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Quit Smoking
Oregon Quit Line: 1-800-QUIT-NOW (English)
1-877-2NO-FUME (Spanish)
1-877-777-6534 (TTY)
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Are You Ready to Quit?
Determine Your "Action Stage" |
| Stage |
Thoughts and Feelings |
Actions |
| Not to Serious Yet |
- I know there is a problem, and I know there is a solution,
but I don't care to do much yet.
- I get demoralized easily considering stopping smoking or
chewing.
- I have not had any big problems related to smoking or
chewing, and I don't know anyone who has.
- I just don't think smoking or chewing is really a big deal.
(denial ain't just a river in Egypt)
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- Look around, there are lots of people with smoking and
chewing related disease, lung disease, cancer, and death.
- Consider why you smoke, how does it help you, is it worth
it?
- Still don't care? That's fine, when you do get concerned,
talk to your healthcare provider or the Oregon Quit Line at
1-877-277-7867.
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| Really Thinking About it |
- I know there is a problem with smoking, and I am thinking
about how to solve it
- I am looking for solutions to my smoking.
- I'm not sure yet about a commitment to stopping smoking.
- I am afraid I will fail.
- I remember a lot of times that I failed, never started a
quite date, etc.
- I've been thinking about this for a long time.
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- Talk with your healthcare provider.
- Talk to the counselors at the Oregon Quit Line, its free:
1-877-270-7867, they can help.
- Talk to your family.
- Today is the first day of the rest of your life.
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| Getting Ready to Quit |
- I am planning to quit in the next few months.
- I've let my family, co-workers, friends, or spouse know that
I am going to quit smoking.
- I am committed to quitting, but I'm not quite ready to do it
yet.
- I am trying to imagine my life without smoking
- I need a plan to quit smoking
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- Talk to your healthcare provider.
- Make it public, tell people you are going to quit.
- Start making a plan.
- Imagine realistically what life will be like without
smoking, consider some coping strategies.
- Call the Oregon Quit Line counselors, take some further
steps: 1-877-270-7867, they can help, a lot.
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| I Am Quitting |
- I am quitting.
- I am committed
- I have a plan.
- I have support.
- I am prepared for the difficult days.
- Everyone knows I am quitting.
- I am preparing for life without smoking for the long haul
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- Talk to your healthcare provider and the Oregon Quit Line
1-877-270-7867.
- Commit.
- Make a plan.
- Develop support (spouse, family, healthcare provider, Quit
Line, work)
- Make it public.
- Use medications to help out if you like.
- Plan for the future.
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| I Am A Long Term Quitter |
- I struggle at times to avoid relapse.
- It took me 6 months to really feel like I had quit for good.
- I didn't realize how much work it would take to keep up my
abstinence from smoking, but I am doing it.
- I am committed to this process no matter what, for the long
term, for my whole life.
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- Foster long term support.
- Realize this is a long term issue to deal with.
- Celebrate.
- There will be times when it is harder than others.
- Work at it one day at a time.
- If relapse occurs, just start again, call the Quit Line,
make a new plan, 1-877-270-7867. But, better yet, have a relapse
plan figured out before it happens.
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| The Oregon Tobacco Quit Line
Call 1-877-270-7867
It's a free call and service!
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| What do they do? |
A 20 minute phone conversation with a qualified Masters degree
level counselor who specializes in smoking cessation. |
| Who should call? |
- Tobacco users in all stages of readiness
- Teen tobacco users
- Pregnant tobacco users
- Smokeless tobacco users
- Former smokers who want a relapse prevention plan
- Friends and relatives of smokers
- Non-English speaking tobacco users (they can handle many
languages)
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| What happens when you call? |
- Determine your readiness to quit.
- Develop a customized plan with you to enable you to quit.
- Work on motivation and problem solving solutions important
to you.
- Give you information about nicotine replacement therapy and
use of bupropion (Wellbutrin®
and Zyban®) to help stop
smoking.
- Information and referral regarding tobacco cessation
services you may qualify for or be available to you in your
situation.
- Set up and send you a tobacco quit kit tailored to your
needs.
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Symptoms of Nicotine Withdrawal |
| Anxiety |
87% |
| Irritability, Frustration |
87% |
| Decreased Heart Rate |
80% |
| Difficulty Concentrating |
73% |
| Increased Appetite, Weight Gain |
73% |
| Restlessness |
71% |
| Tobacco Cravings |
62% |
| Depression |
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When you've had no prior history of depression the rate is
around: |
31% |
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When you've had a prior history of depression the rate of
depression is around: |
75% |
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How Physically Addicted Are You to Tobacco? |
| The Fagerstrom Scale |
Score |
| 1. How soon after you awake do you smoke your first
cigarette? |
0- After 30 minutes |
| 1- Within 30 minutes |
| 2. Do you find it difficult to refrain from smoking
in places where it is forbidden, such as the library, theater, or
doctor's office? |
0- No |
| 1- Yes |
| 3. Which of all the cigarettes you smoke in a day do
you find the most satisfying? |
0- Any other than the first of the morning. |
| 1- The first one in the morning. |
| 4. How many cigarettes a day do you smoke? |
0- 1 to 15 |
| 1- 16-25 |
| 2- More than 25 |
| 5. Do you smoke more during the morning than during
the rest of the day? |
0- No |
| 1- Yes |
| 6. Do you smoke when you are so ill you are in bed
most of the day? |
0- No |
| 1- Yes |
| 7. Does the brand you smoke have a low, medium, or
high nicotine content? |
0- Low |
| 1- Medium |
| 2- High |
| 8. How often do you inhale the smoke from your
cigarette? |
0- Never |
| 1- Sometimes |
| 2- Always |
| Add up your Total Score |
| The more physically dependent you are the more
likely you will need nicotine replacement therapy to prevent
significant withdrawal symptoms. |
| A score of 7 or above strongly suggests physical
dependence on nicotine. |
| In general, if your answer to the first question is
that you smoke your first cigarette within 30 minutes of awakening
in the morning, you probably have physical dependence on nicotine. You could assume this
to be true, also, if you have to get up and smoke cigarettes at night
routinely. |
Medications for Nicotine
Withdrawal/Smoking Cessation
Drugs Proven to Help |
| First Line Drugs |
Nicotine Replacement
- Gum
- Patches
- Nasal Spray
- Inhaler
- Lozenges
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| Varenicline (Chantix)- this brand new drug is
now available. It blocks the nicotine receptor in the brain and
takes away the pleasure associated with smoking. My first
few patients have shown great success. Come in and talk about it
if you are interested in giving it a try. Quit rates of 50-70%
over 3 months. |
Bupropion HCl (sustained release preparations)
- Generic Bupropion SR
- Wellbutrin SR®,
Wellbutrin XL®, and Zyban®
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| Second Line Drugs |
| Nortriptiline (an antidepressant) |
| Clonidine (an older blood pressure medicine with
effects on craving) |
| Other Drugs |
| Antidepressant Drugs- to treat associated development of /or
recurrence of depression. |
| Near Future New Drugs |
| |
| Rimonabant- a cannabinoid receptor antagonist. May be
able to double quit rates and prevent weight gain associated
with stopping smoking. Will likely be available in the next 1-2
years. |
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