Giving up smoking
Help from pharmacists, GPs, and Nicotine Replacement Therapies
Although many people decide to try to quit smoking by themselves others seek help from a pharmacist or their GP. Here we discuss the help they got, including their experiences of medical treatments and nicotine replacement therapies (NRT).
Support through pharmacies
Some people went to their local pharmacy for information and nicotine replacement therapy products to help them quit smoking. Pharmacists can offer follow up visits and NRT on prescription; some people were impressed with the service and the range of stop smoking products though Cassie expected a bit more personal help.
The pharmacist just gave Cassie forms to fill in when she asked for an NRT inhaler. She expected more support and interest.
The pharmacist just gave Cassie forms to fill in when she asked for an NRT inhaler. She expected more support and interest.
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When Andrew learned there was a 6 week wait for support at his GPs, he went to his local pharmacy and found flexible and personalised support.
When Andrew learned there was a 6 week wait for support at his GPs, he went to his local pharmacy and found flexible and personalised support.
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And did you have, you know, a full appointment to talk about things? Or did she just sort hand over patches?
No. You had a full appointment and do the... you blow into something and it measures your carbon monoxide in your blood. They should do it at the doctors I’m sure. They did that and it was just exactly the same. I mean you weren’t seeing a doctor at the, at the GP. You weren’t actually seeing a GP the first time, you were seeing a nurse and so it wasn’t vastly different. I thought it was... in a way, in a way it was better, because they hadn’t got this huge amount of patients to get through. And don’t get me wrong, the nurse was brilliant. She knew your name and everything. She was lovely, really lovely. But she’d obviously have to see all these people. If I had have made an appointment to see her, once you got in with her, it was quite a difficult… she used to see you at set times. She’d have you and you’d be like Tuesdays at 10 o’clock and you’d see her then and that was all, you couldn’t move it or do anything different. The pharmacist, obviously they don’t see many people, so it was just like you.
… and if they said, “You can always ring us or you can just always call in and see…” They all, I mean this is a little village, and the lady I did it with lives in the village and has always lived in the village and works there and you see her like about anyway, and she was like, “Just call in and..” what do I say, yes, and then last... when I actually gave up this time. I think it was the third, I did more than did I do more than the twelve week course? No. Oh no, I kept going back to see her. So even though I done the twelve weeks, because you can only do twelve weeks on the NHS and that’s a cheap way of doing the patches, and they are really expensive otherwise aren’t they? But I said to her, oh the time before I’d given up, I’d finished the patches and I had just started again, and she said, what she could do, she’s not a nurse, she’s not as constrained by the NHS. She said, “Come back and see me. Make another appointment in a week and see me. You can’t have any more patches unless you want to buy them yourself. But you don’t need any more patches. But come back and see me? And may be having that appointment, knowing you’ve got to come back and see someone, will help you stay stopped.” And then, so I did. I went back and seen her, it might have been a week, it might have been a month. So I might have seen her every month, probably for three or four months. And then it was like, well we’ll go to two months this time. So I actually probably stayed seeing the pharmacist for a, I don’t know how long. A little while, which through the GP they wouldn’t have had that flexibility, because they partly crash the numbers and partly because it is very regimented. This is what you have to do. Right this patients done, sign them off, next one. So I actually found the pharmacist better. I’m not knocking the GP’s, but the pharmacist was a lot better, because they’d got that flexibility.
Peter went to Boots to get advice and support on giving up smoking. He tried chewing gum as well as patches.
Peter went to Boots to get advice and support on giving up smoking. He tried chewing gum as well as patches.
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Tell me about the Boots help, how you…?
Well it’s very simple. They tell you they set targets, they want you to come up with a date for finishing. So it sort of becomes concrete. And for me it was, it’s just very sensible and they give you a range of products and so the second time round I did it [laughs]. I was kind of clinging to the products more than the first time, because it was just cold turkey, it didn’t bother me, I didn’t bother with the products I just went back to kind of blow into the thing and tell them yes, I haven’t smoked and [laughs] and it was sort of validated and confirmed and that seemed to be its function.
