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ALCOHOL SMOKING DRUGS ADDICTIONS AND RECOVERY
....KayaKalp Clinic Patna....
ADDICTIONS and RECOVERY
ADDICTIONS and RECOVERY
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In The Street of Bihar Namkeen Bhandar
Addiction and Recovery Information for Individuals, Families and Health Professionals.
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Ayurvedic (Herbal) Treatment
Kaya Kalp Clinic
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Machhua Tolli
Patna - 800004
Bihar, India.
Addiction and Recovery Information for Individuals, Families and Health Professionals.
About Alcohol Abuse and Addiction
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"Do You Have a Drinking Problem"?
To help you decide if you have a drinking problem, look at the which contains a list of helpful questions. But ask yourself, why do you want to know? Are you concerned about your behaviour? Are other people concerned? If so, you probably already know if you have an alcohol problem or not. The only question is whether you are prepared to accept the answer.
What is Moderate Alcohol Use?
Moderate drinking has been defined by the US Department of Health and Human Services and the World Health Organization as follows:
- The US guidelines suggest no more than 1 drink per day for women and no more than 2 drinks per day for men. A drink is defined as 12 oz of beer, 5 oz of wine, or 1.5 oz of spirits.
- The WHO guidelines suggest no more than 2 drinks per day, and no more than 5 drinking days per week. They also suggest at least 2 non-drinking days per week.
How Big is a Drink? The Definition of a Standard Alcoholic Drink.
A standard drink is defined as 14 grams of pure alcohol according to the US Department of Health and Human Services. However in Europe the most commonly used standard is 10g of pure alcohol.
- 1 can of beer (12 oz or 330 ml) at 5% alcohol is one drink
- 1 glass of wine (5 oz or 140 ml) at 12% alcohol is one drink
- 1 shot of liquor (1.5 oz or 40 ml) at 40% alcohol is one drink
Note that a 750 ml bottle of wine contains 5 drinks. Therefore 2 drinks a day is less than half a bottle of wine a day.
The basic formula for calculating a drink is that each milliliter of pure alcohol weighs 0.79 grams. Therefore, for example, 12 oz of beer or 330 ml of beer x 5% alcohol x 0.79 = 13 grams of pure alcohol.
Reference: www.kayakalpclinic.com
How Common is Alcohol Abuse? Drinking Facts and Figures
- Approximately 60% of drinkers drink less than 4 drinks on the days they drink.
- 20% of drinkers drink 5 or more less than 10% of the time.
- 9% of drinkers drink 5 or more at least half the time.
Liver Damage: Alcoholic Hepatitis
There are three stages of liver damage: elevated liver enzymes, fatty liver, and cirrhosis.
The most common form of liver damage is elevated liver enzymes. Your doctor can do a simple blood test to check for three liver enzymes (AST, ALT, and GGT). These are usually elevated by heavy drinking over a short period of time, usually weeks or months. This type of damage is most commonly seen in young people and is associated with binge drinking. It is potentially reversible if you stop drinking.
Your liver is designed to filter toxins from your blood, therefore it's designed to repair itself. All you have to do is stop drinking and it will gradually go back to normal.
How do liver enzyme tests work? The enzymes AST, ALT, and GGT normally occur inside liver cells. If your liver is damaged, the enzymes are released into your blood stream and show up in your blood test. Therefore the higher the enzyme count, the greater the liver damage. The most accurate of these tests for alcoholic liver damage is GGT.
The second most common form of liver damage is a ‘fatty’ liver. This can be identified by blood tests and a liver ultrasound, and is also reversible with abstinence. However, fatty liver damage has a greater risk of turning into cirrhosis with continued alcohol abuse.
Repeated liver damage can cause cirrhosis. Your liver is a remarkable organ, but it can only repair itself so many times. After a while your liver won't be able to repair itself and it will turn into scar tissue. Cirrhosis is just the medical term that means part of your liver has turned into scar tissue.
But there is good news. Your liver is a big organ and you have more liver than you need. People can lose 30% of their liver in a car accident and still lead normal lives. So if you have less than 30% cirrhosis and you stop drinking, you can lead a normal life. Your doctor can do an ultrasound to see if you have cirrhosis, and estimate what percent cirrhosis you may have.
