How can I quit smoking?

One of the most common New Year's resolutions is smoking cessation. According to the National Cancer Institute, tobacco use is the most common preventable cause of death. About half of the people who don't quit smoking will die of smoking-related problems. Quitting smoking is important for your health and provides many benefits. Soon after you quit, your circulation begins to improve, and your blood pressure starts to return to normal. Your sense of smell and taste return and breathing starts to become easier. In the long term, giving up tobacco can help you live longer. Your risk of getting cancer decreases with each year you stay smoke-free.

Here are some tips from the National Cancer Institute (www.cancer.gov):

Counseling Methods: People who have even a brief counseling session with a health care professional are more likely to quit smoking. The ASK, ADVISE, ASSESS, ASSIST, and ARRANGE model was developed to help health care professionals with their patients who smoke. Using this model, the physician asks the patient about their smoking status at every visit; advises the patient to stop smoking; assesses the patient’s willingness to quit; assists the patient by setting a date to quit smoking, provides self-help materials, and recommends use of nicotine replacement therapy (such as the nicotine patch); and arranges for follow-up visits.
Childhood cancer survivors who smoke may be more likely to quit when they take part in peer-counseling smoking cessation programs. In these programs, trained childhood cancer survivors offer support to other childhood cancer survivors who smoke. More people have been able to quit with peer-counseling than with self-help programs. Childhood cancer survivors who smoke can speak with their doctors about peer-counseling programs.

Drug Treatment: Various drug treatments are successful in helping people quit smoking. These include nicotine replacement products such as nicotine gum, the nicotine patch, nicotine nasal spray, nicotine inhalers, and nicotine lozenges. Nonnicotine medications such as bupropion, an antidepressant, and varenicline, a drug that mimics the way nicotine acts in the body, have also been studied and approved as aids to help people quit smoking. People who use drug treatments, no matter which kind, are more likely to be successful in their effort to quit smoking after 6 months and 12 months than those who use a placebo or no replacement at all.

Smoking Reduction: When smokers fail to completely quit smoking, they may still benefit from reducing the number of cigarettes they smoke. The more a person smokes, the higher his risk of developing lung cancer and other smoking-related cancers. Therefore, using medications or other means to smoke less may reduce smoking-related harms. Studies show that smokers who cut back are more likely to stop smoking in the future. However, smoking less should not be seen as a substitute for quitting smoking altogether, and is harmful if the smoker inhales more deeply or smokes more of each cigarette to try to control nicotine cravings. Nicotine replacement products have been shown to help smokers reduce the number of cigarettes smoked, but this effect does not appear to last over a period of years.

Smoking in the news:

Study: Smoke-free laws may cut heart attack hospitalizations CNN - Miriam Falco ATLANTA, Georgia (CNN) -- Implementing smoke-free policies can lead to a fewer hospitalizations resulting from heart attacks, according to a ...

Smoking, weight, money top New Year's resolutions MSNBC - Slimming down, stopping smoking and reducing debt almost always top the list of annual New Year's resolutions and, according to some Chattanoogans, ...

Smoking Ban in Oregon Also in Bars Starting in 2009 MSNBC - Oregon joins Washington on the smoking ban and some aren't too lit up about it. "I think they're stepping on our rights, everybody has rights as an American ...