And that kind of scaffolding. The second time round I was much more sort of dependent on the products and sort of oh I’m going away on holiday, I must have and all this kind of stuff. So kind of clinging to it.
So what prompted you to go to Boots and get the help?
Well I think in both, both times, the second time I knew that it, it would work, so why not just do the same thing again? First time I think it was just a sort of sense that because I work from home, alone. I don’t have people around me very much. You know, like it was working like I needed some other kind of context to, in which to fit this. Some other, someone else to be responsible to. And to sort of show it to. And also to sort of talk through what the problems are and all that sort of thing. Because they give you some good advice. I mean some of it is useful to you and some of it, not so useful. I think it depends what you need and you just kind of use and discard what you need.
So yes, so what prompted it was that and obviously the knowledge that it existed. I can’t remember how I found out but I did.
So what for you as an individual were some examples of the good advice that you got some things that you might have discarded?
Examples of good advice the second time round what stuck, what stuck with me, was this comment that the sort of receptors in your brain, she said would you know always be clued into nicotine. So if I have a fag you know, I’m probably going to be instantly addicted again [laughs]. Because that’s what happened. That’s what happened when I started again. So that was sort of quite sort of useful. I suppose.
The other one was that if, I would get quite irritable and that’s according to them that’s associated with a more sort of depressive personality which I thought was quite interesting and yes, setting a date, I think just achievable goals. it’s sort of sensible things. Replacement activities. Finding other things to do. Being systematic about it. Most of which were things that I kind of clung to more desperately in the immediate aftermath and then kind of developed into my own things later. So they give you some concrete little like brochures with, you know, I can’t remember exactly. It was like a, like a little table and, and you could write down sort of alternative activities other than smoking. Actually it just turned into silliness in my case. So I just wrote stupid things and then went and did stupid things, but that was just out of desperation [laughs]. And to make my wife laugh.
And but it sort of worked.
Support through GPs
GPs can give advice on how to quit smoking. They can also refer people to a nurse specialising in smoking cessation or to other NHS ‘stop smoking’ support services. In addition to advising on lifestyle and behavioural changes, GPs can prescribe drug treatments including:
- nicotine replacement therapy (NRT),
- bupropion (Zyban; Wellbutrin in the US) originally used for depression but in the UK now only to help people quit smoking,
- and varenicline (Champix; Chantix in the US) which can help people quit by acting on nicotine receptors in the brain.
Dr Helen Salisbury, a GP, talks about what they would do if somebody mentions that they would like to give up smoking.
Dr Helen Salisbury, a GP, talks about what they would do if somebody mentions that they would like to give up smoking.
Sex: Female
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First of all I would rejoice because I think it’s very important that people do give up smoking. It’s a very harmful habit. And the first question really is: What sort of help would you like with that? What have you tried? What has worked in the past? What has been difficult for you and for me it’s finding out what are the stumbling blocks to giving up. Often when people say they’d like to give up behind that is also a request for some help. And that help can be in the form of advice and just support. Actually if you have told someone you are going to do something that in itself is more of an impetus to do it rather than if it’s just a promise to yourself. So just being part, just hearing that intention can be helpful but often patients want more than that. They also want something concrete and in our practice and in most GP practices it’s the nurses who provide the detailed smoking cessation advice and also handle the prescriptions for all the different sorts of aids there are to smoking cessation, the different sorts of nicotine replacement and other tablets than can help.
Dr Helen Salisbury, a GP, explains what the smoking cessation nurses do.
Dr Helen Salisbury, a GP, explains what the smoking cessation nurses do.
Sex: Female
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Munir was referred to a nurse in his GP’s practice. She offered him support, and prescribed NRT patches and varenicline.
Munir was referred to a nurse in his GP’s practice. She offered him support, and prescribed NRT patches and varenicline.
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Could you tell me a little bit about her?
