Smoking & Nicotine / Question
Published: July 23, 1999
Dear TeenHealthFX,
I've been smoking cigarettes for about a year. Even though I only smoke 5-6 cigarettes a day and I'd actually like to stop, I can't. Any suggestions?
Signed: Quitting Smoking
Dear Quitting Smoking,
Good for you! Quitting smoking is not an easy thing to do. Here are some suggestions:
Talk with your doctor about nicotine substitutes, nicotine patch, nicotine gum or medications such as Chantix or Zyban
Talk with your doctor about smoking replacement therapies:
- Patch. Patches are designed to provide a steady stream of nicotine through your skin over a designated time (16-24 hours, depending on the product). The patch is available via prescription or over the counter (OTC). It’s designed to give you enough nicotine to ease cravings. Treatment is typically recommended for six to eight weeks.
- Gum. This OTC product is recommended for smokers who want something to turn to when experiencing urges to smoke. Chew up to 20-30 pieces a day for six to eight weeks. Use the 4 mg gum if you’re smoking 25 cigarettes or more per day or using chewing tobacco. Use the 2 mg gum if you’re smoking less than 24 cigarettes a day.
- Inhaler. Patients "puff" small doses of nicotine through this prescription product that looks similar to a cigarette. Unlike a cigarette, there is no harmful carbon monoxide. Treatment usually lasts eight to 12 weeks, depending on the patient.
- Nasal spray. This prescription product sprays nicotine into your nose. Recommended use is up to two sprays an hour for as many as three months.
- Lozenge. This OTC medication is usually used eight to 12 weeks. If you typically have your first cigarette or dip within 30 minutes of awakening, use the 4 mg dose. Otherwise use the 2 mg dose. Patients are urged to use at least 6 to 12 lozenges per day.
Contact your local hospital or health clinic to see if there are any smoke stopper groups available or find activities such as going to the gym to take your mind off the situation. Spending time with friends who do not smoke or avoid situations where you know people will be smoking is also a good idea.
To help with the oral urges try sucking on some hard candy, chewing carrots, or chewing gum.
Quitting smoking is a hard proposition but one well worthwhile. You will be healthier, richer and smell better. Good luck!
Signed: TeenHealthFX
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