Hypertension: High Blood Pressure
More than two drinks a day has been proven to cause high blood pressure.
Studies have also shown that reducing or eliminating alcohol use can lower blood pressure.
Cancer Risk and Alcohol Abuse
Alcohol abuse has been shown to significantly increase the risk of most forms of cancer, including mouth, esophagus, breast, stomach, liver, prostate, and colon cancer.
How does alcohol raise cancer risk? The exact mechanism is not completely understood. It is likely that there are several ways in which alcohol raises the risk. Acetaldehyde, a byproduct of alcohol metabolism is thought to be one of the main cause for alcohol related cancers.
In the case of mouth, esophagus, and stomach cancer, alcohol appears to act as a direct irritant that damages tissues. Alcohol may also allow harmful chemicals, such as tobacco smoke, to enter the digestive tract more easily. This explain why smoking and drinking combined are more deadly than either one alone.
Even moderate smoking and drinking increase the risk of esophageal cancer by 15 times.
Breast Cancer
Breast cancer, the leading cause of death in women, is strongly correlated with alcohol abuse. Drinking more than two drinks a day increases the risk of breast cancer by 50%! This result has been confirmed in studies of over one hundred thousand women.
Depression and Alcohol Abuse
Depression is one of the most common, serious consequences of alcohol abuse.Alcohol abuse doubles the risk of depression. One study looked at 2,945 alcoholics. 15% were depressed before they began abusing alcohol. 26% were depressed while they were using alcohol, and 15% remained depressed once they had stopped drinking for an extended period.
Alcohol and Pregnancy: Fetal Alcohol Syndrome
It has been shown repeatedly that there is no safe amount of alcohol during pregnancy. Alcohol has a number of effects including low birth weight and risk of prematurity. The common serious side effect of alcohol during pregnancy is fetal alcohol syndrome.
Fetal alcohol syndrome (FAS) and alcohol-related neurodevelopmental disorder combined occur in nearly one in 100 live births in the US and Great Britain.
Some of the consequences of fetal alcohol syndrome include:
- learning disabilities
- depression
- obsessive-compulsive disorder
- physical disabilities such as kidney and internal organ diseases
- skeletal abnormalities including facial deformities
Less Common but Serious Consequences of Alcohol Abuse
- Cardiac arrhythmias
- Impaired immune system
- Decreased bone density
- Peripheral nerve damage
- Gastrointestinal bleeding
- Heart attacks and cardiomyopathy
- Strokes
Alcohol Withdrawal
Please look at the following link for detailed description of the symptoms and dangers.
Treatment, Recovery and Relapse Prevention for Alcoholism
If you have decided that you are addicted to alcohol, this is your opportunity to change. Learn more about and in the following pages. You can overcome alcoholism. You can change your life.
The Genetics of Addiction
The Role of Family History
Addiction is due 50 percent to genetic predisposition and 50 percent to poor coping skills. This has been confirmed by numerous studies. One study looked at 861 identical twin pairs and 653 fraternal (non-identical) twin pairs. When one identical twin was addicted to alcohol, the other twin had a high probability of being addicted. But when one non-identical twin was addicted to alcohol, the other twin did not necessarily have an addiction. Based on the differences between the identical and non-identical twins, the study showed 50-60% of addiction is due to genetic factors. Those numbers have been confirmed by other studies.
The children of addicts are 8 times more likely to develop an addiction. One study looked at 231 people who were diagnosed with drug or alcohol addiction, and compared them to 61 people who did not have an addiction. Then it looked at the first-degree relatives (parents, siblings, or children) of those people. It discovered that if a parent has a drug or alcohol addiction, the child had an 8 times greater chance of developing an addiction.
Why are there genes for addiction? We all have the genetic predisposition for addiction because there is an evolutionary advantage to that. When an animal eats a certain food that it likes, there is an advantage to associating pleasure with that food so that the animal will look for that food in the future. In other words the potential for addiction is hardwired into our brain. Everyone has eaten too much of their favorite food even though they knew it wasn't good for them.
Although everyone has the potential for addiction, some people are more predisposed to addiction than others. Some people drink alcoholically from the beginning. Other people start out as a moderate drinker and then become alcoholics later on. How does that happen?
