Quit 4 LifeQuit 4 LifePresented ByPresented ByLeah WrightLeah WrightPharmacy InternPharmacy InternStueck PharmacyStueck Pharmacy

Effects on HealthEffects on Health

What are you really smoking/chewing?What are you really smoking/chewing?– Vinyl chloride (plastic)Vinyl chloride (plastic)– Acetone (paint stripper)Acetone (paint stripper)– ArsenicArsenic– Hydrogen cyanideHydrogen cyanide– Ammonia (bleach)Ammonia (bleach)– Naphthalene (moth balls)Naphthalene (moth balls)– PesticidesPesticides– LeadLead– Carbon monoxideCarbon monoxide

Mouth DiseaseMouth Disease– Smoke and left over chewing tobacco Smoke and left over chewing tobacco

increase plaque build up which increase plaque build up which attracts bacteriaattracts bacteria

– Too much bacteria causes an infection Too much bacteria causes an infection and leads to soresand leads to sores

– Infection rots teeth, boneInfection rots teeth, bone and gums and leads to and gums and leads to

bad breath and tooth loss bad breath and tooth loss

– Plaque build up causes yellow stainingPlaque build up causes yellow staining– Smoke and tar cause black stainingSmoke and tar cause black staining

ImpotenceImpotence– Tobacco causes a build up of plaque in Tobacco causes a build up of plaque in

blood vesselsblood vessels– Plaque impedes blood flow around the Plaque impedes blood flow around the

bodybody– Blood flow to the penis is decreased, Blood flow to the penis is decreased,

resulting in impotenceresulting in impotence

Lung CancerLung Cancer– Smoke, tar, nicotine and thousands of Smoke, tar, nicotine and thousands of

other chemicals travel to your lungsother chemicals travel to your lungs– Chemicals can change the way cells Chemicals can change the way cells

behave, causing cancer to occurbehave, causing cancer to occur– All it takes is ONE damaged cell to start All it takes is ONE damaged cell to start

a tumor growinga tumor growing

– Alveoli are grape-like Alveoli are grape-like structures in your structures in your lungs that move lungs that move oxygen into your oxygen into your blood streamblood stream

– Smoke damages the Smoke damages the alveoli and prevents alveoli and prevents your body from your body from getting enough getting enough oxygenoxygen

Tar and Your LungsTar and Your Lungs– Rots your lungsRots your lungs– Kills your cellsKills your cells– Causes cancerCauses cancer

Heart DiseaseHeart Disease– Nicotine can have many effects on Nicotine can have many effects on

the heartthe heart Increased heart rateIncreased heart rate Increased blood pressureIncreased blood pressure Irregular heart beatIrregular heart beat

– Tobacco use leads to heart attack Tobacco use leads to heart attack and strokeand stroke

The Rest of Your BodyThe Rest of Your Body– Chemicals can travel to other parts of Chemicals can travel to other parts of

your body through the blood streamyour body through the blood stream HeartHeart KidneysKidneys LiverLiver SkinSkin BrainBrain

FingersFingers ToesToes EyesEyes MouthMouth

What About Second-What About Second-Hand Smoke?Hand Smoke?

Increased risk of lung cancer, heart Increased risk of lung cancer, heart disease, or asthma disease, or asthma

Can lead to heart attack and strokeCan lead to heart attack and stroke Other effects:Other effects:

– AllergiesAllergies– Ear infectionsEar infections– Red, itchy, watery eyesRed, itchy, watery eyes– HeadachesHeadaches

Benefits of QuittingBenefits of Quitting

Within Within 8 hours8 hours carbon monoxide carbon monoxide levels droplevels drop

Within Within two two daysdays sense of sense of smell and taste smell and taste improve and risk improve and risk of heart attack of heart attack declinesdeclines

Within Within 3 days 3 days breathing breathing becomes easierbecomes easier

Within Within 2 weeks2 weeks nicotine is nicotine is removed from removed from your bodyyour body

Within Within 6 months6 months coughing, sinus coughing, sinus congestion, congestion, tiredness and tiredness and shortness of shortness of breath improvebreath improve

Within Within 1 year1 year risk of smoking-risk of smoking-related heart related heart attack is cut in attack is cut in halfhalf

Within Within 10 years10 years risk of lung cancer risk of lung cancer is cut in halfis cut in half

Within Within 15 years15 years risk of heart attack risk of heart attack is equal to a is equal to a person who never person who never smokedsmoked

Myths about QuittingMyths about Quitting

I’ll gain lots of weightI’ll gain lots of weight

Many people don’t gain weightMany people don’t gain weight Those who do only put on about 5 poundsThose who do only put on about 5 pounds Healthy snacks will help prevent weight Healthy snacks will help prevent weight

gaingain

I won’t be able to go out with my I won’t be able to go out with my friends anymorefriends anymore

Lots of people worry they will have no social Lots of people worry they will have no social lifelife

Tell your friends that you are trying to quit Tell your friends that you are trying to quit and ask them not to smoke around youand ask them not to smoke around you

Go to a smoke-free place, you can still have Go to a smoke-free place, you can still have fun!fun!

