vessel condition. Women smokers are likely (seven times more than men) to develop heart complications due to smoking.
When you quit smoking, your heart is no longer exposed to harmful chemicals: Cigarette smoke contains toxins such as arsenic, formaldehyde and benzene. The chemical substances may be hazardous to the blood vessels in your body, and the heart muscles get damaged. Once you quit smoking, these chemicals will no longer enter your body, making your heart healthier.
Quitting smoking benefits other people as well: When children and people are exposed to tobacco smoke, their chances of having plaque in their heart s arteries are enhanced. This may cause a stroke.
Quitting smoking reduces the chances of getting hospitalised: A smoker may be at the risk for getting hospitalised because of several conditions such as congestive heart failure, chronic obstructive pulmonary diseases, much more than a non-smoker. After quitting smoking, the chances of being hospitalised decrease within five years.
Quitting smoking lowers the risk of having atherosclerosis: Atherosclerosis is a blood vessel disease which is caused due to inflammations all over the body. Because of this, the arteries may stiffen and thicken. Smokers face the risk of acquiring this condition three times more than non-smokers.
You can quit smoking most effectively by combining behavioural support along with prescribed medication. People using this type of multi-treatment are likely to become successful at quitting smoking. You should consult a specialist who is certified in tobacco treatment, who will provide you with a plan. It will include counselling, medicines and a nicotine replacement therapy.

Smoking - How Quitting It Is Good For Your Heart?

When man first started using tobacco, he probably did not know that it would grow to be an epidemic that could cause multiple health issues. Be it smoking or chewing, tobacco has severe negative effects on health. Take any of the current lifestyle diseases from diabetes to obesity, the common risk factor is tobacco abuse. In addition, depending on the form of tobacco used, specific organs are affected. For instance, chewing tobacco leads to oral cancer while smoking causes lung cancer.

The statistics around tobacco abuse are extremely startling and can be read below:

A total of about 90 trillion rupees are spent on various tobacco products.
About 1.4 trillion is spent on healthcare-related to conditions caused by tobacco abuse.
India has about 120 million tobacco users.
More than 7 million people die every year due to tobacco usage.
The Government has levied a GST of 28% on cigarettes, making them unaffordable, which is one of the ways to promote quitting.
For those who want to quit but are not able to, there is a quit-line setup, which is toll-free, 1800-11-2356 and is accessible from 8 a.m. to 8 p.m.
Tobacco is a menace in all the strata of society. The lower economic classes are adversely affected both due to lack of knowledge and healthcare facilities. Therefore, the government uses the World No Tobacco Day (WNTD) that is observed by all members of the World Health Organization as an opportunity to drive this awareness.

This is celebrated on May 31st every year. Some measures that are taken to promote 'say no to tobacco' campaign are listed below.

In 1975, the Cigarettes (Regulation of Production, Supply, and Distribution) Act was introduced, which made it mandatory for cigarette packs to have a warning stating  Smoking Kills  or  Smoking is injurious to health. 
Marketing campaigns are shown in the movie theatres at the beginning of movies which depict the hazards of tobacco
Smoking is banned in most public areas, and warnings are on display.
Children below 18 are not sold tobacco products. If in doubt, the seller can ask for age identification.
Schools and colleges do not have tobacco selling within 100 meters of the campus.
The price increase ensures that not everybody has easy access to cigarettes.
Celebrities promote quitting tobacco and smoking by talking about their personal stories.
How can a healthcare professional help you?

A healthcare professional plays a vital role in a smokers life, as it the healthcare professional that can increase the odds of quitting with guidance, medication, and support. 

What should a healthcare professional do?

Identify people who smoke 
Motivate them to quit or think about quitting
Refer a person who smokes for treatment and support
Support ongoing abstinence
What is the right smoking cessation strategy?

Ask: Every smoker to visit a healthcare professional
Advice: Urge the smoker to leave smoking
Assess: Assess whether the person is willing to quit in 30 days
Assist: Plan and help Rx Quit
Arrange: Arrange a follow-up through phone or SMS or in-person
What is that people who smoke need help with?

First and  the foremost challenge are the withdrawal symptoms 
Urge to smoke and borderline depression with a possibility of relapse
People who have high pre-abstinence nicotine intake
How to get over the initial withdrawal discomfort?

Behavioural support is of proven efficacy
Can be delivered in different formats
Face-to-face
Telephone
Internet
Nicotine replacement therapy and nortriptyline are of proven efficacy
Facts On Nicotine Replacement Therapy (NRT)

There are no real contradictions related to NRT
No drug interactions 
Side effects, if there are any are localized e.g.
Taste of oral products
Hiccups with the mouth spray 
Skin irritation with patch 
Treatment for quitting Nicotine  - Medications: Medicines which are useful adjuncts in the determined but unsuccessful quitters are Varenicline and Bupropion. 

Though smoking out in the open has reduced, there are miles to cover when it comes to eradication of tobacco. 

World No Tobacco Day - Making An Effort To Control Tobacco Usage!

What happens when you are addicted to a chemical substance? You lose control of your life. It doesn t matter what you are addicted to alcohol, nicotine or drugs the effects are the same. It is usually not easy to get rid of an alcohol and/or nicotine addiction. Most people find it difficult to give up these substances even after years in de-addiction therapy. Hence, it s prudent to let Ayurveda, the ancient science of healing handhold us in getting rid of addictions. 