Repeatedly abusing drugs or alcohol permanently rewires your brain. If you start out with a low genetic predisposition for addiction, you can still end up with an addiction. If you repeatedly abuse drugs or alcohol because of poor coping skills, then you'll permanently rewire your brain. Every time you abuse alcohol, you'll strengthen the wiring associated with drinking, and you'll chase that buzz even more. The more you chase the effect of alcohol, the greater your chance of eventually developing an addiction.
Your genes are not your destiny. The 50% of addiction that is caused by poor coping skills is where you can make a difference. Lots of people have come from addicted families but managed to overcome their family history and live happy lives. You can use this opportunity to change your life.
What Is Your Family History?
Most people don't know their family history of addiction very well. Addiction is not the sort of thing that most families talk about. Not too long ago you could have a raging alcoholic in your family and nobody would talk about it. Or they would make some quaint remark like, "Oh he drinks a little too much." There was so little people could do about addiction before that there was no point in talking about it.
But now that you can do something about addiction, a family history is worth talking about. Once you stop using and tell your family that you're in recovery, that's often when they will tell you about the family secrets. That's when family members will sometimes come out of the closet and tell you their stories.
Let your coping skills be the legacy you pass on to your children. Don't let your genes be the only legacy you pass on to your children. Your children are more likely to have an addiction because of your addiction. But their genes don't have to be their destiny. You can help your children lead happy lives by teaching them healthy coping skills – by being an example with your recovery.
Is Addiction a Disease?
Addiction is like most major diseases. Consider heart disease, the leading cause of death in the developed world. It's partly due to genes and partly due to poor life style choices such as bad diet, lack of exercise, and smoking. The same is true for other common diseases like adult-onset diabetes. Many forms of cancers are due to a combination of genes and life style. But if your doctor said that you had diabetes or heart disease, you wouldn't think you were bad person. You would think, "What can I do to overcome this disease?" That is how you should approach addiction.
Addiction is not a weakness. The fact that addiction crosses all socio-economic boundaries confirms that addiction is a disease. People who don't know about addiction will tell you that you just need to be stronger to control your use. But if that was true then only unsuccessful people or unmotivated people would have an addiction, and yet 10% of high-functioning executives have an addiction.
If you think of addiction as a weakness, you'll paint yourself into a corner that you can't get out of. You'll focus on being stronger and trying to control your use, instead of treating addiction like a disease and focusing on stopping your use.
Cross Addiction
You can become addicted to any drug, if you have a family history of addiction.If at least one of your family members is addicted to alcohol, you have a greater chance of developing an addiction to any other drug. Cross addiction occurs because all addictions work in the same part of the brain. If your brain is wired so that you're predisposed to one addiction, then you're predisposed to all addictions.
This is especially important for women who may come from alcoholic families, but who often develop addictions that go undetected, like addictions to tranquilizers, pain relievers, or eating disorders.
One addiction can lead to other addictions, and one drug can make you relapse on another drug. That's one of the consequences of a brain that's wired for addiction. Suppose you're addicted to cocaine. If you want to stop using cocaine then you have to stop using all addictive drugs including alcohol and marijuana. You may never have had a problem with either of them, but if you continue to use alcohol or marijuana, even casually, they'll eventually lead you back to your drug of choice. Recovery requires total abstinence.
How does cross addiction cause relapse:
- All addictions work in the same part of the brain. Addiction is addiction is addiction. Therefore one drug can lead you back to any other drug.
- Even moderate drinking or smoking marijuana lowers your inhibitions, which makes it harder for you to make the right choices.
- If you stop using your drug of choice but continue to use alcohol or marijuana, you're saying that you don't want to learn new coping skills and that you don't want to change your life. You're saying that you want to continue to rely on drugs or alcohol to escape, relax, and reward yourself. But if you don't learn those new skills, then you won't have changed, and your addiction will catch up with you all over again.
How to Quit Smoking
You can quit smoking with a little help. If you’re anxious about quitting, this website will take you through the stages of quitting smoking step-by-step. You will learn how to get ready, how to quit, and how to make sure that you don’t relapse. You will also learn tips that make quitting easier.
You are probably at the stage where part of you wants to quit smoking, but part of you doesn’t. Maybe you’re worried about withdrawal, or afraid that you’ll fail. Put those thoughts aside for now. Focus on why you want to quit, and that will give you the motivation to succeed.
