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Bureau of Tobacco Control : NYC DOHMH

Bureau of Tobacco Control

How to Quit Smoking

Quitting smoking is the single most important thing you can do for your health.

Remember, it is never too late to stop smoking. If you need help or want to find a local quit smoking program, call 311.

* Why Should I Quit Smoking?

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Contents

How can I quit smoking?

Deciding you want to quit smoking is a step in the right direction. Sure, quitting can be hard but the truth is most NYC smokers have already quit and you can too! By fully preparing yourself for the quitting process, you may be more likely to succeed. Read the following tips for hints on to make your quit attempt a little bit easier!

10 ways to make quitting easier
  1. Prepare yourself.
    Make a list of your reasons for quitting and read it often.

  2. Pick a quit date.
    Get rid of ashtrays and lighters, and throw out all cigarettes.

  3. Have a smoke-free car and home.
    It is healthier for others and will help you not smoke.

  4. Get support and encouragement.
    Tell your family, friends, and coworkers that you are quitting, and ask for their support.

  5. Get a quit buddy.
    Ask a smoker to quit with you, or find someone who has already quit who you can talk to for support.

  6. Notice what makes you want to smoke.
    Alcohol, coffee, and stress can make you feel like smoking. So can seeing others smoke; ask smokers you know not to light up in front of you.

  7. Think About Using Quit Smoking Aids and Medications
    The nicotine patch or gum, and medications such as Zyban (bupropion) and Chantix (varenicline) greatly reduce your cravings and can double or up to triple your chance of success. Talk to your doctor.

  8. Help yourself cope.
    Drink a lot of water to help with cravings. Exercise to get rid of stress and improve your mood and health; a fast walk often does the trick.

  9. Get your mind off smoking.
    Talk to a friend when you feel like smoking. Get busy with a simple task, eat a healthy snack, take a walk, or chew gum. Stay away from places and situations you associate with smoking.

  10. Stay away from that first cigarette.
    Having even one can make you start up again. Cravings will decrease the longer you don't smoke.

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Quit Smoking Medication

Smokers who use quit smoking medication for 6 weeks or more are more likely to be successful. Many smokers relapse if they stop using medication too soon.

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Nicotine Withdrawal Symptoms

Many people have one or more of the following withdrawal symptoms when they stop using tobacco. Here are some tips for dealing with some of the most common symptoms:

  1. Depressed mood
    • Exercise
    • Ask a doctor if you are a good candidate for Wellbutrin

  2. Insomnia/sleep problems
    • Avoid using medications too close to bedtime
    • Avoid caffeine in the late afternoon or evening; choose chamomile tea
    • Take a midday nap

  3. Irritability
    • Take a few slow, deep breaths
    • Soak in a hot tub
    • Exercise

  4. Anxiety
    • Meditate
    • Exercise
    • Talk to a friend

  5. Difficulty concentrating
    • Take a break from whatever you're doing
    • Take a walk

  6. Restlessness
    • Take up a tobacco-free hobby; do something that doesn't remind you of smoking

  7. Increased appetite/weight gain
    • Snack on healthy foods, such as fresh fruits and vegetables
    • Drink plenty of water
    • Exercise
    • Ask your doctor if you're a good candidate for Zyban

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Nicotine Replacement Therapy

When quitting smoking, many people use nicotine replacement therapy (NRT) because it decreases nicotine withdrawal symptoms and can double the chance of quitting smoking successfully. NRT delivers nicotine to the body at a slower and steadier rate compared to smoking. The nicotine delivered in this way helps the smoker stop using cigarettes as a way to get nicotine. Although NRT is very safe, you should talk to your doctor before using it if you have had a recent heart attack, have an irregular heart beat, uncontrolled high blood pressure, are under the age of 18, or are pregnant. Some people use two different forms of NRT at the same time or use NRT with a non-NRT medication. Research has shown that combining different forms of smoking cessation medications can increase your success of quitting smoking.

