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Smoking

 

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Towards a smoke-free future

Goodwood Court Medical Centre & The Eaton Centre

 

  • Every year, around 120000 smokers in the UK quit by dying as a result of smoking.
  • Every week 7000 smokers quit by realising the health gains of not smoking.
  • Every day you stop smoking you will save money and pay less tax to the Government

Giving-up is NOT easy and we recognise this. We are here to offer you help in a variety of ways in order to assist you in quitting.

It takes a lot of strength and will power to give up. Many people relapse and have to start again. It does not matter how many times you give-up, the important thing is that one day you will and from that day your body will start to repair the damage.

Websites:

http://www.givingupsmoking.co.uk (UK health education site … informational)

http://www.quitnet.org (This is american but well worth looking at… by registering your intention to quit, you will receive personalised emails to encourage and help you to give-up… it even tracks the number of hours and days you have been smoke-free)

http://www.quitnow.info.au (Australian - images and information about smoking and the damage it causes)

http://www.iquitonline.com (Aimed mainly at Teenagers - sponsored by the UK Comic Company)

Helpline: 0800 169 0 169

Available 7am to 11pm daily

 

Special Helpline for pregnant women who smoke: 0800 169 9 169

 

Aids to stopping smoking

 

Will power

This is the most significant aid to stopping smoking. Whether you have been shocked into stopping because of personal or family illness. Whether you have decided that you have donated enough taxation to the Government. Whether your children comment on how awful stale tobacco smells. Or whether you have sensibly decided to give it a go….. your own will-power is a necessity for stopping smoking. If YOU don’t want to stop, then you will find great difficulty in achieving the desired outcome of being a NON-SMOKER.

 

 

Nicotine replacement therapy

In recent years the availability of nicotine replacement therapy has helped many heavy smokers achieve a smoke-free status without having to "cold-turkey" the process… this allows the smoker to stop the physical process of using cigarettes while maintaining a level of nicotine in the blood stream which stops the cravings. Once the ritual of lighting a cigarette and watching half of it waste away in an ashtray before finally stubbing it out has been broken, then the amount of nicotine replacement therapy is gradually reduced. Nicotine replacement therapy is available in a number of forms… nicotine gum, nicotine tablets which dissolve in the mouth, nicotine nasal spray, nicotine inhaler and nicotine patches.

Many of these therapies are not available on prescription although some are still available for limited prescribing. If the NRT is not available on NHS prescription it is possible to obtain it on a private prescription which will allow you to purchase it free of VAT. Please discuss this with your doctor.

 

Distraction techniques

Much of smoking is habitual and ritual.

Certain situations result in reflexly reaching for a cigarette.

By changing your daily schedules or by finding other distractions (why not take up painting or even knitting) then you will find that your need for cigarettes is lessened.

 

Decreasing other stresses

Those who feel that they are in stress inducing situations or jobs feel justified in smoking. There are many of us in equally stressful jobs or circumstances who do not smoke. Stress itself is not a reason for smoking. However it is difficult to become a non-smoker if you feel that your lifestyle will not support such a change.

Look at your life and the stresses that integrate into it. Can anything be changed - would a holiday help - will your work colleagues help you to change - is smoking an excuse for not changing your lifestyle?

Many people who work in smoke-free environments have to leave their work place to smoke. It has been "acceptable" practice for people to take "smoking breaks" which means that they get away from the telephones ringing for 10 minutes while non-smokers do not get such stress-relieving breaks. If you become a non-smoker, you will not be able to take such breaks … this will need to be considered carefully as such may easily swing you back to smoking again. Plan it carefully.

 

Hypnotherapy

Hypnotherapy is but one of a range of complementary therapies that can assist with stopping smoking. It works by subconsciously associating the thought or taste of cigarettes with distasteful situations. It can work for some people and not for others.

Mr Andrew Spence has previously worked as a Hypnotherapist at Goodwood Court Medical Centre and would be pleased to discuss with you how he might be able to assist. Phone him on 509793

Bio-Rhyhm feedback

Miriam Greene is a Biorhyhm feedback therapist and kinesiologist who works at The Eaton Centre – she may be contacted by phoning 733620


Acupuncture

Acupuncture is able to decrease obsessional activities by stimulating appropriate acupuncture points in the body. Acupuncture has been used for hundreds of years and has developed into a recognised treatment for many conditions.