Here are some reasons why people quit smoking:
- Are you worried about your health?
- Do you resent being controlled by your addiction?
- Do you know someone who has had health problems because of smoking?
- Are you trying to be a positive role model for your family?
- Do you want to save money?
- Smoking costs $2,500 to $5,000 a year. That's the price of a good vacation.
The good news about smoking is that it doesn't matter how much you’ve smoked, or how long you have smoked. It is never too late to quit. If you quit now, your body will begin to repair itself and will take care of you even after years of neglect.
Nicotine Addiction
An average smoker gets about 200 hits of nicotine a day, and over 70,000 hits per year. Ten puffs per cigarette, times 20 cigarettes a day gives you about 200 hits of nicotine a day. That’s partly why smoking is so addictive. Your brain constantly waits for the next nicotine hit. Some studies have suggested that nicotine is as addictive as crack cocaine.
Nicotine Withdrawal
These are some common symptoms of nicotine withdrawal:
- Irritability, Anxiety
- Difficulty concentrating
- Headaches
- Food cravings
- Cravings for cigarettes
What causes nicotine withdrawal? Smoking increases the number of nicotine receptors in your brain. When you stop smoking, those receptors continue to expect nicotine, and when they don’t get it, they begin to adjust. That adjustment process, is what causes cravings and withdrawal.
How Long Do Nicotine Withdrawal Symptoms Last?
Nicotine is out of your body 72 hours after you quit smoking. Nicotine withdrawal symptoms usually reach their peak 2 to 3 days after you quit, and are gone within 1 to 3 months.1 It takes at least 3 months for your brain chemistry to return to normal after you quit smoking.2 The last two symptoms to go usually are irritability and low energy.
Any effective smoking cessation program has to take into account this long adjustment period. It is why some doctors recommend weaning off nicotine slowly with nicotine replacement therapy.
In summary, most people start to feel better after 1 week, and the symptoms are usually gone within 3 months.
Quit Smoking (Step-By-Step)
A step by step plan to help you quit smoking. You will find guidelines, best practices, facts and tips to help you successfully reach your goal. The basic steps of quitting are the following:
1) Make the Decision to Quit
2) Understand Your High-Risk Times
3) Stock Up on Supplies
4) Pick a Quit Date
5) Let People Know
6) Remove Smoking Reminders
7) Your Quit Date and the First 2 Weeks
8) Maintenance and Coping Strategies
2) Understand Your High-Risk Times
3) Stock Up on Supplies
4) Pick a Quit Date
5) Let People Know
6) Remove Smoking Reminders
7) Your Quit Date and the First 2 Weeks
8) Maintenance and Coping Strategies
Step 1: Make the Decision to Quit
Identify your reasons for quitting smoking. Quitting is challenging. You can rise to the challenge, but it helps if you have your goals in mind. Review your mental list as you approach your quit date.
If you have tried to quit smoking before and failed, don’t let that be an obstacle. The more times you try to quit, the greater your chance of success. Maybe you weren’t ready last time. Maybe you didn’t take the rights steps.
Step 2: Understand Your High-Risk Times
Smoking is more than just a physical addiction to nicotine. It is also a psychological addiction. Why do you smoke? Is it a break from your hectic day? Is it a moment of peace when you can be alone with your thoughts? Most people smoke for the same reasons alcoholics drink. It’s a chance to escape, relax, or reward yourself.
Anticipate your high-risk situations and plan for them. This will help you deal with them better. Here are some common triggers for smoking cravings:
- Drinking coffee
- Finishing a meal
- Driving your car
- Using the phone
- Stressful situations
- Drinking alcohol
- Social events
These are some strategies for dealing with your triggers:
- If you smoke with your morning coffee, plan to have your first coffee at work where you probably can’t smoke.
- If you smoke while driving, plan to take a different route. It will keep your mind occupied, so that you won’t be on autopilot.
- If you smoke after meals, plan to get up after a meal. Go for a walk, brush your teeth, do something.
- If you smoke when you’re on the phone, put one of those stress balls next to your phone to keep your hands occupied.
- Plan to keep yourself busy in the beginning. Too much unstructured time is not a good thing when it comes to smoking cessation.
What should you do if you slip? A slip is also a high risk time. You don’t need to slip. Many people have quit without a slip. But if you do, it’s good to have a plan.