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Nicotine Replacement Therapy Medications
and How to Use Them

While using NRT, if you experience fast heart beat, headache, or upset stomach, these could be signs of too much nicotine in your body. Stop using the NRT and talk to your doctor.

Nicotine Patch:  You can buy this without a prescription. You put the patch on a clean, dry area of skin on your upper body that isn't covered with hair, such as your upper arm, back or side. Nicotine slowly enters your body throughout the day. If you smoke a pack a day (20 cigarettes), you could start with a 21 mg patch so that you would get about the same amount of nicotine that you're used to getting from your cigarettes. The patch comes in 7 mg, 14 mg, and 21 mg for 24 hours or 10 mg and 15 mg for 16 hours.

The most common side effects of the patch are skin irritation and vivid dreams. To avoid skin irritation and redness put the patch on a new area of your skin each day. To avoid vivid dreams do not sleep with the patch on.

Approximate cost: $4.00-$4.50 per day.

Nicotine Gum: You can buy this without a prescription. You chew the gum until you get a tingly sensation or peppery taste and then lodge it between your gum and cheek. The nicotine enters your body through your mouth lining. Avoid eating acidic foods 15 minutes before chewing the gum, and do not eat or drink while using it. The gum comes in 2 mg and 4 mg per piece. If you smoke a pack a day and you choose to use NRT gum only, you could start with a 4 mg dose and use the gum at regular intervals throughout the day. Some smokers use up to 24 pieces of gum each day.

The most common side effects are hiccups and mild mouth irritation.

Approximate cost: $6.25-$7.00 per day.

Nicotine Lozenge: You can buy this without a prescription. You suck the lozenge and the nicotine enters your body through your mouth lining. Avoid eating acidic foods 15 minutes before sucking on the lozenge, and do not eat or drink while using it. The lozenge comes in 2 mg and 4 mg. If you smoke a pack a day and you choose only to use the NRT lozenges, you could start with a 4 mg dose and use the lozenge at regular intervals throughout the day. Some smokers use up to 20 lozenges per day.

The most common side effect is mild mouth irritation.

Approximate cost: $4.00-$4.50 per day.

Nicotine Nasal Spray: You need a prescription from your doctor to get this medication. Use this as you would any other nasal spray. The nicotine enters your body through the lining of your nose. Talk to your doctor about proper use, dosage, and side effects.

Approximate cost: $5.00-$15.00 per day.

Nicotine Inhaler: You need a prescription from your doctor to get this medication. You puff on a nicotine cartridge that is inserted into a mouthpiece that looks like a cigarette filter. The nicotine enters your body through your throat lining. Talk to your doctor about proper use, dosage, and side effects.

Approximate cost: $6.00-$16.00 per day.

While using NRT, if you experience fast heart beat, headache, or upset stomach, these could be signs of too much nicotine in your body. Stop using the NRT and talk to your doctor.

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Nicotine Free Quit Smoking Medications

Zyban (Bupropion): You need a prescription from your doctor to use this. ZYBAN does not have nicotine. It reduces cravings and withdrawal symptoms. ZYBAN is a pill, and is taken twice a day. Talk to your doctor about proper use, dosage, and side effects.

Approximate cost: $3.00-$4.00 per day.

Chantix (Varenicline): You need a prescription from your doctor to use this. CHANTIX does not have nicotine. It reduces cravings and helps with withdrawal symptoms.  Heavy smokers benefit most from this medication. It works by preventing nicotine from binding to receptors in the brain, which prevents the reward of smoking. CHANTIX is a pill and is taken twice a day. Talk to your doctor about proper use, dosage, and side effects.

Approximate cost: $3.00-$4.00 per day.

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Quit Smoking Programs

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Quit Smoking Programs by Borough (as of 9/08)

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Additional Resources to Help You Quit
OTHER RESOURCES
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(Search for: "Bureau of Tobacco Control")
 
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