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QUIT NOW BARRIERS TO QUITTING #1 BARRIER NICOTINE ADDICTIVENESS • Nicotine is a potent psychoactive drug that causes physical dependence and tolerance. • In the absence of nicotine, a smoker develops cravings for cigarettes and symptoms of the nicotine withdrawal syndrome Nicotine withdrawal symtoms • • • • • • • • Dysphoric or depressed mood Insomnia Irritability, frustration, or anger Anxiety Difficulty concentrating Restlessness Decreased heart rate Increased appetite or weight gain BARRIERS TO QUITTING Environmental Triggers • morning coffee, • an alcoholic drink • the end of a meal. These events become triggers to smoke and contribute to the difficulty smokers have in remaining abstinent from nicotine Approaches to Quitting Behavioral Approaches Pharmacological Approaches Behavioral Approaches • In person counseling • Telephone counseling (1 800 QUIT NOW) • Computer programs (iPHONE Apps) Behavioral Approaches • Clinician counseling • Incentives (financial incentives on saving money) • Hypnosis and acupuncture Pharmacological Approaches • Medication prescribed from your Doctor • Nicotine replacement therapy (relieves nicotine withdrawal symptoms as pt breaks behaviour – Short acting rapid response: • • • • Spray gum lozenge inhaler – Long acting, slow onset: “The Patch” Websites/Resources • www.lungusa.org — The web site for the American Lung Association, sponsor of the American Smoke-out Day, includes an online guide for smoking cessation • www.cancer.gov/cancertopics/tobacco — The National Cancer Institute web site contains information on smoking cessation in English and Spanish, as well as general information on the health effects of tobacco • www.quitnet.com — An excellent, comprehensive resource for patients • www.ahrq.gov/consumer/index.html#smoking — A good source for patient pamphlets on smoking cessation • http://bc.quitnet.com/ • http://www.becomeanex.org/ • http://www.newlifeoutlook.com/addiction/stop-smoking/