- The most important thing you can do is avoid all or nothing thinking. Don’t give up and let a slip turn into a major relapse.
- Throw out the rest of the pack.
- You’re not a failure if you slip.
- The more times you try to quit, the greater your chance of success.
- Learn from your experience. What you could have done differently.
- Never forget your reasons for quitting in the first place.
Step 3: Stock Up on Supplies
Every smoker understands that smoking is also an oral addiction. When you quit smoking your brain will still crave the oral sensation of a cigarette. As part of your smoking cessation plan, stock up on oral substitutes like gum, raw vegetables, carrot sticks, hard candy, coffee stirrers, straws, etc.
If you’re planning to use nicotine replacement or smoking cessation drugs talk to your doctor at this point. Learn how to use them. Find out about potential side effects and what to look out for.
Step 4: Pick a Quit Date
A quit date is a personal commitment. It is important because it prepares your mind subconsciously. Pick a date within the next month. It doesn’t have to be a special day.
Avoid a day when you know you’ll be busy, tense, or have a special event that could be a trigger. Write down your quit date somewhere, and look at it every day. Let your determination build as you get closer.
If you are going to use smoking cessation medication like Zyban (Wellbutrin, bupropion) or Chantix (Champix, varenicline), your doctor may have suggested that you start using them now. Ask your doctor how far ahead of your quit date you should start taking your pills.
Step 5: Let People Know
Quitting is easier with support. Choose people who you think will be helpful. Tell them your plan and how they can help. Also tell them how they cannot help.
- Friends can help distract you.
- They can listen to you.
- Sharing your struggles makes them lighter.
- But explain that you want to keep your conversations light. Nothing serious that will add to your tension.
Step 6: Remove All Smoking Reminders
Smoking like any addiction is triggered by people, places, and things. For other addictions, the objects that are triggers are usually drug paraphernalia. In this case the paraphernalia include cigarettes, matches, lighters, and ashtrays. Get rid of all of them. Don't save anything “just in case.”
Freshen your environment at home, work‚ and in your car. The smell of cigarettes is definitely a trigger, especially in the beginning.
Step 7: Your Quit Date and the First 2 Weeks
The first two weeks are critical for your success. If you can get though the first two weeks your chance of success is much higher. Therefore it is important to give yourself the best chance you can during these critical weeks.
The first two weeks are all about distractions, keeping busy, and being good to yourself. Keep busy with fun, low stress activities and avoid high stress ones.
Stay Busy
- Plan lots of dates with friends. Get out of the house. Go for walks, bike rides, or go to the gym. Go to a movie. Be good to yourself.
- Keep your hands busy. Some people like to use a pen, a straw or a coffee stirrer.
- Drink lots of water.
- Call the people who have offered to help. Everyone understands how difficult this is. People will be happy that you’re doing it. Don’t try to do it alone.
- If you just sit there with your cravings, you are giving them room to grow.
- Relax and breathe deeply.
Avoid High Risk Situations
- Don’t hang out with smokers. That’s like a crack addict hanging out with crack addicts. No matter how friendly and supportive your smoking friends are, they are still a high risk environment for at least the first several months.
- Practice saying, “No thank you, I don’t smoke anymore.”
- Understand that you will encounter high risk situations that you haven’t thought of. If you find yourself triggered, plan to get up and leave quickly.
- A change of scenery can make all the difference.
Talk to Yourself
- Most cravings only last 10 - 20 minutes. Distract yourself, and the cravings will pass. When you think about using, talk to yourself and keep yourself busy.
- “I refuse to believe that smoking is more powerful than me.”
- “I won’t give smoking any more power over my life.”
- “I chose to be a non-smoker.”
- “One day at a time.”
Step 8: Maintenance and Coping Strategies
Quit smoking one day at a time. Don't think about quitting forever. That can be overwhelming. Deal with right now, and the days will start to add up.
Self-care
Be good to yourself. This is probably the most important and undervalued coping strategy in quitting smoking. It is one of the most difficult things for anyone to do, especially someone with an addiction.
Your tendency will be to not reward yourself while you’re quitting. You’ll think that you don’t deserve it yet. You will think that you only deserve a reward once you have had a long stretch of not smoking. But that’s old thinking. This is your opportunity to learn better coping strategies.
