Many Studies have shown that these six steps will help you quit and quit for good. You have the best chances of quitting if you use them together. If youf first attempt is not successful, dont give in- just start another time, but eliminate the factors that caused failure. Best of all: these easy stop smoking methods cost little in comparison to the money you save.
1. Get ready
2. Get support
3. Learn new skills and behaviors
5. Be prepared for relapse or difficult situations
6. Exercise
1. Get Ready
Set a quit date. Plan activities during the first couple of weeks to take your mind off smoking. It will be easier to quit if you keep yourself busy.
Change your environment.
Get rid of all cigarettes and ashtrays in your home, car, and place of work.
Don't let people smoke in your home.
Review your past attempts to quit. Think about what worked and what did not.
Once you quit, don't smoke again. Aim for absolute abstinence -- even a single puff leads to relapse.
2. Get Support and Encouragement
Studies have shown that you have a better chance of being successful if you have help. You can get support in many ways:
Tell your family, friends, and coworkers that you are going to quit and want their support. Ask them not to smoke around you or leave cigarettes out.
Talk to your doctor, nurse, pharmacist, psychologist, or smoking counselor. Hypnotherapy may be an option.
Get individual, group, or telephone counseling. The more counseling you have, the better your chances are of quitting. Programs are given at local hospitals and health centers. Your local health department has more information about programs in your area.
3. Learn New Skills and Behaviors
Try to distract yourself from urges to smoke. Talk to someone, go for a walk, or get busy with a task.
When you first try to quit, change your routine. As an example, use a different route to work. drink tea instead of coffee, eat breakfast in a different place.
Do something to reduce your stress. If you feel stressed, ake a hot bath, relax, exercise, or read a book.
Plan something enjoyable to do every day.Adopt a "positive life-style". Inventory those things that make you feel good and treat yourself to them -- excercising, kissing, reading, taking a nap -- instead of a smoke.
Positive life-style changes that improve mood level are particularly useful if you used to smoke to deal with negative emotional states.
Be patient. Changing a habit takes time.
For the time being the following medications are approved and have shown to be efficient:
These medications help you stop smoking and lessen the urge to smoke. All of these medications will more or less double your chances of quitting and quitting for good. Of course, medication is not the miracle key to success, but ir facilitates stoping the habit.
Bupropion ( Zyban )

Zyban ( Bupropion) Medication
Zyban (Bupropion ) is a medication that works by interfering with the chemicals in the brain that causes addiction. You start taking bupropion for 1-2 weeks before you plan to stop smoking.
If you want to stop smoking, taking bupropion ( Zyban) Bupropion roughly doubles your chance of success. For many smokers, Bupropion ( Zyban) is the best stop smoking medication available, since no more nicotine is being consumed.
What is Bupropion ( Zyban) and How does it Work?
Bupropion ( Zyban) is a drug first developed to treat depression. It was found that it helped smokers quit smoking. It is not clear how the medication works. It alters the level of some chemicals in the brain (neurotransmitters). This seems to relieve the withdrawal symptoms that you get when you stop smoking (such as craving, anxiety, restlessness, headaches, irritability, hunger, difficulty with concentration, or just feeling awful).
How Effective is bupropion ( Zyban) ?
About twice the number of smokers who take Bupropion stop smoking compared to those who don't. Up to 1 in 5 smokers who really want to stop will do it with the help of bupropion ( Zyban).
How do I take Bupropion?
Bupropion does not 'make' you stop smoking. You still need determination to succeed, and to break the smoking habit. A combination of Bupropion with counselling from a nurse, doctor, pharmacist, or other health professional increases your chance of successfully stopping smoking.
Are there any Side-effects?
Most people take Bupropion without any problem. Read the packet leaflet for a full list of possible side-effects and cautions.The most common are:
- a dry mouth
- sleep disturbance
- drowsiness
- seizures
- high blood pressure
Blood pressure sometimes goes up in people who take Bupropion. This is more common in people who take Bupropion plus nicotine replacement therapy at the same time (nicotine gum, etc). You should have a baseline blood pressure reading done before you start treatment and it should be monitored from time to time. It should be checked weekly if you take Bupropion plus nicotine replacement therapy.
