en español¿Cómo puedo dejar de fumar?
First, congratulate yourself. Just reading this article is a big step toward becoming tobacco-free.
Many people don't quit smoking because they think it's too hard, and it's true that for most people quitting isn't easy. After all, the nicotine in cigarettes is a powerfully addictive drug. But with the right approach, you can overcome the cravings.
Where to Start
Smokers often start smoking because friends or family do. But they keep smoking because they get addicted to nicotine, one of the chemicals in cigarettes and smokeless tobacco.
Nicotine is both a stimulant and a depressant. That means it increases the heart rate at first and makes people feel more alert. Then it causes depression and fatigue. The depression and fatigue — and the drug withdrawal from nicotine — make people crave another cigarette to perk up again. Some experts think the nicotine in tobacco is as addictive as cocaine or heroin.
But don't be discouraged; millions of people have permanently quit smoking. These tips can help you quit, too:
Put it in writing. People who want to make a change often are more successful when they put their goal in writing. Write down all the reasons why you want to quit smoking, like the money you'll save or the stamina you'll gain for playing sports. Keep that list where you can see it. Add new reasons as you think of them.
Get support. People are more likely to succeed at quitting when friends and family help. If you don't want to tell your family that you smoke, ask friends to help you quit. Consider confiding in a counselor or other adult you trust. If it's hard to find people who support you (like if your friends smoke and aren't interested in quitting), join an online or in-person support group.
Strategies That Work
Set a quit date. Pick a day that you'll stop smoking. Put it on your calendar and tell friends and family (if they know) that you'll quit on that day. Think of the day as a dividing line between the smoking you and the new, improved nonsmoker you'll become.
Throw away your cigarettes — allof your cigarettes. People can't stop smoking with cigarettes around to tempt them. So get rid of everything, including ashtrays, lighters, and, yes, even that pack you stashed away for emergencies.
Wash all your clothes. Get rid of the smell of cigarettes as much as you can by washing all your clothes and having your coats or sweaters dry-cleaned. If you smoked in your car, clean that out, too.
Think about your triggers. You're probably aware of the times when you tend to smoke, such as after meals, when you're at your best friend's house, while drinking coffee, or as you're driving. Any situation where it feels automatic to have a cigarette is a trigger. Once you've figured out your triggers, try these tips:
- Break the link. If you smoke when you drive, get a ride to school, walk, or take the bus for a few weeks so you can break the connection. If you normally smoke after meals, do something else after you eat, like go for a walk or talk to a friend.
- Change the place. If you and your friends usually eat takeout in the car so you can smoke, sit in the restaurant instead.
- Substitute something else for cigarettes. It can be hard to get used to not holding something or not having a cigarette in your mouth. If you have this problem, stock up on carrot sticks, sugar-free gum, mints, toothpicks, or lollipops.
Expect some physical symptoms. If your body is addicted to nicotine, you may go through withdrawal when you quit. Physical feelings of withdrawal can include:
- headaches or stomachaches
- crabbiness, jumpiness, or depression
- lack of energy
- dry mouth or sore throat
- a desire to eat
The symptoms of nicotine withdrawal will pass — so be patient. Try not to give in and sneak a smoke because you'll just have to deal with the withdrawal longer.
Keep yourself busy. Many people find it's best to quit on a Monday, when they have school or work to keep them busy. The more distracted you are, the less likely you'll be to crave cigarettes. Staying active is also a good distraction, plus it helps you keep your weight down and your energy up.
Quit gradually. Some people find that gradually decreasing the number of cigarettes they smoke each day is an effective way to quit. But this strategy doesn't work for everyone. You may find it's better for you to go "cold turkey" and stop smoking all at once.
Look into using a nicotine replacement if you need to. If you find that none of these strategies is working, talk to your doctor about treatments like nicotine replacement gums, patches, inhalers, or nasal sprays. Sprays and inhalers are available by prescription only, and it's important to see your doctor before buying the patch and gum over the counter. Different treatments work differently (for example, the patch is easy to use, but other treatments offer a faster kick of nicotine). Your doctor can help you find the solution that will work best for you.
