What method to stop smoking?/no smoking movie
no smoking movie
It’s D-day, you’ve decided to quit. Alone or accompanied, with or without consulting a tobacco specialist, the weaning methods are numerous. How to choose the one that suits you? Doctissimo asked Dr Véronique Peim, a tobacco expert and hospital attaché in Paris, for her advice so as not to be mistaken.
While tobacco figures are declining historically, France still has about 13 million smokers. When you want to stop smoking, it’s never easy to choose the right method for your habits, behavior or addiction. The best is to find the one that will allow you to stop calmly, while limiting the risk of relapse.
Every smoker is unique
Every smoker is different. His way of quitting will not be that of his neighbor or even his spouse. Moreover, it is difficult to say that one method is better than another.
To determine the most appropriate method to quit smoking, it will be necessary to look at the entire history of the smoker and ask the following questions:
Has he already stopped, with what, in what way?
Was he followed by a doctor?
Was he satisfied with the result?
If it did not work, what is the reason?
Does he want to start again with the same method or on the contrary change radically?
Above all, does he have a profile that makes him a more important target in the face of the dangers of smoking, such as people with diseases caused or aggravated by tobacco and pregnant women?
Whether the patient chooses to consult a specialist or wean himself off, he must first ask these questions and answer them in order to choose his method. The success of smoking cessation is closely related to the motivation of each smoker and his degree of dependence on tobacco.
The different methods to stop smoking/no smoking movie
Nicotine substitutes work very well, if used properly. It can be chewing gums, patches to apply on the skin, nicotine to suck through an inhaler, oral spray or tablets to suck or melt under the tongue. They are freely available in pharmacies, without prescription.
Patches, tablets or gums should be used at the right dosage: if the amount of nicotine is insufficient, substitutes, whatever they are, will not have the desired effect. Another important element: the instructions for use must be followed to the letter. Gums, for example, should not be consumed as chewing gum; as for the patch, it must sometimes be removed during the night.
Certain medications such as bupropion LP (Zyban ®) and varenicline (Champix ®) may be recommended to the smoker if nicotine replacement therapy has not worked and smoking cessation has been unsuccessful. However, this treatment requires a strict medical follow-up and is only given as a second-line treatment for adults with a high level of smoking dependence (Fagerström test score which defines the dependency rate greater than 7).
The use of smoking cessation medications is limited because of the significant side effects that have sometimes been controversial, especially with Varenicline (contraindicated in pregnant women).
Behavioral therapies associated with drugs have been proven. A US scientific study looked at the question and provided the conclusion: comparing the best methods to quit smoking, it indicates that behavioral interventions (individual counseling consultations, telephone consultations, self-help methods) used alone or with nicotine substitutes and drugs, prove to be the most effective.
Behavioral therapy would be particularly suitable for pregnant women, although some Varenicline drugs are contraindicated in pregnancy or breastfeeding.
In recent years, e-cigarettes have become an alternative to cigarettes. Invented in China, it is an electronic device generating a flavored vapor and may or may not contain nicotine (if it is the case, at a lower dose than the conventional cigarette). However, many questions remain about it: is it a weaning solution to recommend? Can it be considered a medicine? And above all, is it safe for your health?
The alternative medicine (acupuncture, hypnosis, cigarettes without tobacco, homeopathy …) is sometimes presented as an alternative, but especially to give a boost in addition to the basic treatment and under certain conditions. Indeed, studies prove that it provides results that are still not very effective when one wishes to quit smoking and that they should not be used as first-line drugs.
METHODS RECOMMENDED TO STOP SMOKING
According to the Haute Autorité de santé (HAS), there are therapeutic strategies that are discouraged to stop smoking:
Clonidine, tricyclic antidepressants, buspirone, mono-amine oxidase inhibitors, selective serotonin reuptake inhibitors;
Anorectics, beta-blockers, Nicoprive®, caffeine / ephedrine, cimetidine, lobeline, meprobamate, benzodiazepines, ondansetron, vaccine therapy, silver acetate;
Mesotherapy, auriculotherapy, laser.
The use of each substitute therefore depends on the smoker and his type of addiction. To find the right solution, do not hesitate to seek advice from your pharmacist or consult a doctor or a tobacco specialist. Both will be able to explain and advise to the smoker the method best adapted to his
Stop alone or get help?
If you decide to stop smoking, you can choose to do it alone or to be surrounded by health professionals.
Smokers who take their steps alone can benefit from:
Stop suddenly or gradually?
While we thought yesterday that only total cessation of tobacco led to success, we now know that a gradual weaning is possible. And again, depending on each, we can choose the most suitable method. And because smoking is a behavior reinforced by an addiction, of which nicotine is mainly responsible, only a minority of smokers achieve permanent abstinence from the first attempt of arrest, while the majority persists in a smoking of several years with alternating periods of relapse and abstinence.
“It’s often very stressful for a smoker to stop suddenly and this stress can be synonymous with failure.” It may be relevant to first remove cigarettes from the day. how much to go down the 25 floors of his office 10 times a day to smoke can be restrictive … The use of the substitute in the day will do without these cigarettes and to go gradually to a total stop “.
Whatever the method chosen, the person who decides to quit must become the main actor of his withdrawal. Good timing and the right method belong to him.
How to avoid relapses?
When one stops smoking, symptoms may appear during the weaning period: weight gain, irritability, anxiety etc. If this is the case, you should turn to your doctor or a health professional who can help you manage these changes, including through the establishment of basic rules for balanced nutrition and physical activity.
Quit smoking is good, but hold on the duration, it’s even better! Your doctor or the healthcare professional who follows you may also make you aware of the risks of relapse. He can help you to identify:
Situations that may lead to lighting a cigarette;
The emotions felt in this situation;
The thoughts that lead to taking this cigarette.
Finally, he will propose an alternative towards which you will be able to turn when these situations, emotions or thoughts arise.