She’s a relative of ours, and she works for my GP and she’s been working for him quite a number of years, and I just went in to see her as general, as check up and she says to me, “How many cigarettes are you smoking?” I said. She said, “Do you want to give up smoking?” I said, “Of course I’d love to give up smoking. I wish I could.” She said, “You’ve tried?” I said, “I’ve tried. But I can’t.” You know, all I’ve managed to do, is stay off for a couple of months at the most, and then start again.
She said, “What have you been doing?” I said, “Patches.” So she says, “I’ll give you some stronger patches.” I said, “No. it just won’t work I want to try something else.” So she gave me some medicine, some tablets. And she gave me, I think it was, a 14 day course I think. Within about the 5th or 6th day I just couldn’t smoke. I just don’t smoke and after a while I feel sick, I feel, you know, I can’t sleep at night. And I told her this problem. And she says, “Just hang on in there. Just hang on.” She, she supported me a lot. She, she, yes, she gave me a lot of the support.
And what were the tablets that you took?
I can’t even know what the name of the tablets.
Champix?
Exactly. Exactly. Champix. Every time you smoke they make you feel awful. You know, they tasted so bad as well. Yes. So I’m glad she, she prescribed me the Champix and they did well for me.
And you were talking about using the patches before. Were they prescribed from your GP or…?
No. I brought them from the chemist. But, this year. But they were helpful. You know, they did help me. The patches did help me, but the thing, I expected was after three or four weeks I’d stop using them. You don’t go to buy them again and then you know, you get another cigarette offer and then you smoke it again, and it starts all over again. But my, I think the reason for my giving up cigarettes was one of them Champix made me feel so bad that they made me hate the smell of cigarettes and cigarettes themselves and also my missus and son, you know, they were a big contribution as well for making me no smoking. They’re sweet.
On her second attempt to quit Carol got further support through her GP. A nurse prescribed Zyban (bupropion) and coached her through a 9-week programme.
On her second attempt to quit Carol got further support through her GP. A nurse prescribed Zyban (bupropion) and coached her through a 9-week programme.
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And then of course, the nurse will sit with you and she will chat to you and help you with your motivations and I suppose help you get into the right head space to continue with giving up smoking. And it’s not, you’re not rushed, and you’re not, you know, if you want to sit and talk, they are more than happy to sit and talk with you, which I enjoyed actually, because I was giving up smoking because I was, my daughter was pregnant and I wanted to have full access to my granddaughter when she arrived, and not having to disappear into the garden to, to have a cigarette, whilst I was half way playing tea parties with her. I didn’t want that.
And so, I had the motivation to actually do it. And I think, that is what you have to have, is the right motivation. If, if you don’t, if you’re not in the right head space, you’re not going to succeed I don’t think. And I think what happened, the nurse in the practice she was able to re-confirm that I was right, in the right head space and able to you know, continue with the non-smoking.
And I must admit, you know, two years later, I can’t thank my practice enough, because that’s what they did. They, they helped me give up smoking. And to be positive about it. So from that point of view, yes. I would say, well I still cross my fingers and I still say, because occasionally I still think ‘oh I’d love a cigarette,’ but as fast as that goes into my head, it disappears out. I just know that I can’t have that first cigarette, and it doesn’t worry me anymore. I don’t think I’ll ever go back to smoking.
Chris saw a smoking cessation nurse who supported her through many attempts at giving up. Nicotine gum helped her.
Chris saw a smoking cessation nurse who supported her through many attempts at giving up. Nicotine gum helped her.
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And you were seeing him because?
As, for my lungs. And he said, “I’ll write to your doctor and we’ll give you everything that you need to stop smoking. That’s how serious it is that you have to stop smoking.” So anyway, she said, “Right, what, what, what do you think you fancy?” I said, “Definitely the patches, because I do think they help a certain amount.”
Roger’s smoking cessation nurse suggested a mindfulness technique to help him avoid relapse.
Roger’s smoking cessation nurse suggested a mindfulness technique to help him avoid relapse.