If you slip up, don't give up! Major changes sometimes have false starts. If you're like many people, you may quit successfully for weeks or even months and then suddenly have a craving that's so strong you feel like you have to give in. Or maybe you accidentally find yourself in one of your trigger situations and give in to temptation.
If you slip up, it doesn't mean you've failed. It just means you're human. Here are three ways to get back on track:
- Think about your slip as one mistake. Take notice of when and why it happened and move on.
- Did you become a heavy smoker after one cigarette? Probably not. It happened more gradually, over time. Keep in mind that one cigarette didn't make you a smoker to start with, so smoking one cigarette (or even two or three) after you quit doesn't make you a smoker again.
- Remind yourself why you quit and how well you've done — or have someone in your support group, family, or friends do this for you.
Reward yourself. Quitting smoking isn't easy. Give yourself a well-deserved reward! Set aside the money you usually spend on cigarettes. When you've stayed tobacco-free for a week, 2 weeks, or a month, give yourself a treat like a gift card, movie, or some clothes. Celebrate again every smoke-free year. You earned it.
Your personal stop smoking plan
While some smokers successfully quit by going cold turkey, most people do better with a tailored plan to keep themselves on track. A good quit plan addresses both the short-term challenge of stopping smoking and the long-term challenge of preventing relapse. It should also be tailored to your specific needs and smoking habits.
Questions to ask yourself
Take the time to think of what kind of smoker you are, which moments of your life call for a cigarette, and why. This will help you to identify which tips, techniques or therapies may be most beneficial for you.
Are you a very heavy smoker (more than a pack a day)? Or are you more of a social smoker? Would a simple nicotine patch do the job?
Are there certain activities, places, or people you associate with smoking? Do you feel the need to smoke after every meal or whenever you break for coffee?
Do you reach for cigarettes when you're feeling stressed or down? Or is your cigarette smoking linked to other addictions, such as alcohol or gambling?
Start your stop smoking plan with START
S = Set a quit date.
Choose a date within the next two weeks, so you have enough time to prepare without losing your motivation to quit. If you mainly smoke at work, quit on the weekend, so you have a few days to adjust to the change.
T = Tell family, friends, and co-workers that you plan to quit.
Let your friends and family in on your plan to quit smoking and tell them you need their support and encouragement to stop. Look for a quit buddy who wants to stop smoking as well. You can help each other get through the rough times.
A = Anticipate and plan for the challenges you'll face while quitting.
Most people who begin smoking again do so within the first three months. You can help yourself make it through by preparing ahead for common challenges, such as nicotine withdrawal and cigarette cravings.
R = Remove cigarettes and other tobacco products from your home, car, and work.
Throw away all of your cigarettes, lighters, ashtrays, and matches. Wash your clothes and freshen up anything that smells like smoke. Shampoo your car, clean your drapes and carpet, and steam your furniture.
T = Talk to your doctor about getting help to quit.
Your doctor can prescribe medication to help with withdrawal symptoms. If you can't see a doctor, you can get many products over the counter at your local pharmacy, including nicotine patches, lozenges, and gum.
Why is quitting so hard?
Smoking tobacco is both a physical addiction and a psychological habit. The nicotine from cigarettes provides a temporary—and addictive—high. Eliminating that regular fix of nicotine causes your body to experience physical withdrawal symptoms and cravings. Because of nicotine’s “feel good” effect on the brain, many of us smoke as a way of coping with stress, depression, anxiety, or even boredom. Quitting means finding different, healthier ways to cope with those feelings.
Smoking is also ingrained as a daily ritual. It may be an automatic response for you to smoke a cigarette with your morning coffee, while taking a break at work or school, or on your commute home at the end of a hectic day. Or maybe your friends, family, or colleagues smoke, and it’s become part of the way you relate with them.
To successfully stop smoking, you’ll need to address both the addiction and the habits and routines that go along with it. But it can be done. With the right support and quit plan, any smoker can kick the addiction—even if you've tried and failed multiple times before.
Identify your smoking triggers
One of the best things you can do to help yourself quit is to identify the things that make you want to smoke, including specific situations, activities, feelings, and people.
Keep a craving journal
A craving journal can help you zero in on your patterns and triggers. For a week or so leading up to your quit date, keep a log of your smoking. Note the moments in each day when you crave a cigarette:
- What time was it?
