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Quit 4 Life
Presented By
Leah Wright
Pharmacy Intern
Stueck Pharmacy
Effects on Health

What are you really smoking/chewing?
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–
–
–
–
–
–
–
–
Vinyl chloride (plastic)
Acetone (paint stripper)
Arsenic
Hydrogen cyanide
Ammonia (bleach)
Naphthalene (moth balls)
Pesticides
Lead
Carbon monoxide

Mouth Disease
– Smoke and left over chewing tobacco
increase plaque build up which attracts
bacteria
– Too much bacteria causes an infection and
leads to sores
– Infection rots teeth, bone
and gums and leads to
bad breath and tooth loss
– Plaque build up causes yellow staining
– Smoke and tar cause black staining

Impotence
– Tobacco causes a build up of plaque in blood
vessels
– Plaque impedes blood flow around the body
– Blood flow to the penis is decreased, resulting in
impotence

Lung Cancer
– Smoke, tar, nicotine and thousands of other
chemicals travel to your lungs
– Chemicals can change the way cells behave,
causing cancer to occur
– All it takes is ONE damaged cell to start a
tumor growing
– Alveoli are grape-like
structures in your lungs
that move oxygen into
your blood stream
– Smoke damages the
alveoli and prevents
your body from getting
enough oxygen

Tar and Your Lungs
– Rots your lungs
– Kills your cells
– Causes cancer

Heart Disease
– Nicotine can have many effects on the
heart
Increased heart rate
 Increased blood pressure
 Irregular heart beat

– Tobacco use leads to heart attack and
stroke

The Rest of Your Body
– Chemicals can travel to other parts of your
body through the blood stream
 Fingers
 Heart
 Toes
 Kidneys
 Eyes
 Liver
 Mouth
 Skin

Brain
What About SecondHand Smoke?



Increased risk of lung cancer, heart disease,
or asthma
Can lead to heart attack and stroke
Other effects:
–
–
–
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Allergies
Ear infections
Red, itchy, watery eyes
Headaches
Benefits of Quitting


Within 8 hours
carbon monoxide
levels drop
Within two days
sense of smell and
taste improve and
risk of heart attack
declines


Within 3 days
breathing becomes
easier
Within 2 weeks
nicotine is removed
from your body


Within 6 months
coughing, sinus
congestion,
tiredness and
shortness of breath
improve
Within 1 year risk
of smoking-related
heart attack is cut
in half


Within 10 years
risk of lung cancer
is cut in half
Within 15 years
risk of heart attack
is equal to a person
who never smoked
Myths about Quitting

I’ll gain lots of weight
Many people don’t gain weight
 Those who do only put on about 5 pounds
 Healthy snacks will help prevent weight gain


I won’t be able to go out with my friends
anymore
Lots of people worry they will have no social life
 Tell your friends that you are trying to quit and
ask them not to smoke around you
 Go to a smoke-free place, you can still have fun!


Smoking won’t hurt me until I am older
Cigarettes don’t know how old you are
 Even people in their 20’s and 30’s can have
lung cancer or heart attacks
 If you smoke, you are at risk



I’m not addicted
I can quit anytime
– Addiction has nothing to do with willpower or
control, it is a physical change in your brain
Five Stages of Change

Precontemplation
– You have no intention of quitting using tobacco
anytime in the future

Contemplation
– You are thinking about quitting, but have no
plans to do so anytime soon

Preparation
– You are planning to quit within the next few
weeks

Action
– You have quit using tobacco and are actively
utilizing a cessation method

Maintenance
– You have successfully quit using tobacco and
have been tobacco free for at least a 6 months
Habit

Smoking is associated with other activities
– Having a good time
– Eating
– Drinking
– Being stressed
Addiction
 Nicotine
is the addictive substance
 The brain demands nicotine, without enough
nicotine smokers go into withdrawal
 Nicotine has an addictive potential comparable
to cocaine, for some people all it takes is one
drag
Quitting Methods

Cold Turkey
– Pick a stop date and quit
– No more cigarettes or chewing tobacco, no
nicotine replacement therapy, no drugs
– This is the safest and healthiest method, but
also the most difficult
– Dealing with cravings and withdrawal may be
difficult

Nicotine Patch
– Three steps to slowly decrease your nicotine
intake
– Reduces withdrawal symptoms
– Can be used with nicotine gum as needed

Nicotine Gum
– Product used to control cravings
– One piece releases small amounts of nicotine
over 30 minute period
– Special technique
 Bite, Bite, Stop

Nicotine Inhaler
– Product used to control cravings
– One inhaler will last for 20 minutes of continuous
puffing

Zyban
– Prescription medication that reduces cravings
– Prepares you for your quit date
– Contains no nicotine, therefore can be safely
used with nicotine replacement therapies
– Not for everyone!
– Talk to your doctor or pharmacist
Gimmicks
 Ciganot
– Smokeless cigarette designed to keep your
hands busy and provide you with a
tobacco flavor
– Tar, nicotine, and tobacco free
 ‘Butt
It Out’ oral spray
– Herbal product supposedly similar in effect
to nicotine
– Said to be ineffective and likely unsafe
What’s This Gonna Cost
Me?



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Nicotine Patch
Nicotine Gum
Nicotine Inhaler
Zyban
Cigarettes
$120/month
$135/month
$200/month
$70/month
$360/month
Dealing with Withdrawal

BAD BREATH
– Brush your teeth
often and drink lots
of water
– Your lungs need
time to clean
themselves as they
remove deposits of
tar

CONSTIPATION/GAS
– Drink lots of water
– Add roughage to your
diet
– Go for walks
– Intestinal movement
decreases for 1-2 weeks

COUGH/DRY MOUTH
– Sip ice water
– Try sugar free cough drops, gum
or hard candy
– The body is getting rid of mucus which has
blocked airways and restricted breathing, this
takes a few days

CRAVING
– Wait out urges, they only last about 3 minutes
– Nicotine is an addictive drug and cravings will be
frequent for the first 3 days

DIZZINESS
– Get fresh air
– Change positions slowly
– The body is getting extra oxygen and this will
take 1 or 2 days to get used to

FATIQUE
– Get extra sleep
– Get more exercise
– Nicotine is a stimulant
and it will take 2 to 4
weeks for your body to
get back to normal

HUNGER
– Drink water or low
calorie liquids
– Munch on low calorie
snacks
– Craving for a cigarette
can be confused with
hunger pangs, this
may last for several
weeks

IRRITATBILITY
– Get lots of exercise
– Chew nicotine gum
– Tobacco smokers are in a chronic state of nervous
stimulation
– Withdrawal symptoms are the result of your
nervous system returning to normal, which can
take 1 to 2 weeks

LACK OF CONCENTRATION
– Change activities
– Get some exercise
– Take a deep breath
– Your body needs a few weeks to adjust to the
lack of nicotine stimulation

LACK OF SLEEP
– Take a hot, relaxing
bath
– Avoid caffeine
– Nicotine affects brain
wave function which
can influence sleep
patterns, it takes a
week or so for things
to return to normal

TIGHTNESS IN THE CHEST
– Try deep breathing or
relaxation techniques
– Tightness is due to tension
created by the body’s need
for nicotine, it may also be
caused by sore muscles from
coughing as the body attempt
to remove mucus and tar
Get Support

We are offering clients the opportunity
to attend a one-on-one counseling
session
– Why do you want to quit
– What cessation methods are right for you
– What are some tips to help you through
quitting
– Continued support until you are done