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Clearing the Air: How to Quit Smoking...and Quit for Keeps
From the National Cancer Institute

Prepare for quitting
  • Ways of quitting
  • Just before quitting
  • Just after quitting
  • About gaining weight
  • What happens after you quit smoking
  • Withdrawal symptoms
  • Quitting for keeps
  • Keep your guard up
  • How to dampen that urge
  • Not smoking is habit-forming
  • Relapse: If you smoke again
  • Marking progress
  • Common rationalizations
  • Further information
  • What Happens After You Quit Smoking:

    Immediate Rewards

    Within 12 hours after you have your last cigarette, your body will begin to heal itself. The levels of carbon monoxide and nicotine in your system will decline rapidly, and your heart and lungs will begin to repair the damage caused by cigarette smoke.

    Within a few days you will probably begin to notice some remarkable changes in your body. Your sense of smell and taste may improve. You will breathe easier, and your smoker's hack will begin to
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    disappear, although you may notice that you will continue to cough for a while. And you will be free from the mess, smell, inconvenience, expense, and dependence of cigarette smoking.

    Immediate Effects

    As your body begins to repair itself, instead of feeling better right away, you may feel worse for a while. It's important to understand that healing is a process-it begins immediately, but it continues over time. These "withdrawal pangs" are really symptoms of the recovery process (see Withdrawal Symptoms and Activities That Might Help).

    Immediately after quitting, many ex-smokers experience "symptoms of recovery" such as temporary weight gain caused by fluid retention, irregularity, and dry, sore gums or tongue. You may feel edgy, hungry, more tired, and more short-tempered than usual and have trouble sleeping and notice that you are coughing a lot. These symptoms are the result of your body clearing itself of nicotine, a powerful addictive chemical. Most nicotine is gone from the body in 2-3 days.

    Long-range Benefits

    It is important to understand that the long range after-effects of quitting are only temporary and signal the beginning of a healthier life. Now that you've quit, you've added a number of healthy productive days to each year of your life. Most important, you've greatly improved your chances for a longer life. You have significantly reduced your risk of death from heart disease, stroke, chronic bronchitis, emphysema, and several kinds of cancer-not just lung cancer. (Cigarette smoking is responsible every year for approximately 130,000 deaths from cancer, 170,000 deaths from heart disease, and 50,000 deaths from lung disease.)


    Withdrawal Symptoms and Activities That Might Help

    SYMPTOM ACTIVITY
    Dry mouth; sore throat, gums, or tongue Sip ice-cold water or fruit juice, or chew gum.
    Headaches Take a warm bath or shower. Try relaxation or meditation techniques.
    Trouble sleeping Don't drink coffee, tea or soda with caffeine after 6:00 p.m. Again, try relaxation or meditation techniques.
    Irregularity Add roughage to your diet, such as raw fruit, vegetables, and whole grain cereals. Drink 6-8 glasses of water a day.
    Fatigue Take a nap. Try not to push yourself during this time; don't expect too much of your body until it's had a chance to begin to heal itself over a couple of weeks.
    Hunger Drink water or low-calorie liquids. Eat low-fat, low-calorie snacks. See Snack Calorie Chart.
    Tenseness, irritability Take a walk, soak in a hot bath, try relaxation or meditation techniques.
    Coughing Sip warm herbal tea. Suck on cough drops or sugarless hard candy.

    * Adapted from Quitting Times: A Magazine for Women Who Smoke, funded by the Pennsylvania Department of Health; prepared by Fox Chase Cancer Center, Philadelphia.


    Quitting for Keeps:

    Congratulations!

    Now you are ready to develop a new habit-not smoking. Like any other habit, it takes time to become a part of you; unlike most other habits, though, not smoking will take some conscious effort and practice. This section of the booklet can be a big help. You will find many techniques to use for developing the nonsmoking habit and holding on to it.

    By reading this section of the booklet carefully and reviewing it often, you'll become more aware of the places and situations that prompt the desire for a cigarette. You will also learn about many nonsmoking ways to deal with the urge to smoke. These are called coping skills. Finally, you will learn what to do in case you do slip and give in to the smoking urge.


    Keep Your Guard Up

    The key to living as a nonsmoker is to avoid letting your urges or cravings for a cigarette lead you to smoke. Don't kid yourself-even though you have made a commitment not to smoke, you will sometimes be tempted. But instead of giving in to the urge, you can use it as a learning experience.