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And but there was one occasion I can remember when I said, “I really felt like one, just for a moment.” And she said, “Did you?” And I said, I said, “No.” And she said, “Can you remember what your thoughts were between when you wanted one and when you decided you didn’t?” So I said, “Yes.” She said, “So the next time that you get that, that urge to have a cigarette, you just go back in your mind to that moment and remember what you’ve heard, what you feel, what you felt, hear what you heard, see what you saw. And just repeat it. And then you can associate with that feeling of grrr no I don’t want… and you won’t be associated with the feel of whoa…yes.” And that worked a treat, that little technique, which I’ve used a couple of times. And it’s very, very effective too, so…
And can you remember what the feelings were? The trick that you learnt…?
If I go into my head, I can go back there in my mind, and I can sit there and I can actually feel myself sitting there with the sun on me, and I can feel that sort of, ‘God I really feel like a cigarette.’ Because even when you quit smoking for two years as I have which isn’t very long, you still just occasionally get a little ‘ooh I wouldn’t mind a fag.’ But I know whenever I feel like that, I just think, I just literally in my head, I don’t even need to shut my eyes, I just imagine that moment, sitting in that chair when I had that feeling and immediately as soon as I think that, the sense, the desire for a cigarette just [clicks fingers] vanishes. Literally. Instantly. So, that’s my little technique. It’s brilliant.
Cassie thought that her GP wasn’t supportive; the nurse who treated her asthma was much better.
Cassie thought that her GP wasn’t supportive; the nurse who treated her asthma was much better.
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I’ve spoken to my GP when I was like about 16, just about, you know, quitting and what was available and only in other times in them telling me I was stupid for smoking and being very rude to me, and trying to, you know, trying to tell me off. Which is not cool like, you need support, not someone trying to slap my hand like a child. So …because even my asthma nurse is more understanding than any GP that I’ve had, you know, they tell me, “Oh well you’ve probably got the lungs of a 40 year old. You know, don’t you understand what you’re doing to your body.” And it’s like, “Well I’m an adult of course I understand.” But I’m sure my doctor’s a non smoker, never having had smoked, so they don’t understand. So when it’s that situation I’m not going to listen to them.
What’s your asthma nurse like? You say she’s better than your GP?
She’s more understanding. Yes, well my asthma nurse is, she’s just quit smoking. So with her it’s easier for me to relate because she’s done it, and then it’s easier for her to relate with me as well, because we both talk and we both understand each other and she tells me things that nobody else has ever told me. Like she told me there’s an ingredient in cigarettes which opens the lungs because they want to get down as deep as they can. So then for me, it makes me feel like I can breathe better, but obviously the long term effects of smoking are going to cause me to have a lot of problems when I’m older. So she’s very real like, and she doesn’t hide anything. She tells me how it is, and she tells me what helps her and you know, that’s quite positive for me, because she has actually quit. Like she’s well I don’t know, somebody once said to me “a smoker never quits” And I don’t know whether that’s true, but I suppose she could go back to it, but for now she’s successfully done it. And that’s really good, because and I look to her and I think well if you’ve achieved that I can achieve it. She’s giving me advice and help so hopefully that will give me more of an advantage and help me be stronger. And then I’ll actually crack it and do it.
When Abdul went to the GP after he’d given up smoking he was surprised that there wasn’t more support and information available to reinforce the health benefits.
When Abdul went to the GP after he’d given up smoking he was surprised that there wasn’t more support and information available to reinforce the health benefits.
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There’s no help. I mean they say there’s help but there isn’t. I mean I had…
Tell me about that?