Smoking won’t hurt me until I am Smoking won’t hurt me until I am olderolder

Cigarettes don’t know how old you areCigarettes don’t know how old you are Even people in their 20’s and 30’s can Even people in their 20’s and 30’s can

have lung cancer or heart attackshave lung cancer or heart attacks If you smoke, you are at riskIf you smoke, you are at risk

I’m not addictedI’m not addicted I can quit anytimeI can quit anytime

– Addiction has nothing to do with willpower Addiction has nothing to do with willpower or control, it is a physical change in your or control, it is a physical change in your brainbrain

Five Stages of Five Stages of ChangeChange

PrecontemplationPrecontemplation– You have no intention of quitting using You have no intention of quitting using

tobacco anytime in the futuretobacco anytime in the future

ContemplationContemplation– You are thinking about quitting, but have You are thinking about quitting, but have

no plans to do so anytime soonno plans to do so anytime soon

PreparationPreparation– You are planning to quit within the next You are planning to quit within the next

few weeksfew weeks

ActionAction– You have quit using tobacco and are You have quit using tobacco and are

actively utilizing a cessation methodactively utilizing a cessation method

MaintenanceMaintenance– You have successfully quit using tobacco You have successfully quit using tobacco

and have been tobacco free for at least a 6 and have been tobacco free for at least a 6 monthsmonths

HabitHabit

Smoking is associated with other Smoking is associated with other activitiesactivities

– Having a good timeHaving a good time– EatingEating– DrinkingDrinking– Being stressedBeing stressed

AddictionAddiction

Nicotine is the addictive substanceNicotine is the addictive substance The brain demands nicotine, without The brain demands nicotine, without

enough nicotine smokers go into enough nicotine smokers go into withdrawalwithdrawal

Nicotine has an addictive potential Nicotine has an addictive potential comparable to cocaine, for some people comparable to cocaine, for some people all it takes is one dragall it takes is one drag

Quitting MethodsQuitting Methods

Cold TurkeyCold Turkey– Pick a stop date and quitPick a stop date and quit– No more cigarettes or chewing tobacco, no No more cigarettes or chewing tobacco, no

nicotine replacement therapy, no drugsnicotine replacement therapy, no drugs– This is the safest and healthiest method, This is the safest and healthiest method,

but also the most difficultbut also the most difficult– Dealing with cravings and withdrawal may Dealing with cravings and withdrawal may

be difficultbe difficult

Nicotine PatchNicotine Patch– Three steps to slowly decrease your Three steps to slowly decrease your

nicotine intakenicotine intake– Reduces withdrawal symptomsReduces withdrawal symptoms– Can be used with nicotine gum as neededCan be used with nicotine gum as needed

Nicotine GumNicotine Gum– Product used to control cravingsProduct used to control cravings– One piece releases small amounts of One piece releases small amounts of

nicotine over 30 minute periodnicotine over 30 minute period– Special techniqueSpecial technique

Bite, Bite, StopBite, Bite, Stop

Nicotine InhalerNicotine Inhaler– Product used to control cravingsProduct used to control cravings– One inhaler will last for 20 minutes of One inhaler will last for 20 minutes of

continuous puffingcontinuous puffing

ZybanZyban– Prescription medication that reduces Prescription medication that reduces

cravingscravings– Prepares you for your quit datePrepares you for your quit date– Contains no nicotine, therefore can be Contains no nicotine, therefore can be

safely used with nicotine replacement safely used with nicotine replacement therapiestherapies

– Not for everyone!Not for everyone!– Talk to your doctor or pharmacistTalk to your doctor or pharmacist

GimmicksGimmicks

CiganotCiganot– Smokeless cigarette designed to Smokeless cigarette designed to keep keep

your hands busyyour hands busy and provide you with a and provide you with a tobacco flavortobacco flavor