- How intense was the craving (on a scale of 1-10)?
- What were you doing?
- Who were you with?
- How were you feeling?
- How did you feel after smoking?
Do you smoke to relieve unpleasant feelings?
Many of us smoke to manage unpleasant feelings such as stress, depression, loneliness, and anxiety. When you have a bad day, it can seem like cigarettes are your only friend. As much comfort as cigarettes provide, though, it's important to remember that there are healthier and more effective ways to keep unpleasant feelings in check. These may include exercising, meditating, relaxation strategies, or simple breathing exercises.
For many people, an important aspect of giving up smoking is to find alternate ways to handle these difficult feelings without turning to cigarettes. Even when cigarettes are no longer a part of your life, the painful and unpleasant feelings that may have prompted you to smoke in the past will still remain. So it’s worth spending some time thinking about the different ways you intend to deal with stressful situations and the daily irritations that would normally have you lighting up.
Tips for avoiding common triggers
Alcohol. Many people smoke when they drink. Try switching to non-alcoholic drinks or drink only in places where smoking inside is prohibited. Alternatively, try snacking on nuts, chewing on a cocktail stick or sucking on a straw.
Other smokers. When friends, family, and co-workers smoke around you, it can be doubly difficult to give up or avoid relapse. Talk about your decision to quit so people know they won't be able to smoke when you're in the car with them or taking a coffee break together. In your workplace, find non-smokers to have your breaks with or find other things to do, such as taking a walk.
End of a meal. For some smokers, ending a meal means lighting up, and the prospect of giving that up may appear daunting. However, you can try replacing that moment after a meal with something else, such as a piece of fruit, a healthy dessert, a square of chocolate, or a stick of gum.
Coping with nicotine withdrawal symptoms
Once you stop smoking, you’;ll likely experience a number of physical symptoms as your body withdraws from nicotine. Nicotine withdrawal begins quickly, usually starting within an hour of the last cigarette and peaking two to three days later. Withdrawal symptoms can last for a few days to several weeks and differ from person to person.
Common nicotine withdrawal symptoms include:
- Cigarette cravings
- Irritability, frustration, or anger
- Anxiety or nervousness
- Difficulty concentrating
- Increased appetite
- Increased coughing
- Constipation or upset stomach
- Decreased heart rate
As unpleasant as these withdrawal symptoms may be, it’s important to remember that they are only temporary. They will get better in a few weeks as the toxins are flushed from your body. In the meantime, let your friends and family know that you won't be your usual self and ask for their understanding.
Manage cigarette cravings
While avoiding smoking triggers will help reduce your urge to smoke, you probably can't avoid cigarette cravings entirely. Fortunately, cravings don’t last long—typically, about 5 or 10 minutes. If you’re tempted to light up, remind yourself that the craving will soon pass and try to wait it out. It helps to be prepared in advance by having strategies to cope with cravings.
Distract yourself. Do the dishes, turn on the TV, take a shower, or call a friend. The activity doesn't matter as long as it gets your mind off smoking.
Remind yourself why you quit. Focus on your reasons for quitting, including the health benefits (lowering your risk for heart disease and lung cancer, for example), improved appearance, money you're saving, and enhanced self-esteem.
Get out of a tempting situation. Where you are or what you're doing may be triggering the craving. If so, a change of scenery can make all the difference.
Reward yourself. Reinforce your victories. Whenever you triumph over a craving, give yourself a reward to keep yourself motivated.
|Coping with Cigarette Cravings in the Moment|
Find an oral substitute - Keep other things around to pop in your mouth when cravings hit. Try mints, carrot or celery sticks, gum, or sunflower seeds. Or suck on a drinking straw.
Keep your mind busy - Read a book or magazine, listen to some music you love, do a crossword or Sudoku puzzle, or play an online game.
Keep your hands busy - Squeeze balls, pencils, or paper clips are good substitutes to satisfy that need for tactile stimulation.
Brush your teeth - The just-brushed, clean feeling can help banish cigarette cravings.
Drink water - Slowly drink a large glass of water. Not only will it help the craving pass, but staying hydrated helps minimize the symptoms of nicotine withdrawal.
Light something else - Instead of lighting a cigarette, light a candle or some incense.