Persons Who should not take Bupropion?
You should not take bupropion if you:
Bupropion should be used with caution if you have heart disease. However, if you have heart disease, the benefits of stopping smoking usually outweigh other concerns. Also, the dose may need to be reduced if you have some medical conditions, or if you take certain medicines. Tell your doctor or pharmacist if you:
Whilst you are taking Bupropion, tell your doctor or pharmacist if you are prescribed or buy any new medication. Also, tell a doctor or pharmacist if you are taking any of the following medications.
Nicotine Replacement Therapy ( NRT)
Nicotine is the substance in cigarettes that is addictive. If you are trying to give up smoking, nicotine replacement therapy (NRT) can help you cope with nicotine withdrawal symptoms, and can double your chances of success.
NRT includes nicotine products, such as gum and patches, which work by getting nicotine into your system without the tar, carbon monoxide and other poisonous chemicals you get from tobacco smoke. So, while you are becoming a non-smoker, you can still get nicotine from NRT. Once you become comfortable not smoking, you can gradually cut out the NRT.
As well as chewing gum and patches, NRT is also available as lozenges (tablets that you put under your tongue), and as an inhaler, or nasal spray. Choose whichever suits you best after discussing your options with your GP or a smoking counsellor. It is very important not to smoke while you are using NRT.
For more details please refer to thiis patient handout that discusses the pros/cons of each type of nicotine replacement therapy to help you choose what will work best for you.
Nicotine Gum, Tablets and Lozenges
You can chew nicotine gum whenever you feel a craving. Nicotine is absorbed into the lining of your mouth. Nicotine gum is available in two strengths. For heavy smokers, a 4mg nicotine gum is available, and for lighter smokers, there is a weaker, 2mg gum. The taste can be unpleasant at first but for most people this only lasts about a week or so.
Before using nicotine gum, you should read the instructions carefully because it needs to be 'chewed' differently than normal gum.
Nicotine tablets, sometimes called microtabs, are placed under your tongue and dissolve quickly. Depending on how much you smoke, one or two tablets are taken every hour. However, you should not need to take them for more that six months.
Nicotine lozenges should be sucked slowly to release nicotine contained in them. They take about 20-30 minutes to dissolve and are available in two strengths - 2mg and 4 mg.
Nicotine inhalers look like a plastic cigarette. The inhaler has holder into which nicotine cartridges are fitted. When you draw on the inhaler, like a cigarette, it releases nicotine vapour which is absorbed into you mouth and throat.
Nicotine nasal spray works by passing nicotine through the lining of your nose. The nicotine in the spray is absorbed quicker than with the gum or the patch, but it can take a while to get used to, and can irritate your nose. You will need a GP's prescription for a nasal spray.
Nicotine patches are effective for many regular smokers, and can be worn all day (24 hour patches), or during the daytime (16 hour patches). Patches are available in different doses. If you smoke 10 cigarettes, or more, a day, you may consider starting with the higher dose. You should not use them for more than 12 weeks and you should gradually reduce the dose.
Although the once-a-day patch has largely supplanted the gum first used in nicotine replacement, for some, the most effective treatment could involve one or both.
The patch may be easier to use, but the gum is the only product that allows you control over blood nicotine level. Some people know they'll do better if they stay in control. And would-be quitters who do fine on the patch until they run into a stressful business meeting may stifle that urge to bum a cigarette if they boost their nicotine level in advance with a piece of gum.
5. Be Prepared for Relapse or Difficult Situations
Most relapses occur within the first 3 months after quitting. Don't be discouraged if you start smoking again. Nicotine addiction is powerful. Expect to struggle for a couple of months. It's an up-and-down course. Some difficult situations to watch for:
Alcohol
Avoid drinking alcohol. Drinking lowers your chances of success. Alcohol will likely lower your willpower and increase your chances of having a cigarette.
