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Summer is here – and it is a great time to quit smoking!

NDC_Team
Mayo Clinic
2 18 451

As the weather gets warmer, we can all enjoy getting back outdoors and being active. You see, when you are physically active, endorphins in the brain are released, thus improving your mood.  So those pleasurable feelings that you previously associated with smoking, you can still have while obtaining them in a healthy new way.

And, while being more active in the summer is certainly a plus when quitting, often your normal routine is somewhat upset; or at the very least, different in the summer (i.e., kids are out of school, family vacations, home projects, etc.)  When people find that their normal routine is interrupted, this is also a good time to quit; as they don’t have those typical triggers in their day that have become so much a part of their everyday life.

Some steps you may want to consider as you prepare to quit:

  1. Begin by tracking when you are smoking.  This technique, often referred to as “journaling” or “logging” about your smoking is one way that you can make some steps toward quitting, without actually quitting right now. 

   Put a small notecard in your cigarette pack, and record:           

  1. The time of day you are smoking,  a rating of your current urge to smoke ( L-light, M-medium, or S-strong)
  2. Your current mood in one word (angry, stressed, happy, etc.), and
  3. What you are doing at this time (having coffee, working on a project, watching TV, etc.)

This is one way that you can begin the process of quitting smoking.  By considering what times of the day are going to be the most difficult for you when you quit, you can begin to plan those lifestyle changes that will be helpful to you when you quit (i.e., the times when a little physical activity, or merely a distraction or some kind, will be the most helpful such as a few minutes of meditation, calling a friend, or throwing a ball around). 

  1. Make an appointment with a tobacco treatment specialist, or your family care physician, to discuss medication options.  Plan on using at least two of the 7 approved smoking cessation medications (nicotine patch, nicotine inhaler, nicotine nasal spray, nicotine gum, nicotine lozenge, Bupropion, or Varenicline), and find a plan that is right for you.   
  2. Set a stop date.  When picking a stop day,  you may want to choose a day that may be less stressful – such as a day that you are not working;  or perhaps you would rather be working on your quit day, as you feel keeping busy would be helpful to you.  Again, this is your plan, and you know yourself the best.

When quitting smoking, with whatever medication plan you choose, plan on using it for at least 3 months.  It will take that long to get your new, smoke-free lifestyle into place.   After all, you have those 3 glorious months of summer to fine tune these changes, and make this quit attempt the one that really sticks!

Barb Dallavalle, MA, LP

NDC Counselor/CTTS

Tags (1)
18 Comments
TW517
Member

"Plan on using at least two of the 7 approved smoking cessation medications".  Ugh.  I'm so disappointed to see this.  I love this website, and literally credit it with saving my life.  But I'm just not sure I can recommend it anymore if it helps put money in the bank of pharmaceutical companies who would love to have more people addicted to their NRTs and other medications.  Would you mind me asking where the money comes from to fund the operation of this website?  And how much do pharmaceuticals contribute to the NDC Treatment Team, The Mayo Clinic, and The Truth Initiative?  And are you required to say things like, "Plan on using NRTs..." in return for receiving that funding?

Mandolinrain
Member

I am wondering why you feel medications are necessary? I am a cold turkey quitter. While I know medications are helpful ,Some people, like me, don't do well with meds.  It seems cold turkey should be an option as well. Just saying.

KTQeeyore
Member

I also think it is wrong to suggest that you plan on using at least 2 medications! I did use Bupropion

to aid my quit. It helped me quite a bit. Everyone is different and I have seen a lot of cold turkey quitters.

I too am just saying!   

AnnetteMM
Member

AMEN Tom!  That was just irresponsible at best.

AnnetteMM
Member

This contribution is not helpful.

EXProductMgr
Community Manager
Community Manager

TW517, happy to hear that you’ve had a great experience making EX part of your quit journey!

Neither Truth Initiative nor BecomeAnEX are funded at all by the pharmaceutical industry. We work in partnership with Mayo Clinic to provide up-to-date, evidence-based, accurate information about quitting approaches, which includes medication.

AnnetteMM
Member

What products do you manage?