    First, remind yourself that you have quit and you are a nonsmoker. Then look closely at your urge to smoke and ask yourself:

    • Where was I when I got the urge?
    • What was I doing at the time?
    • Whom was I with?
    • What was I thinking?

    The urge to smoke after you've quit often hits at predictable times. The trick is to anticipate those times and find ways to cope with them-without smoking. Naturally, it won't be easy at first. In fact, you may continue to want a cigarette at times. But remember, even if you slip, it doesn't mean an end to the nonsmoking you. It does mean that you should try to identify what triggered your slip, strengthen your commitment to quitting, and try again.

    Look at the following list of typical triggers. Does any of them ring a bell with you? Check off those that might trigger and urge to smoke, and add any others you can think of:

    • Working under pressure
    • Feeling blue
    • Talking on the telephone
    • Having a drink
    • Watching television
    • Driving your car
    • Finishing a meal
    • Playing cards
    • Drinking coffee
    • Watching someone else smoke

    If you are like many new nonsmokers, the most difficult place to resist the urge to smoke is the most familiar: home. The activities most closely associated with smoking urges are eating, partying, and drinking. And, not surprisingly, most urges occur when a smoker is present.


    How to Dampen That Urge

    There are seven major coping skills to help you fight that urge to smoke. These tips are designed for you, the new nonsmoker, to help you nurture the nonsmoking habit.

    1. Think about why you quit

    Go back to your list of reasons for quitting. Look at this list several times a day-especially when you are hit with the urge to smoke. The best reasons you could have for quitting are very personally yours, and these are also the best reasons to stay a nonsmoker.

    2. Know when you are rationalizing

    It is easy to rationalize yourself back into smoking (see Common Rationalizations). Don't talk yourself into smoking again. A new nonsmoker in a tense situation may think, "I'll just have one cigarette to calm myself down." If thoughts like this pop into your head, stop and think again! You know better ways to relax- nonsmokers ways, such as taking a walk or doing breathing exercises.

    Concern about gaining weight may also lead to rationalizations. Learn to counter thoughts such as, "I'd rather be thin, even if it means smoking." Remember that a slight weight gain is not likely to endanger your health as much as smoking would. (Cigarette smokers have about a 70-percent higher rate of premature death than nonsmokers.) And review the list of healthy, low-calorie snacks that you used when quitting.

    3. Anticipate Triggers and Prepare to Avoid Them

    By now you know which situations, people, and feelings are likely to tempt you to smoke. Be prepared to meet these triggers head on and counteract them. Keep using the skills that helped you cope in cutting down and quitting:

    • Keep your hands busy-doodle, knit, type a letter.
    • Avoid people who smoke; spend more time with nonsmoking friends.
    • Find activities that make smoking difficult (gardening, washing the car, taking a shower). Exercise to help knock out that urge; it will help you to feel and look good as well.
    • Put something other than a cigarette in your mouth. Chew sugarless gum or nibble on a carrot or celery stick.
    • Avoid places where smoking is permitted. Sit in the nonsmoking section of restaurants, trains, and planes.
    • Reduce your consumption of alcohol, which often stimulates the desire to smoke. Try to have no more than one or two drinks at a party. Better yet, have a glass of juice, soda, or mineral water.

    4. Reward yourself for not smoking

    Congratulations are in order each time you get through a day without smoking. After a week, give yourself a pat on the back and a reward of some kind. Buy a new record or treat yourself to a movie or concert. No matter how you do it, make sure you reward yourself in some way. It helps to remind yourself that what you are doing is important.

    5. Use positive thoughts

    If self-defeating thoughts start to creep in, remind yourself again that you are a nonsmoker, that you do not want to smoke, and that you have good reasons for it. Putting yourself down and trying to hold out using willpower alone are not effective coping techniques. Mobilize the power of positive thinking!

    6. Use relaxation techniques

    Breathing exercises help to reduce tension. Instead of having a cigarette, take a long deep breath, count to 10, and release it. Repeat this 5 times. See how much more relaxed you feel? (for more about relaxation, visit "Stress and Anxiety.")

    7. Get social support

    The commitment to remain a nonsmoker can be made easier by talking about it with friends and relatives. They can congratulate you as you check off another day, week, and month as a nonsmoker. Tell the people close to you that you might be tense for a while, so they know what to expect. They'll be sympathetic when you have an urge to smoke and can be counted on to help you resist it. Remember to call on your friends when you are lonely or you feel an urge to smoke. A buddy system is a great technique.




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