Pathways to Health offer low-priced acupuncture for any form of chemical addiction at The Eaton Centre on a Friday morning… just come along from 9.30 or phone to discuss. (733620)

 

 

Drugs which decrease reliance on Nicotine

This is a new group of therapies with one licensed drug at present in the UK.

Bupropion is an antidepressant medication which seems to alleviate some of the withdrawal symptoms. Its efficacy does not seem to be based on its antidepressant properties… it helps to double the success rate compared to placebo.

There are side effects - dry mouth and insomnia being the most common. Those who have had epilepsy or any other form of seizure or those with eating disorders should not use this medication.

Treatment with bupropion should start about a week before the smoker stops smoking. This allows a level of chemical to be present during the early phase of the quitting process. If the person quits as agreed, then treatment continues for up to three months - depending on the individual response - and is stopped cleanly at the end of the quitting period.

Bupropion is currently available on NHS prescription for those who can commit to the quitting process and who achieve smoke free status within two weeks of starting the medication.

 

Homoeopathic treatment also reduces the addictive nature and is less complicated than many other prescribable items. This medication is prescribable on the NHS but also costs about £3.90 a pack without a prescription – "Homoeopathic Aconite strength 6C" two tablets taken three times a day starting initially three days before stopping smoking in order to depress the addictive centre of the brain and then continued for six weeks afterwards will decrease – often very successfully – the cravings associated with quitting.

 

Filtered Tips

 

    When planning to give-up, remove all the accoutrements of smoking - ashtrays, cigarette lighters, air fresheners, cigarette memorabilia etc.

    It is very difficult for one member of a household to become a non-smoker when other will still be smoking - try and make it a family affair rather than an individual ideal.

    Have something to aim for in the future… perhaps the money you save could go towards a new carpet to replace the one with the cigarette burns in it… calculate how much you are spending a day, a week, a month, a year on cigarettes/other tobacco

    Have a look at the websites or phone the National Helpline - callers to this helpline are able to obtain a range of appropriate information leaflets, ask about smoking cessation services in their local area and receive help and advice from specialist advisors…. This is free, non-judgmental and is designed to be tailored to each individual's needs to help them become a non-smoker for good.

     

     

    You are a NON-SMOKER… you have not "given-up" smoking as that will subconsciously make you feel that you have stopped something you enjoyed.

     

     

How to become a non-smoker in seven simple steps.

    Name a quit day, a few days or weeks away, and use the in-between days to prepare for quitting.

    Make a list of your reasons for quitting, and any reasons you might have for continuing to smoke. Make sure you really want to quit this time.

    Keep a cigarette survey sheet for a day or two to analyse your smoking pattern.

    Work out what you will do in different smoking situations:

-what distractions or substitutes will you have around for when the cravings come?

-do you need to practise a relaxation exercise?

-what will you say if someone offers you a cigarette?

-will you need to arrange to be able to talk to a friend in any desperate moments?

    The night before the quit day, have your last cigarette, but make sure you don't enjoy it - smoke an old stale one, or smoke out in the rain - just make sure it isn't a happy memory. Then get rid of all you smoking equipment - ashtrays, lighters and any spare cigarettes.

    On quit day - think positive! You've made your plans for coping, so put them into action. Make a note of any particularly difficult moments during that day, and rethink your plans if you need.

Drink lots of water and juice (try to avoid caffeine) and have some low-calorie nibbles on hand. At the end of your first day, reward yourself even if no-one else does! Spend your cigarette money and enjoy it - you deserve it.

    Later days - repeat step six as long as you need to. Go back to your list if your will-power flags, and keep rewarding yourself for every smoke -free day. Don't panic about the odd lapse - simply review your plans for the difficult moments and change them if necessary.

Start calling yourself a non-smoker -

 

YOU ARE!

 

How we can help you

 

If you are serious about quitting smoking, then do come and have a chat with one of the doctors or nurses at our medical centres.

We can help you by noting your intention, by advising on suitable therapies which might help you succeed and by involving the use of other sources of help.

If we do prescribe substances to help you give up, then we will see you frequently during the quitting process to ensure that the medication dose is correct for you.

When you have quit, then we will note it on your medical records to ensure that you are not charged additional premiums should you later take out life assurance

 

 

 

Send mail to nigel.higson@nhs.net with questions or comments about this web site.
Last modified: 08/09/08