Is Nicotine an Alternative Vice and Should We Prohibit it's Use?

A colleague of mine shared that she had met a man who had quit spit tobacco by switching to nicotine gum. He uses 3 or 4 pieces at a time. He was happy that he quit spit and had no desire to stop using the gum. She wondered what she could say to him about his addiction to nicotine gum. Other colleagues gave her suggestions as to how to get the NRT user to change his behavior but no one really

Why can't I stop crying since I've quit smoking?

Intense, non-stop crying can be a sign of depression, which is also a nicotine withdrawal symptom. It can also be a sign that you need to learn how to deal with your emotional connection to smoking. Most likely it is a combination of both.


Not only is quitting smoking a physical journey but it is an emotional one too. Often quitters under estimate the strength of that emotional connection.

I just quit smoking, when will I feel better?

Most smokers feel better in three to four weeks. By this time the nicotine withdrawals have subsided or are being effectively managed and "habit" cigarettes have gone away.

Nicotine withdrawal is the main reason why smokers relapse the first month they quit. Physical withdrawal symptoms are: Cravings, depression, anger, irritability, insomnia, hunger or weight gain, fatigue, restlessness and

Can personality traits tell which cessation medication will work best?

Every smoker is different and when trying to decide which medication is the best one to use, it is often a matter of trial and error. But over the years I have seen different patterns emerge. It's only my observation and not scientific but it may be better than trial and error.

I always ask smoker to complete the following sentence: "I want to quit BUT......" What I've noticed is what comes

Avoid any "100 guarantee" product or service to stop smoking

Several services send me daily updates on news items, blogs and other postings on anything to do with tobacco issues. I'm always amazed at the amount of misinformation available and the products that guarantee a smoker will quit. That 100% guarantee should be the tip off that it's just a 100% guarantee that they want your money. Every method will work for some individuals but no method will work

President Obama continues to struggle to quit for good

The White house released the results of President Obama's first physical which noted that occasional use of nicotine replacement therapy (NRT). Obama admitted to smoking an occasional cigarette but what does that mean -what is "an occasional" cigarette. Regardless of his apparent health--no one who smokes is healthy. One cigarette increases the heart rate, blood pressure, releases carbon monoxide

What works and what doesn't work?

I'm approached all the time to sell products that claim to help a smoker quit. One company claimed that cravings would vanish by smelling a cinnamon scented wand. In a very unscientific experiment, I gave them out to all of the participants in one of my workshops. One third said that the wands did remove the craving, one third said the wands did nothing and one third said smelling the wand caused

Staying Quit Forever and Preventing Relapse

I always ask the participants in my stop smoking workshops, "What is the longest time you have been off cigarettes?" Their answer tells me quite a bit about how to help them be successful with their latest quit attempt. Here is what some of their answers mean:"I've never quit for more than a few days." This smoker is probably heavily addicted to nicotine and relapses because of the withdrawal

Always Nice to hear from Successful Quitters

My first workshop at Hi Desert Medical Center was a success!! All of the participants quit smoking. One individual, who had been a two pack a day smoker, was still struggling with smoking less than 10 cigarettes by the last class but called me yesterday to say that she had finally stopped a few days later by using a combination of bupropion and the nicotine inhaler that I had suggested. Here is a

Should Stop Smoking be an Inpatient Program like for Alcohol?

There are a couple of inpatient programs in the United States. The Mayo Clinic has a inpatient program that is a combination of medications, cognitive-behavior therapy and relapse prevention. Many people successfully quit in this environment. Yet the people that come to my workshops that have been through other inpatient programs, tell me that it is easier to quit in a protected environment

Different Skills Needed to Stop Smoking and then to Stay Quit

There are two different periods when a smoker quits. The initial quitting lasts 2 to 4 weeks. This is when the quitter is learning how to deal with the physical aspects of quitting and the habit cigarettes. There are now 7 FDA approved medications to handle the physical aspect of quitting and most individuals are able to get through this period by using one or a combination of these medications

Top 8 Reasons Why Medications Don't Work When Quitting Smoking

I've heard it over and over again--"I tried The Patch (or the gum or any other medication) and it didn't work". there are several reasons why the 7 FDA-approved medications don't work.1. Under dosed. The guidelines with the use of nicotine replacement products may not deliver sufficient nicotine. If a smoker is smoking two packs a day that is the equivalent to two-21mg patches. If they were only

Are you Physically Addicted to Nicotine?

This will indicate whether you are dependent upon nicotine and may indicate whether you will need medicinal support for withdrawals when you quit.Answer each question in the list below, giving yourself the appropriate points.1. How soon after you wake up do you have your first cigarette?a. within 5 minutesb. 6-30 minutesc. 31-60 minutesd. After 60 minutes2. Do you find it difficult to refrain

Should you Quit Smoking at the Same Time as you Diet?

Both smoking and weight can cause health problems, so which do you tackle first? Many individuals will gain weight when they stop smoking (see previous post about 7 reasons for weight gain) but few will start smoking when they go on a weight loss program (unless they are a former smoker who has relapsed). We do know now that smoking changes insulin levels and increases the risk of metabolic

We Need More Help For Those Trying to Quit Smoking

Many insurance policies do not cover programs or medications to quit smoking, yet quitting smoking is the best thing a smoker can do to improve their health. The long term cost savings alone would more than cover the initial cost. 50% of smokers will die from a direct cause of their smoking, which are very expensive diseases-heart disease, cancer, emphysema, stroke, just to name a few. But does

Myths About Nicotine Replacement Products

Many smokers believe that medicinal nicotine is just as harmful as getting nicotine from smoking but that is not true. Inhalation is the faster way for nicotine to enter into the brain because the smoke goes from the lungs to the heart and is pumped directly to the brain. It only takes about 7 to 10 seconds for nicotine to reach the brain. Inhalation of smoke give a higher concentration of

Why Smokers Gain Weight When They Quit Smoking and Tips to Quit

there are 7 different reasons why smokers gain weight when they quit, most of it is because of eating more food:1. Change in metabolism accounts for 3-6 pounds. 70% of weight gain is due to increase calorie consumption.- Exercise, 20 minutes per day more than you normally do- Discuss using Zyban™ and Nicotine Replacement Products with your doctor, these medications can help reduce the amount of