How you can be good to yourself is different for everyone. Pursue new ways of rewarding yourself the same way you pursued your addiction. You are learning new thinking patterns that will be helpful in the rest of your life.
Don't try to diet while quitting smoking. Too much deprivation is bound to backfire. Instead, try eating more fruits and vegetables.
Celebrate Your Victories
Don’t focus on your struggles and ignore your successes. You probably tend to disqualify the positives and focus on the negatives. But don’t underestimate how far you have come. Reinforce your victories.
- Take the money you’ve saved and buy yourself a treat once a week. Or save the money for something bigger like a trip.
- Plan ahead for your milestones and make sure you recognize them with some celebration, big or small.
- Rewards don’t have to be financial. You could plan to get together with your friends and do something.
Stress Management
- Get plenty of rest and eat healthy. Lack of sleep and excessive sugar are known triggers.
- Use substitutes for oral cravings like gum, raw vegetables, carrot sticks, hard candy, coffee stirrers, straws.
- Stress is a big trigger for smoking.
- Relax by taking a few slow, deep breaths. Inhale through your nose and exhale through your mouth. Repeat it 5 times and see how you feel.
Maintenance
- When you have cravings, think of how strong you have been so far.
- Remember your reasons for quitting.
- Refuse to let your addiction win.
- Think of the benefits to your health, finances, and family.
- Remind yourself that there is no such thing as just one cigarette.
- Start to see yourself as a non-smoker. That is the ultimate payoff. You are freeing yourself from the control of your addiction.
Nicotine Replacement Therapy (NRT)
Nicotine replacement therapy (NRT) helps reduce nicotine withdrawal symptoms that many smokers say is their main reason for not quitting. Nicotine replacement therapy increases the rate of quitting by 50 to 70 percent.
Nicotine replacement therapy is not a substitute for coping strategies. It deals with the physical addiction to nicotine, but does not deal with the behavioral or psychological addiction to smoking. So some sort of smoking cessation program and strategy is still important.
IMPORTANT: What follows is general medical information, and is not tailored to the needs of a specific individual. Some people may not be able to use nicotine replacement therapy because of allergies or other conditions. You should always consult your physician when making decisions about your health.
How to Decide Which Nicotine Replacement Therapy?
There are three broad categories of nicotine replacement therapy: nicotine that is absorbed through the skin, mouth, and airways. Here are some important points to help you decide:
Nicotine Patch
The nicotine patch is convenient because it provides long term relief from nicotine withdrawal, and you only have to think about it once a day.
The nicotine patch is the most studied type of nicotine replacement therapy, and significantly increases your chances of success by 50 to 70 percent
Nicotine Lozenges and Nicotine Gum
Nicotine lozenges and nicotine gum provide short term relief from nicotine withdrawal symptoms. They also help deal with oral cravings that a nicotine patch cannot.
The most effective smoking cessation combination is a nicotine patch for long term relief, and nicotine lozenges for breakthrough carvings.
The nicotine in lozenges and gum is absorbed through the inner surface of your mouth rather than through your stomach. Food and drinks can affect how the nicotine is absorbed. Therefore you shouldn’t eat or drink for at least 15 minutes before using nicotine gum or lozenges, and you shouldn’t eat or drink while you are using them.
Most people find nicotine lozenges easier to use than nicotine gum. Nicotine gum can stick to dental work.
How do you use nicotine lozenges? Suck on a lozenge until it is fully dissolved, about 20 to 30 minutes. Do not bite or chew it like hard candy, and do not swallow it.
How do you use nicotine gum? Chew the gum slowly until you get a peppery taste or tingle in your mouth. Then hold it inside your cheek (park it) until the taste fades. Then chew it again to get the tingle back, and park it again.
Nicotine Inhalers and Nicotine Nasal Spray
Nicotine inhalers and nasal sprays are the most fast acting of all nicotine replacement methods. But because they work so quickly they have a higher risk of becoming addictive.
Nicotine inhalers mimic the use of cigarettes, which can make them even more addictive.
Both nicotine inhalers and nasal sprays require a doctor’s prescription.
How Long Should You Use Alcoholic Hepatitis Replacement Therapy?
