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continued:

Smoking cessation: Creating a quit-smoking plan

Preparing for quit day

There's no easy way to quit smoking. But planning for it can help you overcome the hurdles you're likely to face. Here are steps you can take as you prepare for your quit day:

  • Mark the day. Make a big notation of your quit day on your calendar. It's an important day in your life, so treat it like one.
  • Talk to your health care provider. If you haven't talked to your doctor or health care provider yet about quitting smoking, do so now. Ask about stop-smoking counseling and medications. Using either counseling or medication improves your odds of success. And combining them is even more effective. If you'll be using the prescription medication bupropion (Zyban) or varenicline (Chantix), you must start the medication a week or two before your quit day to give it time to begin working.
  • Tell people. Let family, friends and co-workers know about your quit day. Make them your allies. They can provide a lot of moral support. Tell them how they can be most supportive of your effort to quit smoking.
  • Clean house. Rid your home, car, office and other places of your smoking and tobacco supplies. Don't keep any cigarettes on hand "just in case" — you might not be able to resist the temptation. Also, consider getting your teeth professionally cleaned as motivation to stay quit.
  • Stock up. Have on hand items that can substitute for the cigarette you're used to having in your mouth, such as sugarless gum, hard candy, cinnamon sticks and crunchy vegetables.
  • Join up. The more support you have, the more likely you are to stop smoking successfully. Find local quit-smoking support groups. Many hospitals and clinics offer classes or groups. You can join online quit-smoking groups or programs. You can even get cell phone apps, text messages or alerts to help you quit.
  • Reflect. If you've tried to quit smoking before but took it up again, think about what challenges you faced and why you started again. What worked and what didn't? Think about what you can do differently this time. For example, make a list of your triggers and how you will deal with them. Keeping a journal about your quit-smoking efforts may help you monitor feelings and situations that ignite your smoking urges.

Handling quit day

Getting through your quit day can be emotionally and physically challenging, especially if strong tobacco cravings strike. Try these tips to help manage your quit day:

  • Don't smoke, not even "just one."
  • Begin using nicotine replacement therapy if you've chosen that method.
  • Remind yourself of your reasons to stop smoking.
  • Drink plenty of water or juice.
  • Keep physically active.
  • Avoid situations and people that trigger your urge to smoke.
  • Attend a support group, counseling session or stop-smoking class.
  • Practice stress management and relaxation techniques.
  • Keep your hands busy by typing, writing, squeezing a ball or knitting.

Staying quit

With a quit-smoking plan to guide you, line up your resources now so that you can lean on them when you quit smoking. The more resources you have in place upfront — support groups, nicotine replacement, medications, counseling — the more likely you are to quit and stay quit.

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References
  1. Guide to quitting smoking. American Cancer Society. http://www.cancer.org/acs/groups/cid/documents/webcontent/002971-pdf.pdf. Accessed Feb. 28, 2011.
  2. Clearing the air. National Cancer Institute. http://www.smokefree.gov/pubs/Clearing-The-Air_acc.pdf. Accessed Feb. 28, 2011.
  3. Treating tobacco use and dependence: 2008 update. Rockville, Md.: Agency for Healthcare Research and Quality. http://www.surgeongeneral.gov/tobacco/treating_tobacco_use08.pdf. Accessed Feb. 28, 2011.
  4. Okuyemi KS, et al. Interventions to facilitate smoking cessation. American Family Physician. 2006;74:262.
  5. Tips to help you quit smoking. American Academy of Family Physicians. http://www.aafp.org/afp/20060715/276ph.html. Accessed Feb. 28, 2011.
  6. Pathways to freedom: Winning the fight against tobacco. Centers for Disease Control and Prevention. http://www.cdc.gov/tobacco/quit_smoking/how_to_quit/pathways/pdfs/pathways.pdf. Accessed Feb. 28, 2011.
  7. Whittaker R, et al. Mobile phone-based interventions for smoking cessation. Cochrane Database of Systematic Reviews. 2009;CD006611. http://www2.cochrane.org/reviews. Accessed Feb. 28, 2011.
  8. Cooper J, et al. To what extent do smokers make spontaneous quit attempts and what are the implications for smoking cessation maintenance? Findings from the International Tobacco Control Four country survey. 2010;12(suppl):S51.
  9. Dale LC (expert opinion). Mayo Clinic, Rochester, Minn. March 9, 2011.
SK00055 April 19, 2011

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