Get active - Go for a walk, do some jumping jacks or pushups, try some yoga stretches, or run around the block.
Try to relax - Do something that calms you down, such as taking a warm bath, meditating, reading a book, or practicing deep breathing exercises.
Go somewhere smoking is not permitted - Step into a public building, store, mall, coffee shop, or movie theater, for example.
Preventing weight gain after you stop smoking
Smoking acts as an appetite suppressant, so gaining weight is a common concern for many of us when we decide to give up cigarettes. You may even be using it as a reason not to quit. While it's true that many smokers put on weight within six months of stopping smoking, the gain is usually small—about five pounds on average—and that initial gain decreases over time. It’s also important to remember that carrying a few extra pounds for a few months won’t hurt your heart as much as smoking does. However, gaining weight is NOT inevitable when you stop smoking.
Smoking dampens your sense of smell and taste, so after you quit food will often seem more appealing. You may also gain weight if you replace the oral gratification of smoking with eating unhealthy comfort foods. Therefore, it's important to find other, healthy ways to deal with unpleasant feelings such as stres, anxiety, or boredom rather than mindless, emotional eating.
Nurture yourself. Instead of turning to cigarettes or food when you feel stressed, anxious, or depressed, learn new ways to quickly soothe yourself. Listen to uplifting music, play with a pet, or sip a cup of hot tea, for example.
Eat healthy, varied meals. Eat plenty of fruit, vegetables, and healthy fats. Avoid sugary food, sodas, fried, and convenience food.
Learn to eat mindfully. Emotional eating tends to be automatic and virtually mindless. It’s easy to polish off a tub of ice cream while zoning out in front of the TV or staring at your phone. But by removing distractions when you eat, it’s easier to focus on how much you’re eating and tune into your body and how you’re really feeling. Are you really still hungry or eating for another reason?
Drink lots of water. Drinking at least six to eight 8 oz. glasses will help you feel full and keep you from eating when you're not hungry. Water will also help flush toxins from your body.
Take a walk. Not only will it help you burn calories and keep the weight off, but it will also help alleviate feelings of stress and frustration that accompany smoking withdrawal.
Snack on guilt-free foods. Good choices include sugar-free gum, carrot and celery sticks, or sliced bell peppers or jicama.
Medication and therapy to help you quit
There are many different methods that have successfully helped people to kick the smoking habit. While you may be successful with the first method you try, more likely you’ll have to try a number of different methods or a combination of treatments to find the ones that work best for you.
Smoking cessation medications can ease withdrawal symptoms and reduce cravings. They are most effective when used as part of a comprehensive stop smoking program monitored by your physician. Talk to your doctor about your options and whether an anti-smoking medication is right for you. The U.S. Food and Drug Administration (FDA) approved options are:
Nicotine replacement therapy. Nicotine replacement therapy involves "replacing" cigarettes with other nicotine substitutes, such as nicotine gum, patch, lozenge, inhaler, or nasal spray. It relieves some of the withdrawal symptoms by delivering small and steady doses of nicotine into your body without the tars and poisonous gases found in cigarettes. This type of treatment helps you focus on breaking your psychological addiction and makes it easier to concentrate on learning new behaviors and coping skills.
Non-nicotine medication. These medications help you stop smoking by reducing cravings and withdrawal symptoms without the use of nicotine. Medications such as bupropion (Zyban) and varenicline (Chantix, Champix) are intended for short-term use only.
What you need to know about e-cigarettes
Since it eliminates the tar and toxic gases found in cigarette smoke, smoking e-cigarettes (vaping) is almost certainly less dangerous than smoking conventional cigarettes. While different studies have conflicting results, e-cigarettes may also be helpful in kicking the habit. However, there are some downsides to vaping:
- The liquid used in e-cigarettes contains nicotine which has many negative health effects, including high blood pressure and diabetes.
- The nicotine from e-liquid is especially dangerous to the developing brains of children and teens.
- E-liquids may contain flavoring agents that can cause chronic lung disease.
- Some vaporizers can generate significant amounts of toxins such as formaldehyde.
