Smoking cessation

Increased risk of cancers of:

1. Oral cavity
2. Lung
3. Breast
4. Pancrease
5. Esophagus
6. Bladder
7. Colorectal
8. Ovary

Increased risk of cardiovascular diseases such as:

1. Coronoary heart disease
2. Heart attack
3. Stroke
4. Small Vessel Disease

Increased risk of lung infections and diseases such as:

1. Asthma
2. Emphysema
3. COPD
4. Respiratory infections

Smoking during pregnancy increases chance of:

1. Low birth weight, abortion and small for gestational age (SGA)

Other health effects:

• Skin aging
• Cough
• Shortness of breath
• Numbness of fingers and toes

• Decreases chance of heart disease
• Improved sense of taste and smell
• Increased lung capacity and breathing
• Improved fitness for physical activity
• Reduced risk of cancer

• Restrict smoking access or locations
• Practice going without one cigarette
• Set a specific quit day and time
• Start buying cigarettes by the pack, rather than by the carton
• Identify and practice coping skills
• Enlist support
• Build and maintain your motivation
• Remove all cigarettes, lighters, matches and ashtrays the night before Quit Day
• Put together a “survival kit” of gum, hard candies, rubber bands, bottled water, carrot sticks, etc. for Quit Day

Create a list of trigger cues:

• Physical settings
• Emotional settings
• Environmental settings

• Create a list of alternatives to each of trigger cues that could replace drug use craving

• Plan out the entire day
• Practice coping skills
• Identify and maintain your reward system
• Use your survival kit
• Have your teeth cleaned
• Air out your home, car, office
• Utilize your support network
• Go to bed early, if necessary!

• Keep track of your nonsmoking days on a calendar
• Start a walking program
• Purchase a reward with your newfound savings
• Never allow smoking to be an option

• Nicotine replacement therapy (NRT) comes in a variety of forms such as patches, gums and inhalers.
• The amount of daily dose that you would need depends on the number of daily cigarettes that you smoke, the length of times that you have been a smoker and the severity of your nicotine dependence.

• Chantix and Champix (Varenicline): a partial α4β2 nicotinic acetylcholine agonist
• Wellbutrin (Bupropion, Zyban)

1. Zyban, bupropion hydrochloride 150 mg sustained release tablets smoking cessation aid [product monograph]. Mississauga (ON): GlaxoSmithKline; 2001 July 5.
2. Hurt RD, Sachs DPL, Glover ED, Offord KP, Johnston JA, Dale LC, et al. A comparison of sustained-release bupropion and placebo for smoking cessation. N Engl J Med 1997; 337: 1195-202.