The US Food and Drug Administration suggests the following. “Users of Nicotine Replacement Therapy (NRT) products should still use the product for the length of time indicated in the label - for example, 8, 10 or 12 weeks. However, if they feel they need to continue using the product for longer in order to quit, it is safe to do so in most cases.”
The American Cancer Society notes that “The FDA has approved using the patch for a total of 3 to 5 months.”
In other words, follow the instructions, but it is reasonable to use the patch for up to 5 months, if you have the approval of your health care professional.
In my experience, most people relapse when they taper down too quickly from the full strength 21 mg patch to the 14 mg patch.
Can You Get Too Much Nicotine (Nicotine Overdose and Nicotine Poisoning)?
Yes, if you use nicotine replacement therapy incorrectly. Speak to your health professional about the correct way to use it.
Here are some symptoms of nicotine overdose or nicotine poisoning:
- Agitation, restlessness. tremors
- Headache
- Fast or irregular heartbeat
- Nausea, vomiting, abdominal pain, diarrhea
- Cold sweats, pale skin
If you experience any of these symptoms call your doctor. More serious symptoms of nicotine overdose or nicotine poisoning include:
- Disturbed vision or hearing
- Dizziness or faintness
- Rapid breathing
- Confusion
- Seizures
Call Poison Control and get emergency help if you suspect nicotine overdose or nicotine poisoning.
How Safe is Nicotine Replacement Therapy?
Nicotine replacement therapy is considered safe for smokers with a history of cardiovascular disease. It does not increase the risk of heart attacks and strokes in smokers with a history of cardiovascular disease.
There is not enough evidence to be absolutely sure that nicotine replacement therapy is safe for pregnant women.However, many physicians feel that nicotine replacement therapy is much safer than smoking.
Smoking Cessation Medications
There are prescription drugs that can help you quit. Some can be used along with nicotine replacement therapy. Most have to be started before your planned quit day, and all need a prescription.
IMPORTANT: This is general medical information, and is not tailored to the needs of a specific individual. You should always consult your physician when making decisions about your health.
Zyban (Wellbutrin, bupropion)
Zyban (Wellbutrin, bupropion) is a prescription antidepressant that was later discovered to reduce nicotine cravings and help people quit smoking. It does not contain nicotine. It acts on chemicals in the brain that cause nicotine cravings. Large scale studies have shown that Zyban is at least as effective as nicotine replacement therapy in smoking cessation.
Zyban works best if you start it 1 to 2 weeks before you quit smoking. The usual dosage is 150 mg tablets once or twice per day. Your doctor may want to continue it for 8 to 12 weeks after you quit smoking to help reduce the chance of relapse.
The most common side effects include: dry mouth, trouble sleeping, agitation, irritability, indigestion, and headaches.
Antidepressants may increase the risk of suicide in persons younger than 25. When prescribed for smoking cessation, there have been four suicides per one million prescriptions and one case of suicidal ideation per ten thousand prescriptions.
Zyban (Wellbutrin, bupropion) should not be taken if you have or have ever had the following:
- Seizures (Bupropion can cause or worsen seizures)
- Heavy alcohol use, or cirrhosis
- Serious head injury
- Bipolar (manic-depressive) illness
- Anorexia or bulimia
- If you’re taking sedatives or have recently taken an MAOI, (an older type of antidepressant).
Combining Zyban (Wellbutrin, bupropion) and Nicotine Replacement Therapy
Combining Zyban and nicotine replacement therapy, is usually more effective than either treatment alone.Both medications work in different ways. Zyban reduces cravings by working on brain chemistry, and nicotine replacement therapy works by gradually weaning your body off nicotine.
Zyban combined with nicotine replacement therapy can slightly increase your blood pressure. Therefore monitoring of blood pressure is recommended in these cases.
Chantix (Champix, varenicline)
Varenicline is a prescription medication that can reduce cravings and increase your chances of success.
How Does Chantix (Champix) Work?
Chantix is a partial nicotine agonist. It partially stimulates the nicotine receptors in the brain so you get a mild effect as if you were smoking, but at the same time it blocks the receptors from giving the full effect of smoking. This lessens the pleasure you get from smoking, and reduces nicotine withdrawal. Chantix (Champix, varenicline) should be started a week before your quit day.