Source: Harvard Health Publications
There are several things you can do to stop smoking that don’t involve nicotine replacement therapy, vaping, or prescription medications. These include:
Hypnosis – This is a popular option that has produced good results for many smokers struggling to quit. Forget anything you may have seen from stage hypnotists, hypnosis works by getting you into a deeply relaxed state where you are open to suggestions that strengthen your resolve to stop smoking and increase your negative feelings toward cigarettes.
Acupuncture – One of the oldest known medical techniques, acupuncture is believed to work by triggering the release of endorphins (natural pain relievers) that allow the body to relax. As a smoking cessation aid, acupuncture can be helpful in managing smoking withdrawal symptoms.
Behavioral Therapy – Nicotine addiction is related to the habitual behaviors or rituals involved in smoking. Behavior therapy focuses on learning new coping skills and breaking those habits.
Motivational Therapies – Self-help books and websites can provide a number of ways to motivate yourself to give up smoking. One well known example is calculating the monetary savings. Some people have been able to find the motivation to quit just by calculating how much money they will save. It may be enough to pay for a summer vacation.
Smokeless or spit tobacco is NOT a healthy alternative to smoking
Smokeless tobacco, otherwise known as spit or chewing tobacco, is not a safe alternative to smoking cigarettes. It contains the same addictive chemical, nicotine, contained in cigarettes. In fact, the amount of nicotine absorbed from smokeless tobacco can be 3 to 4 times the amount delivered by a cigarette.
What to do if you slip or relapse
Most people try to stop smoking several times before they kick the habit for good, so don’t beat yourself up if you slip up and smoke a cigarette. Instead, turn the relapse into a rebound by learning from your mistake. Analyze what happened right before you started smoking again, identify the triggers or trouble spots you ran into, and make a new stop-smoking plan that eliminates them.
It’s also important to emphasize the difference between a slip and a relapse. If you start smoking again, it doesn’t mean that you can’t get back on the wagon. You can choose to learn from the slip and let it motivate you to try harder or you can use it as an excuse to go back to your smoking habit. But the choice is yours. A slip doesn’t have to turn into a full-blown relapse.
You’re not a failure if you slip up. It doesn't mean you can't quit for good.
Don’t let a slip become a mudslide. Throw out the rest of the pack. It's important to get back on the non-smoking track as soon as possible.
Look back at your quit log and feel good about the time you went without smoking.
Find the trigger. Exactly what was it that made you smoke again? Decide how you will cope with that issue the next time it comes up.
Learn from your experience. What has been most helpful? What didn’t work?
Are you using a medicine to help you quit? Call your doctor if you start smoking again. Some medicines cannot be used if you’re smoking at the same time.
Helping a loved one to stop smoking
It’s important to remember that you cannot make a friend or loved one give up cigarettes; the decision has to be theirs. But if they do make the decision to stop smoking, you can offer support and encouragement and try to ease the stress of quitting. Investigate the different treatment options available and talk them through with the smoker; just be careful never to preach or judge. You can also help a smoker overcome cravings by pursuing other activities with them, and by keeping smoking substitutes, such as gum, on hand.
If a loved one slips or relapses, don’t make them feel guilty. Congratulate them on the time they went without cigarettes and encourage them to try again. Your support can make all the difference in helping your loved one eventually kick the habit for good.
Helping a teen to quit
Most smokers try their first cigarette around the age of 11, and many are addicted by the time they turn 14. This can be worrying for parents, but it’s important to appreciate the unique challenges and peer pressure teens face when it comes to quitting smoking. While the decision to give up has to come from the teen smoker him- or herself, there are still plenty of ways for you to help.
Tips for parents of teen smokers
- Try to avoid threats and ultimatums. Find out why your teen is smoking; they may want to be accepted by a peer group or want your attention. Talk about what changes can be made in their life to help them stop smoking.
- Be patient and supportive as your child goes through the quitting process.
- Set a good example for your kids by not smoking yourself. Parents who smoke are more likely to have children who smoke.
- Know if your children have friends that smoke. Talk with your kids about ways to refuse a cigarette.
- Explain the health dangers, as well as the unpleasant physical aspects of smoking (such as bad breath, discolored teeth and nails).
- Establish a smoke-free policy in your home. Don't allow anyone to smoke indoors at any time.
Source: American Lung Association