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 !

Quitting Smoking - Know Everything About It!

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!

Smoking   Some Naked Facts!

Smoking kills > 420,000 people per year worldwide.
In India one million people die of smoking related diseases each year.
Tobacco use is the second leading cause of death world-over.
Smoking is more lethal than AIDS, Accidents, Homicides, Suicides, Fire, etc.
2700 substances have been identified in Cigarette smoke, most of them harmful including cyanide, benzene, formaldehyde, methanol, acetylene, ammonia, nitrogen oxide, carbon monoxide, etc.
Every cigarette takes 5.5 minutes of your life.
Smoking one packet a day for 10 years increases risk for Ischemic Heart Diseases by 300 % & risk for lung cancer by 500 %.
Passive smoking (breathing second hand smoke) is also harmful. Spending 2 hours in a smoky bar is equivalent to smoking 4 cigarettes. Living with a pack-a-day smoker is like smoking 3 cigarettes by yourself.

What are the Risks? 

Cancer: 85% of Lung Cancers and 28% of all cancer deaths are attributed to smoking. Smokers have higher rates of leukemia, kidney, stomach, bladder, and pancreas cancers. About 30% of cervical cancers have been attributed to both active and passive smoking.

Lungs: Smokers are generally at higher risk for nearly all major lung diseases like pneumonia, flu, COPD, bronchitis, emphysema, asthma, etc.

Brain: Smokers run almost two and a half times the risk of stroke as non-smokers and the risk for dementia is also higher in smokers.

Male Sexuality and Reproduction: Smoking decreases the amount of blood flowing into the penis, reduces sperm density, reduces sperm motility, and may lead to impotence & infertility

Female infertility, Pregnancy: Smoking increases the risk of female infertility, ectopic pregnancy, miscarriages, stillbirth, prematurity and low-birth weight, so also there is a risk of passing genetic mutations that increase cancer risks to unborn babies.

Children: Mothers exposed to smoke (active or passive) are more likely to have children with motor control problems, perception impairments, and attention disabilities. Exposure to smoke early on affect the lungs of infant as early as the first 2 to 10 weeks of life, it increases the risk for lower respiratory infections (asthma, bronchitis, and pneumonia) by 50% and worsens the condition of children who have existing asthma.
 
Spine & Bones: Smokers whose jobs involve lifting heavy objects are more likely to develop low back pain than non-smokers. They are at increased risk for developing osteoporosis and rheumatoid arthritis. Smokers are more prone to develop degenerative disorders and injuries in the spine, they have more trouble recovering from spinal surgery as smoking also impairs formation of new bone.

Why Quit?


Physical Benefits: They start as early as in few minutes.

Blood pressure and Pulse rate return to Normal in 20 minutes.
Levels of carbon monoxide and oxygen in the blood return to normal in 8 hours and chance of heart attack decreases in 24 hours.
Nerve endings start to regrow; ability to taste and smell increases within 48 hours.
Bronchial tubes relax; lung capacity increases by 72 hours.
In 2 to 12 weeks  time circulation improves and lung functions improve up to 30%.
In 1 to 9 months  time there is a decreased incidence of coughing, sinus infection, fatigue, and shortness of breath; cilia in lungs start re-growing, increasing the ability to handle mucus, clean the lungs, and reduce chance of infection.
Overall energy level increases.

Smoking - Facts, Risks & Why To Quit!

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?

The Mind of a Smoker 

There are a few instances when our body and mind refuse to acknowledge rationality, and quickly give in to carvings. Alcohol abuse, junk foods, depressant medications are a few of them. Among these, the most harmful is undoubtedly, smoking. In today's time, almost everyone knows about the ill-effects of tobacco. But despite our knowledge, we continue to give in and smoke. Let us have a look in depth about the usage, and the various steps one can use to come out of this dangerous habit. 

Ill-Effects of Smoking 

Smoking is dangerous for your health, and quitting can vastly reduce your risk of getting a disease related to the heart or lung. There is also a 50% chance that your life expectancy will be less due to smoking. On an average, a smoker has 10 - 12 years of lesser life expectancy than that of the nonsmoker. Also, quitting tobacco products can greatly reduce your chances of getting cancer. A smoker is always in the higher risk group of getting a tumor in the voice box (larynx), mouth, throat, intestines, kidney, and pancreas. Smoking can also hamper your sexual urge and erectile strength. Pregnant women who smoke carry a greater risk of having babies with many complications. 

How to Curb Smoking 

Quit smoking, and you can see visible differences right away. Your breathing will improve, and your asthma symptoms will likely to get better once you quit. Apart from a healthier you, you can also avoid health complications for your family members. Passive smoking is as harmful as active smoking, and a passive smoker is also easily susceptible to the complications of that of a smoker. Do not opt for lighter nicotine content cigarettes, as they have advertised that they contain less tar and nicotine. They simply do not, and they are equally harmful to you. Once the decision has been made, quit it altogether. Also stay away from chewing tobacco products. There are many ways by which you can quit smoking. Consult with your doctor in case you need medications for staying away. 

There are safe non-nicotine gums and chewing tablets for curbing the smoking feel and sensation. There are also self-help groups and treatment centers that can rehabilitate you from your habits. Indulge yourself in activities that keep you happy and passionate. Try signing up for your favorite sports and keep yourself occupied at all times. Always be positive, and do not give into temptation. Believe in yourself and always remember that you are also spoiling the health and wealth of your near and dear ones. Your children follow you, and they can easily be misguided. Be a role model to them and quit smoking, and inculcate the healthy habit now and forever.

Strategies and Medications to Stop Smoking, and Benefits of Stopping Tobacco Use!

The risks and harms of smoking are pretty much common knowledge to most people. Especially when the pack of cigarettes practically screams it out to you in bold letters. Yet, as statistics would say, smoking in young adults has been on the rise in the recent years. What makes them take this step? Maybe it is peer pressure, or maybe they do it for the thrill of it. Every country takes a great initiative in educating their population, yet some fail to understand the complexity of the situation.

Here are some of the reasons that will tell you that even a single puff of the deadly tobacco can severely harm your health and general well-being

Cigarette smoking is the leading cause of cancer. It can cause cancer in most organs of the body. Smoking cigarettes can cause the following
Nose cancer
Throat cancer
Larynx cancer
Mouth cancer
Oesophageal cancer
Lung cancer
Liver cancer
Cervix cancer
Stomach cancer
Kidney cancer
Colorectal cancer
Cervical cancer etc.
Smokers are more prone to respiratory diseases because smoking is capable of compromising the immune system of the body.
Autoimmune diseases such as Crohn s disease and Rheumatoid Arthritis are more likely to occur in smokers as their immune system is compromised by smoking.
Smoking has been linked to Diabetes type 2. This type of diabetes develops during adulthood. The more cigarettes a person smokes, the more likely is the person to develop this disease.
Smoking puts you at risk of developing several heart diseases such as angina, heart attacks, etc. because the nicotine in the body results in the lowering of good cholesterol. This causes deposition of bad cholesterol in the arteries.
Tobacco can cause tooth decay and several other oral problems such as gingivitis and other problems of the gum.
Cigarettes constrict your blood vessels. This constant narrowing of blood vessels can cause erectile dysfunction in men and leads to the infertility in both men and women. It also makes them difficult to achieve orgasms.
You might find yourself craving for cigarettes when you re stressed out. This is because the effect of nicotine in the cigarettes is lowered by the hormone produced during a stressful situation, i.e. cortisone.
Nicotine that causes momentary central nervous system stimulation can cause addiction and dependence.

How Smoking is Harmful For Your Health?

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