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Ready to Quit!
• Don’t smoke in your home – Remove ashtrays, clean
carpets, drapes, curtains, paint walls etc.
• Have a designated outside smoking area if necessary
• Don’t smoke in car - clean & detail car• The only winner when you smokes is the TOBACCO
• Take control of your health & empower your family with
The Quit Plan – Let’s Get Started
Smoking is a Addiction
& a Habit
• Write Your Reasons Quitting – Keep them for 1 year
• Start Tracking
Your Smoking Habits.
• What are your triggers? If possible avoid while quitting
• Pick a Quit Date
• Schedule Your Cigarettes- You’ll smoke less
The Risks of Just Tapering Down
• Most individual who cut back compensate by smoking differently
• No way to know effect of even one cigarette on fetus – there is no
Source: Treating Tobacco Use & Dependence: The OB?GYN Patient …Karen Hudmon, Dr. P.H.
Common Quitting Aides
NRT’s are quitting aides that contain nicotine. NRT is used to
reduce cravings and withdrawal symptoms in smokers who are
trying to quit smoking. They DO NOT have all the harmful
NRT does not contain the same amounts of nicotine found in
cigarettes. However, it does reduce nicotine cravings and
withdrawals in smokers who are trying to quit. This allows the
smoker to focus more on the physiological reasons behind their
Types of Nicotine Replacement Therapy – NRT
• The Nicotine Patch -
The patch resembles an oversized
adhesive band aid. The inside of the patch presses against the
skin and slowly releases a small steady amount of nicotine
• Nicotine Gum -
The gum has a similar texture to regular
chewing gum. When the gum is chewed nicotine is slowly
released into the mouth. Once the gum is “chewed” it should be
parked or placed between the cheek and gum. It will continue
to release nicotine at a very slow rate.
• Nicotine Lozenge -
The lozenge looks similar to a cough drop.
Similar to the gum the lozenge should be parked between the
Prescription Quitting Aides
• Bupropion (Zyban)
is a prescription antidepressant that is also
used to treat nicotine addiction. The drug reduces nicotine
withdrawal symptoms and urges to smoke. It is also known as
Zyban. Zyban can be used with nicotine replacement therapy.
• Chantix (varenicline)
is a prescription medication that helps
reduce cravings and urges to smoke cigarettes. It works by
blocking the pleasant effects of nicotine (from smoking) on the
brain. It comes in tablet form and taken by mouth.
Pregnancy & NRT
“Nicotine most likely does have adverse effects on the
fetus during pregnancy. Although the use of NRT exposes
pregnant women to nicotine, smoking exposes them to
nicotine plus numerous other chemicals that are injurious to
the woman and fetus. These concerns must be considered in
the context of inconclusive evidence that cessation
medications boost abstinence rates in pregnant smokers.”1
Clinical Practice Guidelines Recommendations: Effectiveness
– Lack of sufficiently-powered, conclusive studies
– Panel did not make recommendations regarding medications
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The Decline Effect and the Scientific Method : The New Yorker THE TRUTH WEARS OFF Is there something wrong with the scientific method? Many results that are rigorously proved and accepted start shrinking in later studies. On September 18, 2007, a few dozen neuroscientists, psychiatrists, and drug-company executives gathered in ahotel conference room in Brussels to hear some startling n