I had a lung test. This was after I’d given up and I went to the doctor and I said, “I wanted to ask about, you know, my giving up smoking. What kind of help or support. Can you tell me about what I will go through in the months to come.” And the nurse had nothing at all, nothing constructive to offer. She, the best thing she did was take a breath test, you know. At the end of which I was shocked you know. I play regular sport three to four, you know, three times a week I’d say on average. And she told me, you know, at the age of 37 that I had the lungs of a 48 year old and that was a shocker. Because you know, I’m still, you know, in many respects I’m fitter than the average person, because I play sport that often, and that regular. But I knew my lungs weren’t good. Because I chain smoke and I used to chain smoke like crazy with my, you know, the whole… cannabis which goes straight to your lungs. You’ve got no filter or anything, you know. And so I mean I was shocked, like 48, I thought blimey, you know, and when I mentioned it to some of my smoker friends they went really quiet, because they haven’t given up. There were some of my friends, and they were like whoa, and one said, “Yes, but…” You know, you could see the denial on his… “Yet but I went to have a test and the nurse said that there was nothing wrong with my lungs.” And I’m standing there thinking, you’ve been smoking as long as me. May be not as harsh as me, you know, as hard as me, but you’ve been smoking as long as me and not far off as much as me. Your lungs aren’t okay. I don’t know what test you took, but your lungs aren’t okay. You’re in denial. You know. I didn’t tell him all that but you could see them go quiet, because they understood suddenly like. He’s got lungs of 48 and he plays sport three times a week. What’s going on there?
But I just thought, but at the time when I wanted more she just didn’t seem to have any more to give in terms of, the nurse at the general practice I went to, and so I thought right fine I’ll just have to kind of muddle my way through it. But I didn’t, I didn’t think there was the support that they say is available. I certainly kind of, they didn’t sound like it to me.
So what type of support would you have wanted?
I don’t know. Someone to take me through some of the kind of the health things that would come along, with what are the phases, so you know, when you give up smoking, you know, what happened the first month? What will happened in say three months? What will happen in six months? What’s like to be the case in a year to two years? You know, how long does it take your lungs to clear completely? You know, will they ever be okay again? So this sort of thing. I thought that they should have this knowledge, you know, after all the smoking and these campaigns you know, to try and help people quit. I found that there was nothing you know. I thought she should have jumped at the chance of giving me the stuff. And she just didn’t, and I was just gob smacked that you know, I thought yes, okay, I’ve got lungs of a 48 year old. I have got anything else to happen? And she didn’t.
Sue’s GP had been advising her to quit on and off over 30 years period, but he recently forgot that she had already stopped smoking three years ago.
Sue’s GP had been advising her to quit on and off over 30 years period, but he recently forgot that she had already stopped smoking three years ago.
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No. In fact I saw my GP a couple of weeks ago and he said, “So how many a day are you smoking now?” I said, “I haven’t smoked for nearly three years.” And he went, “Oh.” I said, “This is the third time you’ve asked me that in three years. It should be on my notes.” “No, I’m just so used to you saying yes.” And I thought that again that says something, he sees me as a smoker, even as a medical professional whose been advising me for 30 years to stop smoking, he’s forgotten that I don’t so it’s, yes, it’s very odd. I mean when he looked it was on my notes that I’d stopped but he just kind of, he’s remembering the past.
And how would you manage that, you say he’s been advising you for 30 years to stop smoking…?
Oh it’s all a bit lack lustre. Yes. And at one point, I think I went and said, “Oh I think I’ll stop smoking soon.” And he went, “Well you don’t want to cause yourself too much stress. You don’t really smoke enough to be a real problem.” So, okay, that’s given the green light then, thanks very much. I can go home and tell my husband that my doctor says I should carry on smoking. But I think he was thinking that if you’re not smoking very many, which I wasn’t, then the giving up smoking can be stressful. You know, I’d started smoking because I was stressed and I think he probably thought that it would add to my stress to try and stop. But then a while later, he sort of said, “You should stop smoking.” I said, “But you said it was…” He said ‘Well’ but I think it depended on what course he’d been on recently [laughs] to be honest. His continuing professional developing seems to throw him at all sorts of things. And oh, but he was quite lack lustre about it. He’d sort of say, as he said to me the other week, “So you’re still smoking then?” And until three years ago, I’d say, “Yes.” And he’d say, “How many?” And I’d say, “Well five, ten a day. And no more than that. And usually sort of at the lower end.” He go, “Hm. Well it would be better not to.” And that would be it, you know, pass on…
Caroline was offered support through a smoking cessation clinic and pretended she had stopped. She said she wasn’t offered much practical advice.