EXProductMgr
Community Manager
Community Manager

I manage BecomeAnEX, as well as other online quit smoking tools from Truth Initiative (This is Quitting, Positively Smoke Free), and other software products that support these tools (such as our text messaging platform).

Dr_Hays
Mayo Clinic

TW517

We do advocate using medication to aid stopping, because  there have been many studies that demonstrate people who use medications along with behavioral support increase the likelihood of success significantly.  And all the evidence shows that medications support successful quitting without causing people to become hooked on the medication.  The vast majority of people who use the medications are able to stop them in less than 6 months.  But, whether someone uses medication or not the goal is to be tobacco free.  Smoking kills more people every day than any other preventable cause of death.  As your experience shows, medication is certainly not essential  for stopping. But for many people medications can make tobacco free living possible.   

 

The team at the Nicotine Dependence Center receives no funding or support from the pharmaceutical industry.

Regards,

Dr. Hays

AnnetteMM
Member

But I'll bet those studies do.

Yes, I'm very cynical.

TW517
Member

I'm so glad to know you do not receive funding from the pharmaceutical industry!  That really could have been a deal breaker for me.  I guess I do have to disagree with the statement, "all the evidence..."  But I do appreciate an honest disagreement with the efficacy of NRTs.  For every study you show me, I could show you one with opposite results.  For every scientific criticism of a study I show you, I could show scientific criticisms of the studies you cite.  Neither one of us will change our minds.  Thanks for responding.

MikeBurke
Mayo Clinic

In the interest of all those who are on this vital journey toward being tobacco free, we want to make sure this space is welcoming for all, whether you decide to use medication or not.  The most important thing is quitting, in whatever way works best for you! Have a great holiday weekend. 

mike burke

elvan
Member

I think using NRT's is a deeply personal decision.  I did not but I quit because I got so sick that I was literally struggling to breathe...I remember more than one person suggesting that I start using the patch or something more than a week after I had quit...saying that it would just make it easier for me.  I did NOT want to reintroduce the poison into my system so I elected to continue Cold/Smart Turkey.  I know many people who have quit with the patch or gum or chantix and they have done very well and kept their quits.  I have heard ,more than one person seeking free patches or saying they cannot afford patches or gum but I have to counter that with...they are not as expensive as cigarettes in most cases.  I will admit that when I was smoking and I saw the price of patches, I was stunned. 

I, too, am like TW517‌ in that I am relieved that you do not get support from phamaceutical companies.  I am sure there are a multitude of studies supporting using and NOT using NRTs...as I said, it is a deeply personal decision.  Some people count their days of freedom from AFTER they quit using any nicotine supplement, others start counting when they stop smoking...I think this site is about smoking and not using nicotine replacement.

Ellen

BHnCA
Member

This is a very confounding subject and can, really, only be resolved by the results that each person experiences. Based on what I’ve read on this site and others, the stance of NOT using any NRT has been discouraging enough that I almost didn’t follow through with joining EX, because I knew from past experiences in trying to quit cold turkey that it was just more than I was able to endure. Even though I relied on support groups in each of those past efforts, I STILL needed more help. Plus I had read countless articles and testaments, not to mention statistical findings regarding using NRT vs cold turkey that were all over the map which reinforced the notion that, as Ellen said, it is a deeply personal choice. While some would say my resolve lacked strength, I can only say I’m desperate to quit and if it means I can only reach my goal with the aid of an NRT, then I’m going to use one. For me, the greatest benefit of using an NRT is the fact that it takes the edge off enough that I’m able to begin feeling the benefits of not smoking vs smoking.  I NEED that preview, because it helps keep me focused on where I WANT TO BE.  In the interim, I don’t really care if it means I have to wean off of the NRT later.  Maybe I’m wrong about that, but I will only know when that time comes. 

