1. Quit 4 Life Presented By Leah Wright Pharmacy Intern Stueck Pharmacy

2. Effects on Health

3. 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

4. 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

5. –Plaque build up causes yellow staining –Smoke and tar cause black staining

6. 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

7. 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

8. –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

9. Tar and Your Lungs Tar and Your Lungs –Rots your lungs –Kills your cells –Causes cancer

10. 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

11. 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

12. What About Second- Hand Smoke?

13. 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

14. Benefits of Quitting

15. 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

16. 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

17. Myths about Quitting

18. 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

19. 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!

20. 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

21. 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

22. Five Stages of Change

23. Precontemplation Precontemplation –You have no intention of quitting using tobacco anytime in the future

24. Contemplation Contemplation –You are thinking about quitting, but have no plans to do so anytime soon

25. Preparation Preparation –You are planning to quit within the next few weeks

26. Action Action –You have quit using tobacco and are actively utilizing a cessation method

27. Maintenance Maintenance –You have successfully quit using tobacco and have been tobacco free for at least a 6 months

28. Habit

29. Smoking is associated with other activities Smoking is associated with other activities –Having a good time –Eating –Drinking –Being stressed

30. Addiction

31. 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

32. Quitting Methods

33. 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

34. Nicotine Patch Nicotine Patch –Three steps to slowly decrease your nicotine intake –Reduces withdrawal symptoms –Can be used with nicotine gum as needed

35. 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

36. Nicotine Inhaler Nicotine Inhaler –Product used to control cravings –One inhaler will last for 20 minutes of continuous puffing

37. 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

38. 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

39. 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

40. Dealing with Withdrawal

41. 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

42. CONSTIPATION/GAS CONSTIPATION/GAS –Drink lots of water –Add roughage to your diet –Go for walks –Intestinal movement decreases for 1-2 weeks

43. 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

44. 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

45. 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

46. 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

47. 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

48. 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

49. 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

50. 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

51. 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

52. Get Support

53. 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