Other smokers
Being around smoking can make you want to smoke. Go to non-smoking places with your friends, like the mall or the movies. If your family smokes, ask them to not smoke in your room. Encourage them to quit, too.
Weight gain
Many smokers will gain weight when they quit, usually less than 10 pounds This is absolutely normal.. Eat a healthy diet and stay active. Don't let weight gain distract you from your main goal—quitting smoking. Some quit-smoking medications may help delay weight gain.
Bad mood or depression.
There are a lot of ways to improve your mood other than smoking. Set goals and rewards, i.e. " If I dont smoke within the next 2 weeks, I deserve a trip to...., a candle-light dinner with friends, a visit to a museum.... You will soon discover that by quitting you save substantial amounts of money. You may invest this money in things of value...
6. Exercise
It will take your mind off smoking, make you feel better, and keep you healthy.When you stop smoking you will immediately experience that you are getting fitter.
Articles
Bupropion May Be Effective for Smoking Cessation in Primary Care Settings
News Author: Laurie Barclay, MD
September 14, 2007 — Bupropion may be effective in the primary care setting and more than doubled the odds of continuous abstinence from smoking, according to the results of a double-blind, placebo-controlled, randomized trial reported in the September 10 issue of the Archives of Internal Medicine.
"Studies undertaken in academic settings have shown that bupropion hydrochloride can double the odds of smoking cessation compared with placebo," write Roldano Fossati, MD, from the Università degli Studi di Milano in Milan, Italy, and colleagues from the General Practice Tobacco Cessation Investigators Group. "To assess whether these results are applicable in primary care, we launched a double-blind, placebo-controlled, randomized trial to be conducted by general practitioners."
From April 2004 to May 2005, 71 Italian general practitioners enrolled 593 healthy smokers in this study, of whom 400 were randomized to receive bupropion hydrochloride, 150 mg twice a day, and 193 were randomized to receive placebo daily for 7 weeks. During the 1-year study, participants had 4 clinical visits and 3 telephone calls, in addition to the baseline visit. The main outcome measures were biochemically confirmed continuous abstinence at week 7 and at week 52.
From week 4 to week 7, 41.0% of the subjects in the bupropion group were continuously abstinent, as were 22.3% of those in the placebo group (multivariate odds ratio [OR], 2.37; 95% confidence interval [CI], 1.60 - 3.53). From week 4 to week 52, the rates of continuous abstinence were 25% in the bupropion group and 14% in the placebo group (OR, 2.11; 95% CI, 1.32 - 3.39).
Mean weight gain was similar in both groups. For long-term abstainers, weight gain was 3 kg in women and 4 kg in men. Although more participants in the bupropion group vs the placebo group had an adverse event, the percentage discontinuing use of the study medication was similar in both groups.
"Bupropion more than doubled the odds of continuous abstinence from smoking," the study authors write. "The adherence of general practitioners and participants to the protocol was excellent, making our findings robust and easy to generalize to the context of primary care."
Limitations of the study include less frequent follow-up visits vs that reported in other studies, which could lead to an underestimation of adverse events; nonmedical factors such as the clinician-patient relationship might have influenced the selection of the study population and compliance; and the concern that 3 telephone calls and 5 visits in a year might be an excessive burden for most primary care clinics.
"The adherence of GPs [general practitioners] and participants to the research protocol was excellent," the investigators conclude. "Bupropion was efficacious, with an absolute 25% of participants continuously abstinent at 1 year; it doubled the odds of continuous abstinence from week 4 to week 7 and from week 4 to week 52 compared with placebo and was also well tolerated. This study, conducted in the general practice setting, does not simply replicate previous studies undertaken in academic centers but also provides reliable data that physicians may use to make their best evidence-based decisions in the difficult task of helping people quit smoking."
Arch Intern Med. 2007;167:1791-1797.
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This information is not intended as individual medical advice and does not substitute for the knowledge and judgment of your health care professional. This information does not contain any assurances that this product / products is safe, effective, or appropriate for you.
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