Cigarette smoke contains over 4,000 chemicals, including 43 known cancer-causing (carcinogenic) compounds and 400 other toxins. These cigarette ingredients include nicotine, tar, and carbon monoxide, as well as formaldehyde, ammonia, hydrogen cyanide, arsenic, and DDT. Perhaps this list of ingredients that are found in cigarettes is enough to make you want to quit smoking for good! - Lowell Kleinman, M.D., and Deborah Messina-Kleinman, M.P.H 

Addiction - The Ayurvedic View
Ayurveda considers alcohol and nicotine consumed in large quantities as  Visha  or toxic. According to Ayurveda, alcohol has the following properties-

Light or Laghu
Hot or Ushna
Sharp or Tikshna
Drying or Visada
Rough or Ruksha
Expensive or Vikaasa
Swift or Aasuga
Sour or Amla
Subtle or Sookshma
These properties are all opposite to the qualities that ojas possesses. Ojas has all life-giving properties and alcohol and nicotine have life-negating qualities.

Why do humans get addicted to alcohol and nicotine?
Human brain produces Dopamine normally and what alcohol does is to activate the nervous system to promote dopamine formation. The brain thus remembers the taste of alcohol and nicotine by creating special cells called receptor cells. As a person increases the quantity of alcohol, these cells also increase in numbers. When the person wants to give up his addictions these receptor cells agitate and create withdrawal symptoms with unpleasant and even dangerous symptoms.

De-addiction - Ayurveda Way
De-addiction treatments in Ayurveda comprise the following:

Purification therapies or Panchkarma: These are used for getting rid of all toxins present in the patient s body. These must always be done under the supervision of an ayurvedacharya as they are quite potent. After Panchakarma, the patient is given vomiting therapy or Vamana, followed by purgative therapy or Virechana, Basti or enema therapy and administration of Nasya or nasal drops therapy. All these help in detoxifying the body and mind and prepare the patient for further de-addiction ayurvedic treatments like Rasayana therapies which nourish and strengthen the body after Panchkarma. For treatment of addictions, Rasayana treatments include changes in diet and use of oral herbal medicines both.
Herbal medicines used in de-addiction: A range of herbal medicines and their combinations are used in the treatment of addictive problems in Ayurveda and these are to be consumed orally. Ayurveda prescribes Chamomile and Ashwagandha in combination to heal the lungs. These help in cleansing lungs of smoke- related problems. Doctors also prescribe congestion relieving herbs like ginger and pepper mixed with honey or lemon. 
In addition, herbs to improve memory, concentration and to fight depression are also given. These are:

Shankhpushpi
Kanphool or dandelion
Brahmi
Ashwagandha
In addition, herbs to treat sleep disturbances like Jatamansi, Sarpgandha, Brahmi and Jaiphal are also prescribed. Since most addicts have impaired liver function, herbs that improve liver function like Aloe Vera, Punarnava, Long pepper, Kutki, Tulsi are given to revive the liver.

Ayurvedic View on Alcohol and Nicotine De-addiction

Ready to Quit? Then Expect this!

Withdrawal Symptoms: Be aware that the withdrawal symptoms may begin as soon as four hours after the last cigarette, generally peak in intensity at three to five days, and disappear after two weeks. Withdrawal

Symptoms can be

Physical like Headache, tingling in the hands and feet, sweating, gastro-intestinal (cramps, nausea) and/or Mental like tension, craving, anxiety to withdrawal, feelings of dependency, temper tantrums, irritability, intense needs, , insomnia, mental confusion, strong emotional and mental responses like feelings of being an infant.

Plan to Quit:

Before you plan to quit, ask a few questions to yourself like,

Do I really want to stop smoking?
What is holding me back?
What are the Real problems/excuses?
Do I accept that there is no miracle cure?
  Be clear about your reason &amp; readiness to stop.
  Draw up an action plan.
  Set a date and stick to it.
  Plan what you will do instead of smoking.
  Give up completely.
  Don t allow even a quick puff.
  Make quitting number one priority.
  Particularly in the first crucial week.
  Plan it with your friends, agree to support each other and make a pact not to let each other down.
  Make sure all cigs are destroyed.
  Get rid of all smoking reminders.
  Stay away from people who smoke.
  Keep busy.
  Pamper yourself.
  Decide what you are going to do with the saved money and put it aside.
  Try to avoid danger areas.
  Find activities that focus the hands and mind but are not taxing or fattening: computer games, solitaire, sewing, crossword puzzles, etc.
  Set quitting goals on a day to day basis and reward yourself when they are met.
  Think repeatedly about the advantages of quitting.
  Do deep breathing exercises.

Intense Cravings:

When the cravings become uncontrollable, try these 5 D s
  Delay
  Deep breathing
  Decide
  Drink water
  Do something else

Pharmacological Agents:

Your physician can prescribe you one of the following treatment options to help you quit.

Nicotine replacement in the form of Nicotine patches, gums.
Medication like Bupropione hydrochloride (Zyban) and Verenicline,(Champix)
Always Remember: MOTIVATION IS THE ONLY KEY TO SUCCESS !

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