Caroline was offered support through a smoking cessation clinic and pretended she had stopped. She said she wasn’t offered much practical advice.
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I did have somebody phone me up once from the NHS, they do a Hertfordshire Smoke Free Zone or something and she did find me up and ask me how I was doing, and I think that day I hadn’t really smoke so I was just like oh fine, you know, but she didn’t sound very sincere so, we didn’t really keep the conversation going for very long.
So I guess kind of they’re busy, they haven’t got time to really help each individual anyway, so I didn’t get that much help from them. Though that’s not say other people don’t, just because it didn’t for me [laughs].
People had widely differing preferences about the kind of advice and information they wanted from professionals. Some they wanted kind, reassuring and motivational information, such as how much the lungs could be expected to recover in six months or a year after quitting, others felt they needed to be shocked into quitting. Judith said, “I always used to think that if I could get a photograph or an x-ray or something like that of my lungs and have a photograph of what they should look like if I was a non-smoker that would be a really powerful visual and would almost jolt me into actually trying to do something like giving up”.
(Also see ‘Unsolicited advice from health professionals, family and friends’).
Nicotine replacement therapy (NRT)
NRT is offered as skin patches that deliver nicotine slowly, as chewing gum, nasal spray, inhalers, and as lozenges/tablets, all of which work by reducing the intensity and frequency of the urge to smoke. The use of NRT makes it more likely that someone will quit smoking. They helped people like Jules, Andrew and Sarah when they quit. Some used these products on the NHS with advice from professionals (as mentioned) while others bought products over the counter at pharmacies. Many had seen ads for nicotine replacement therapy.
Sarah tried NRT gum and patches, and chose patches as she didn’t have to taste anything.
Sarah tried NRT gum and patches, and chose patches as she didn’t have to taste anything.
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So how did you make that decision about which one to go for in this flooded market?
I didn’t, I wanted, I always, I just wanted patches. I wanted something quick and easy that I could put on and I didn’t have to taste. Because it was what was missing for me was the nicotine and I felt that if I started taking I don’t know chewing gum, if I started using the chewing gum or the inhaler, I’d probably knowing my own characteristics would just get addicted to using one of them. Whereas with the patches I had a process, a stepped process that I would go through to, you know, to get to the end of it. So I think that’s why.
Bethan gave up with the help of NRT patches, an inhaler on prescription, and ordinary chewing gum.
Bethan gave up with the help of NRT patches, an inhaler on prescription, and ordinary chewing gum.
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Anyway, so yes. So I had the patches and they gave me the inhalator as well, because I thought oh God, I can’t do without, you know. But surprisingly enough after a couple of weeks…. I mean I went back because I was going every week for the first I can’t remember now. Well I tried to go every week, but because I find it very difficult to get to this chemist when I’m working, so I’d try and do it in between appointments, you know, and if the pharmacist was there, and if the pharmacist wasn’t there there’d be a problem.
But I have to admit I have done it with the patches. I didn’t need the inhalator, but I found that I was chewing a lot, chewing, chewing gum. Not, not smoking, you know, it’s just ordinary chewing gum. And basically I just popped into the pharmacist when I could to get some more patches. There was a couple of occasions when I couldn’t get any patches. So because the pharmacist wasn’t there, which was a bit annoying, because then I know they like to make appointments as well, but because of my work, I couldn’t actually make an appointment. But then I should put myself first and you know.
So anyway, so when the pharmacist wasn’t there, I couldn’t get any patches, I’d have to go to the doctors then to you know, to get a prescription. And they were very helpful. Very, you know, they would get me a prescription straight away.
Chris tried different types of NRT: the gum and patches in combination worked for her.
Chris tried different types of NRT: the gum and patches in combination worked for her.
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What was that like?