TBenyi
Member

This is the first disturbing post I have read from either this site or becomeanEX. I recently joined BecomanEX because it has been helpful and supportive. However what I have read here in responses to the article make me feel like I don't belong here because I'm not going cold turkey. I know it is much harder going cold turkey and have failed. I simply can't handle it and how I am when I try cold turkey I don't want that around my child. Even though I use the patch I still get strong cravings and triggers which tell me I am on my way to being nicotine free for good. Furthermore I applaud the mayo clinic for saying it is alright to use medications to try and battle this addiction. I personally have had Doctor's tell me to just quit. Like it is that easy, just stop doing it. Logically it is but mentally, emotionally and physically it is not. I am originally from Canada and it is hard to even get a Family Physician there. It took my mom's years on a waiting list, with a serious illness to finally get one and he told her if she didn't quit smoking he would not treat her! So yes I am refreshed to see this attitude. I will add that not only did he give my mother an ultimatum but he also gave her NO support to quit what so ever!!!

I really don't appreciate the negative posts here. At least these people are trying to help us no matter what it takes. Which is a lot more than I can say for all of the doctor's I have ever met!

That said I do not plan on relying on medication the rest of my life. I know I will have to face  cold turkey down the road but it is my hope that the symptoms will be less.

I'll stop ranting now, my daughter wants to go outside.

elvan
Member

TBenyi  I am SO SORRY if my post came across as negative, that is certainly not the way I meant it to sound.  I did not use NRT's but I nearly died when I quit...there seriously was not TIME to use anything.  Once the nicotine was out of my system...I did not want to reintroduce it.  I did not get to feel that feeling that people talk about after they quit...you know the one where they say they quit and now they can take long walks and even go for runs.  Nope...not the Not One Puff Ever kind...the kind where your body says...seriously?  Are you kidding?  I walk briskly very, very short distances and I sound like Darth Vader.  I am SO short of breath, I cannot remember being able to breathe easily.  I think that whatever you need to do to quit smoking is YOUR decision on YOUR journey and I would be the LAST person to judge.  I SO wish I had quit when I was young and healthy enough to feel the real benefits from it.  This is NOT easy, at least it certainly wasn't when I started this journey.  I have not smoked in over four years now.  I have never been able to forget why I quit because it really was and it really IS a matter of life and breath for me and for many others.  I have not, for one moment, regretted quitting...only starting and taking so long to quit.  I stole time from my kids...from my grandkids....from myself.  No one is judging you here, you do what YOU need to do and don't let anyone get in the way of that.  I wish I had gone outside with my kids instead of smoking, I wish I had not given myself one excuse after another to keep smoking.  I owe my body a HUGE apology for what I did to it, don't let anyone say you should not be on medication if you need it and any doctor who tells you to "just quit" missed the training on addiction.  This is no easy journey.

Hugs,

Ellen

TBenyi
Member

*hugs* It wasn't you hon I'm sorry it was more Tom's post pretty much attacking them for saying to use NRT's that set me off. I've also been struggling a lot today. I'm sorry I generalized and made you feel badly. You have been great to me and I like you. I have problems breathing too. I've had asthma since I was 5 years old. I know it was really stupid of me to smoke but I  honestly didn't know the health risks until it was too late and I was addicted. I am glad that you did survive and I feel privileged to have gotten to know you a little. Thank you for all of your support. *Hugs again*

Trina

elvan
Member

TBenyi‌ I am so glad that I did not make you feel that I was judging you...I have a son who is a smoker, he also was diagnosed with asthma when he was five.  It makes me completely crazy.  Please know that every one of us were sensitive when we first started our quits...we are all raw at the beginning but you will be STUNNED at how much you can grow as long as you stay quit and give yourself a chance.  We are here, Trina, we are here and we care...I care!

XOXO,

Ellen

About the Author
The Nicotine Dependence Center at Mayo Clinic has been home to physicians, nurse practitioners, Master’s / PhD level counselors, trained TTS’, and amazing office staff for a total of 30 years, all working together to treat individuals who struggle with tobacco use. Counselors meet with an individual to develop their own personalized plan, discuss coping strategies, and provide ongoing support along the journey towards a tobacco-free life. As part of the process, counselors work with physicians and nurse practitioners to provide nicotine replacements and other medications for smoking cessation as needed. We are happy to be involved with the EX Community and we hope our experiences and expertise can help in your journey towards a tobacco-free life. View the link in our signature to see our individual Biographies.