Thursday 18 September 2014
Smoking cessation:
© Many smokers understood the ill effects of smoking and tried to quit smoking, but failed due to addiction.
© The Public Health Service (PHS) and the Agency for Healthcare Research and Quality (AHRQ) guidelines for treating tobacco use and dependence, recommends…
· Brief clinical interventions
· Pharmacotherapy
© The PHS guidelines emphasize on use of the 5 A's in clinical settings:
· Ask about tobacco use
· Advise to quit
· Assess willingness to make a quit attempt
· Assist in quit attempt
· Arrange for follow-up
© Nicotine dependence may be treated by the following…
· Nicotine replacement Therapy (NRT)
o Over-the-counter (e.g., Nicotine patch, gum, lozenge)
o Prescription (e.g., Nicotine inhaler, nasal spray)
· Non-nicotine Prescription medications
o Bupropion SR (Zyban®)
o Varenicline tartrate (Chantix®)
© TIPS to quit smoking…
· Hide the matches, lighters, and ashtrays.
· Designate the home a non-smoking area.
· Ask people not to smoke around you.
· Drink fewer caffeinated beverages which may stimulate the urge to smoke.
· Avoid alcohol which may also increase the urge to smoke.
· Change the habits connected with smoking.
· Keep mints or gum (preferably sugarless) on hand to suppress urge to smoke.
· Stay active to keep the mind off smoking and help relieve tension.
· Take a walk, exercise, read a book, brush your teeth, take a shower, take a deep breath or try a new a hobby.
· Make a list of reasons why you want to quit.
· Carry this with you at all times. When you have an urge for a cigarette, read your list and it will help strengthen your resolve.
· Look for support from others. Join a support group or smoking cessation program.
· Do not go places where many people are smoking such as bars or clubs, and smoking sections of restaurants.
· Find someone who can support you, for example a family member, friend or doctor.
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