It was okay, because the patches on their own just wasn’t enough. I still kept wanting a cigarette quite badly. And then when I had the gum with it, every time I wanted a cigarette I just pushed a piece of gum in my mouth and that releases a little bit of nicotine. And now I just chew ordinary gum, you know, I just feel I’ve got to chew something. It’s still a habit I think, of chewing nicotine, but I just buy chewing gum now. If I want a cigarette I just chew some chewing gum.
Caroline used nicotine lozenges and patches, but disliked the taste of the lozenges and reacted badly to the patches.
Caroline used nicotine lozenges and patches, but disliked the taste of the lozenges and reacted badly to the patches.
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Patches I wore for a while, but I found them so irritating. They’re itching, plus you kind of, every now and then you get this funny sort of pain, wherever you put them on. Really hard to explain and I did try talking to the chemist about it. He thought I was totally mad, but it was, I suppose it was as the nicotine is released from them I could kind of, I either had it had my arm, or on my hip and I’d get this almost sort crampy pain. So the chemist was just like I think you’re imagining it, and I wasn’t imagining it, so I stopped using them.
Neil went on smoking while using high dose nicotine patches. He soon felt ill and a doctor told him it was due to nicotine poisoning.
Neil went on smoking while using high dose nicotine patches. He soon felt ill and a doctor told him it was due to nicotine poisoning.
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Tom didn’t try patches or gum because he focused on why he wanted to quit.
Tom didn’t try patches or gum because he focused on why he wanted to quit.
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And the first thing is, it seems like such a simple thing now, but it took me a long time to get there - I finally realised that, actually this is not about convincing yourself that you don’t enjoy this anymore. It’s about accepting that it’s something that you enjoy that you have to stop doing, for other reasons, and not sort of financial reasons, that was never even when I was in a shittily paid job and skint all the time, I still always managed to have tobacco somehow. It was just purely about sort of, I don’t know, I guess it was health reasons. But, but the big thing, the big point at which at which I thought, ‘right now is the time it’s going to happen,’ is as I was getting near to turning 30, and I thought, ‘right, OK, well this is kind of, this is a watershed moment in a lot of ways. It’s a milestone birthday.’ If I stop before I turn 30, then, and I know I don’t smoke beyond that point, then I can say, ‘yeah, I smoked in my teens and twenties and that was it.’ It’s, yeah, it’s actually, that was kind of what did it. It was realising that, OK, you still enjoy it, but you have to stop now, and let’s actually stop now, this is a good point. And I can vividly remember the last cigarette that I had, I was driving home from work, and it was four days before my 30th birthday and I had a cigarette in the car, and that was it, I didn’t have another one after that.
At first Judith wanted products to help her quit, but then decided she didn’t want to have to quit nicotine after she had given up smoking.
At first Judith wanted products to help her quit, but then decided she didn’t want to have to quit nicotine after she had given up smoking.
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But I was also, at the smoking cessation they also gave me little bits of cut straw, just about that size and that was a really interesting thing as well, the fact that when you sucked on the straw, it was essentially, it wasn’t like a cigarette, but it slowed your breathing down, and it just reminded you of what it was like when you smoked, to just take that long breath and so that was really, really interesting for me, is the fact that I could have it in my hand, and I could drive with it, in my, you know, between my fingers and suck on it, and realise that it was slowing my breathing down, and that in itself relaxes of course, just taking note of, just breathing you know, but deeper and a bit slower.
So when I stopped for the two days I hadn’t touched the inhalator. I put the patch on and but I’d got through those two days. And then I thought nicotine stays in my system for 24 hours, it was so psychological for me, why was I still feeding myself with the nicotine? I know it’s so different for everybody, but for me, I just thought, why am I doing this. I didn’t want to get to the end of twelve weeks and have another psychological thing where I was thinking “Right I’ve only achieved this because I’ve had a patch on and then I’m going to take a patch off, I know it goes down in strength but I’m still not going to have anything”. And that initial major confidence and ability to stop would have been 12 weeks prior to that. So was I going to get into a position where that in itself could just start me smoking again? So I made an informed decision that I was just going to take it off and I never looked back.
Last reviewed August 2018.
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