– Tar, nicotine, and tobacco freeTar, nicotine, and tobacco free

‘‘Butt It Out’ oral sprayButt It Out’ oral spray– Herbal product supposedly similar in Herbal product supposedly similar in

effect to nicotineeffect to nicotine– Said to be ineffective and likely unsafeSaid to be ineffective and likely unsafe

What’s This Gonna What’s This Gonna Cost Me?Cost Me? Nicotine PatchNicotine Patch $120/month$120/month Nicotine GumNicotine Gum $135/month$135/month Nicotine InhalerNicotine Inhaler $200/month$200/month ZybanZyban $70/month $70/month CigarettesCigarettes $360/month$360/month

Dealing with WithdrawalDealing with Withdrawal

BAD BREATHBAD BREATH– Brush your teeth Brush your teeth

often and drink often and drink lots of waterlots of water

– Your lungs need Your lungs need time to clean time to clean themselves as themselves as they remove they remove deposits of tardeposits of tar

CONSTIPATION/GASCONSTIPATION/GAS– Drink lots of waterDrink lots of water– Add roughage to your Add roughage to your

dietdiet– Go for walksGo for walks

– Intestinal movement Intestinal movement decreases for 1-2 decreases for 1-2 weeksweeks

COUGH/DRY MOUTHCOUGH/DRY MOUTH– Sip ice waterSip ice water– Try sugar free cough drops, gum Try sugar free cough drops, gum

or hard candyor hard candy

– The body is getting rid of mucus which has The body is getting rid of mucus which has blocked airways and restricted breathing, blocked airways and restricted breathing, this takes a few daysthis takes a few days

CRAVINGCRAVING– Wait out urges, they only last about 3 Wait out urges, they only last about 3

minutesminutes– Nicotine is an addictive drug and cravings Nicotine is an addictive drug and cravings

will be frequent for the first 3 dayswill be frequent for the first 3 days

DIZZINESSDIZZINESS– Get fresh air Get fresh air – Change positions slowlyChange positions slowly

– The body is getting extra oxygen and this The body is getting extra oxygen and this will take 1 or 2 days to get used towill take 1 or 2 days to get used to

FATIQUEFATIQUE– Get extra sleep Get extra sleep – Get more exerciseGet more exercise

– Nicotine is a Nicotine is a stimulant and it will stimulant and it will take 2 to 4 weeks take 2 to 4 weeks for your body to get for your body to get back to normalback to normal

HUNGERHUNGER– Drink water or low Drink water or low

calorie liquidscalorie liquids– Munch on low calorie Munch on low calorie

snackssnacks

– Craving for a Craving for a cigarette can be cigarette can be confused with hunger confused with hunger pangs, this may last pangs, this may last for several weeksfor several weeks

IRRITATBILITYIRRITATBILITY– Get lots of exerciseGet lots of exercise– Chew nicotine gumChew nicotine gum

– Tobacco smokers are in a chronic state of Tobacco smokers are in a chronic state of nervous stimulationnervous stimulation

– Withdrawal symptoms are the result of your Withdrawal symptoms are the result of your nervous system returning to normal, which nervous system returning to normal, which can take 1 to 2 weekscan take 1 to 2 weeks

LACK OF CONCENTRATIONLACK OF CONCENTRATION– Change activities Change activities – Get some exerciseGet some exercise– Take a deep breathTake a deep breath

– Your body needs a few weeks to adjust to Your body needs a few weeks to adjust to the lack of nicotine stimulationthe lack of nicotine stimulation

LACK OF SLEEPLACK OF SLEEP– Take a hot, relaxing Take a hot, relaxing

bathbath– Avoid caffeineAvoid caffeine– Nicotine affects Nicotine affects

brain wave function brain wave function which can influence which can influence sleep patterns, it sleep patterns, it takes a week or so takes a week or so for things to return for things to return to normalto normal

TIGHTNESS IN THE CHESTTIGHTNESS IN THE CHEST– Try deep breathing or Try deep breathing or

relaxation techniquesrelaxation techniques– Tightness is due to tension Tightness is due to tension

created by the body’s need created by the body’s need for nicotine, it may also be for nicotine, it may also be caused by sore muscles caused by sore muscles from coughing as the body from coughing as the body attempt to remove mucus attempt to remove mucus and tarand tar

Get SupportGet Support

We are offering clients the We are offering clients the opportunity to attend a one-on-one opportunity to attend a one-on-one counseling sessioncounseling session– Why do you want to quitWhy do you want to quit– What cessation methods are right for What cessation methods are right for

youyou– What are some tips to help you through What are some tips to help you through

quittingquitting– Continued support until you are doneContinued support until you are done