Side Effects of Chantix (Champix)
Chantix (Champix, varenicline) significantly increases the risk of depressed mood, thoughts of suicide, and attempted suicide. One study looked at all serious side effects between 1998 and 2010 in the FDA's Adverse Event Reporting System (AERS). It concluded “Varenicline shows a substantial, statistically significant increased risk of reported depression and suicidal/self-injurious behavior. The findings for varenicline, render it unsuitable for first-line use in smoking cessation.”
Electronic Cigarettes
One of the main concerns with electronic cigarettes is that they mimic the use of regular cigarettes. If part of your reason for quitting smoking is that you don’t want to be controlled by your nicotine addiction, then electronic cigarettes would not be a good choice.
Studies have also shown that the vapor from electronic cigarettes has potentially harmful toxins.
Reasons to Quit Smoking
Some Things You Probably Don’t Know About Smoking
Here are just a few smoking facts. Not a long list, but some key facts about the dangers of smoking.
Smoking causes more deaths each year than all of the following causes combined:
- Alcohol abuse
- Illegal drug use
- Murders
- Motor vehicle accidents
- AIDS and HIV
If you are recovering from drug or alcohol abuse, it doesn’t make sense to have worked hard for your recovery, and then drop dead from smoking.
Both the founders of Alcoholics Anonymous, Dr. Bob and Bill W. dropped dead from smoking. Smoking statistics tend to feel impersonal. But if you’re in recovery, that makes it up close and personal.
Smoking kills 6 million people each year worldwide. In the United States, smoking kills more than 480,000 people each year. That is the equivalent of two jumbo jets crashing every day with no survivors. (The number of passengers in two jumbo jets crashing every day for one year: 500 * 2 *365 = 365,000.)
More smokers die of heart disease and stroke rather than lung cancer. This is why people often underestimate how deadly smoking is. Perhaps your grandfather smoked his whole life and never died of lung cancer. Most smokers die of heart disease or stroke.
Smoking causes type 2 diabetes. Smokers are 30 – 40 percent more likely to develop diabetes.
Those are just a few of the diseases caused by smoking. There is not an organ or system in your body that is not affected by the dangers of smoking. The full list of smoking diseases is too long and depressing.
Second Hand Smoke Facts
Second hand smoke causes the same kinds of deaths as smoking. There is no safe level of second hand smoke. Here are just two of the consequences of living with a smoker or working in a smoking environment.
Nonsmokers exposed to second hand smoke at home or at work are at higher risk of the following:
- 25 – 30 percent more likely to develop heart disease and stroke
- 20 – 30 percent more likely to develop lung cancer
Children and Second Hand Smoke
Second hand smoke has been proven to damage children’s health and increase the risk of the following:
- Asthma, pneumonia, and bronchitis
- Ear infections and the need for ear tubes
- Sudden Infant Death Syndrome (SIDS)
Isn’t it time you said enough?
Professionals :-
Our mission at Recovery Connection is to provide comprehensive information and resources about substance abuse prevention, treatment, and recovery for current and recovering addicts, their loved ones, and the people who support them. Our goal is not to lean toward any particular program, approach or methodology, but to represent the entire landscape of substance abuse prevention and treatment today, with a focus on research and best practices.
To do this, we need your help: We welcome professional organizations and individuals interested in partnering with us, or who would like us to list their organization, event or educational opportunity on our website.
Contact Us:-
Name :- Dr. Manoj Pandey Vaidh / Dr. Jully Pandey / Dr. S. Kumar
B.A.M.S., Ayurvedachrya
Member council of Education (International).
Address :- Kaya Kalp Clinic
Address :- Kaya Kalp Clinic
In The street of Bihar Namkeen Bhandar,
Infront of Yamaha Moter Cycle Show Room,
Arya Kumar Road,
Machhuatolli,
Patna, Bihar, India,
Infront of Yamaha Moter Cycle Show Room,
Arya Kumar Road,
Machhuatolli,
Patna, Bihar, India,
Pin Code:- 800004
Timing :- 10:00AM - 2:00PM,
04:00PM - 8:00PM,
Sunday Only By Appointment
Phone No. :- 0612 - 2721160
Mobile No. :- +09334200215,
+09279953889
Consultancy Fees Rs.200/-
Medicine Charge Extra...
No Side Effects
Ayurvedic (Herbal) Treatment
Mobile No. :- 09334200215, 09279953889


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