Quit 4 Life Presented By Leah Wright Pharmacy Intern Stueck Pharmacy
Effects on Health
What are you really smoking/chewing? What are you really smoking/chewing? –Vinyl chloride (plastic) –Acetone (paint stripper) –Arsenic –Hydrogen cyanide –Ammonia (bleach) –Naphthalene (moth balls) –Pesticides –Lead –Carbon monoxide
Mouth Disease 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 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 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 Tar and Your Lungs –Rots your lungs –Kills your cells –Causes cancer
Heart Disease Heart Disease –Nicotine can have many effects on the heart Increased heart rate Increased heart rate Increased blood pressure Increased blood pressure Irregular heart beat Irregular heart beat –Tobacco use leads to heart attack and stroke
The Rest of Your Body The Rest of Your Body –Chemicals can travel to other parts of your body through the blood stream Heart Heart Kidneys Kidneys Liver Liver Skin Skin Brain Brain Fingers Toes Eyes Mouth
What About Second- Hand Smoke?
Increased risk of lung cancer, heart disease, or asthma Increased risk of lung cancer, heart disease, or asthma Can lead to heart attack and stroke Can lead to heart attack and stroke Other effects: Other effects: –Allergies –Ear infections –Red, itchy, watery eyes –Headaches
Benefits of Quitting
Within 8 hours carbon monoxide levels drop Within 8 hours carbon monoxide levels drop Within two days sense of smell and taste improve and risk of heart attack declines Within two days sense of smell and taste improve and risk of heart attack declines Within 3 days breathing becomes easier Within 3 days breathing becomes easier Within 2 weeks nicotine is removed from your body Within 2 weeks nicotine is removed from your body
Within 6 months coughing, sinus congestion, tiredness and shortness of breath improve 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 1 year risk of smoking-related heart attack is cut in half Within 10 years risk of lung cancer 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 Within 15 years risk of heart attack is equal to a person who never smoked
Myths about Quitting
I’ll gain lots of weight 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 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 Smoking won’t hurt me until I am older Cigarettes don’t know how old you are Cigarettes don’t know how old you are Even people in their 20’s and 30’s can have lung cancer or heart attacks Even people in their 20’s and 30’s can have lung cancer or heart attacks If you smoke, you are at risk If you smoke, you are at risk
I’m not addicted I’m not addicted I can quit anytime 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 Precontemplation –You have no intention of quitting using tobacco anytime in the future
Contemplation Contemplation –You are thinking about quitting, but have no plans to do so anytime soon
Preparation Preparation –You are planning to quit within the next few weeks
Action Action –You have quit using tobacco and are actively utilizing a cessation method
Maintenance 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 Smoking is associated with other activities –Having a good time –Eating –Drinking –Being stressed
Addiction
Nicotine is the addictive substance Nicotine is the addictive substance The brain demands nicotine, without enough nicotine smokers go into withdrawal 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 Nicotine has an addictive potential comparable to cocaine, for some people all it takes is one drag
Quitting Methods
Cold Turkey 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 Nicotine Patch –Three steps to slowly decrease your nicotine intake –Reduces withdrawal symptoms –Can be used with nicotine gum as needed
Nicotine Gum Nicotine Gum –Product used to control cravings –One piece releases small amounts of nicotine over 30 minute period –Special technique Bite, Bite, Stop Bite, Bite, Stop
Nicotine Inhaler Nicotine Inhaler –Product used to control cravings –One inhaler will last for 20 minutes of continuous puffing
Zyban 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 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 ‘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? Nicotine Patch$120/month Nicotine Patch$120/month Nicotine Gum$135/month Nicotine Gum$135/month Nicotine Inhaler$200/month Nicotine Inhaler$200/month Zyban$70/month Zyban$70/month Cigarettes$360/month Cigarettes$360/month
Dealing with Withdrawal
BAD BREATH 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 CONSTIPATION/GAS –Drink lots of water –Add roughage to your diet –Go for walks –Intestinal movement decreases for 1-2 weeks
COUGH/DRY MOUTH 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 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 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 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 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 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 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 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 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 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