Tobacco is a legal, toxic and inexpensive substance that is more addicting than many illegal substances like heroin or cocaine. We know that most people who use tobacco want to quit but quitting is never easy and may take several attempts. Quitters don’t plan to fail, but they can fail to plan. Users can be taught why and how to quit. The decision to become a non-tobacco user requires a process and rarely do people quit alone successfully. Habits formed early in life do have a tendency to last forever or for a very long time. Quitting is possible. There are more former smokers than there are current users.
If you are 15 years or older and you smoke or chew and want to quit, call the Colorado QUITLINE (1-800-QUIT-NOW (784-8669)) or visit QUITNET at www.co.quitnet.com . QUITLINE is a toll-free telephone counseling service that connects people who want to quit with trained coaches who guide and support them with a customized quit plan. Free nicotine patches, up to an 8-week supply and close to a $200 value, are available to those 18 years and over who commit to the program. QUITNET is an internet-based free service that provides advice on quitting strategies and info about helpful pharmaceutical products. The website reinforces quitting through the Q-Gadget which tracks life expectancy gained and money saved.
Any tobacco user can receive up to eight weeks of the patch free by simply calling the Colorado QuitLine at 1-800-QUIT-NOW (784-8669). With the help of the experienced quit coaches at the QuitLine and the patches, users are seven times more likely to quit than by trying to quit on their own. The patch is one of the most commonly used nicotine replacement therapies approved by the U.S. Food and Drug Administration. It is applied directly to the skin once a day and provides a steady dose of nicotine over a 16-24 hour period, without any of the cancer-causing ingredients found in cigarettes or chew. The nicotine is absorbed through the skin into the bloodstream, maintaining an even level of nicotine. Over the quitting period, the strength of the patches is reduced until a person no longer needs to rely on the patch at all.
The Colorado Quitline is under contract to the Colorado Department of Public Health and Environment and is funded by the 2004 voter-approved tobacco tax. This service is free and available to English and Spanish-speaking Colorado residents. It is also available for the deaf and hard-of-hearing at TTY: 800-659-2656. The Quitline coaches are available Monday through Thursday, 7 a.m. to 9 p.m.; on Friday, 7 a.m. to 7 p.m.; and on Saturday and Sunday, 8 a.m. to 4:30 p.m
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Nicotine Therapy - Gum, Nasal Spray, Inhaler, Lozenge (Commit)
Non-nicotine Therapy - Bupropion Hydrochloride (Zyban),Varenicline (Chantix)
Second Line (not FDA approved) - Clonidine; Nortriptyline
Chantix: Developed by Pfizer and approved by the FDA in May
2006, Chantix (varenicline tablets) works by blocking the receptors in
the brain that trigger nicotine cravings. It is neither a nicotine
replacement therapy nor does it actively reduce dopamine reuptake. The
study results show:
22% -- smoking abstinence rate after 1 year of patients given Varenicline (1 in 5)
16% -- smoking abstinence rate after 1 year of patients given Zyban (approx. 1 in 6)
8% --- smoking abstinence rate after 1 year of patients given a placebo
One mg tablets are taken twice a day orally for 12 weeks. Side effects may include nausea, changes in dreams, constipation, gas and vomiting although those can be diminished with spacing of dose. As you know, in smoking nicotine reaches the brain within seconds and binds to nicotine receptors. This activates the reward pathway of brain circuitry. The initial reaction or “buzz” recedes and then the cycle of craving and withdrawal. This drug has not been studied in pregnant or nursing women and is therefore not recommended at this point
If you don’t smoke, don’t start.
January 1 – New Year’s Resolution to QUIT
January 18 – “Health Effects of Smoking Among Women” presented by CO Women and Tobacco Coalition, 1-866-427-0084 (pass code*2421326*)
February 18-24 – Through with Chew Week
April 13 – Kick Butts Day
May 8 – Mother’s Day/Women as Smokers
May 31 – World No Tobacco Day
Late October – Red Ribbon Week
November 18 – Great American Smoke Out
December – Quit Kits available as Stocking Stuffers
Hookah or water pipe smoking has become increasingly popular among in
colleges and shopping malls. Customers can smoke a variety of fruit
flavors in sessions that last 45-60 minutes for the cost of about $15.
One session is similar to chain smoking 15 cigarettes. A recent study
showed hookah smoke produces nearly 100 times more “tar” than cigarette
smoke and contains significantly higher quantities of toxic heavy
metals, including a high concentration of carbon monoxide.
Tobacco regulation is high on new Congress' agenda (S. 666 and H.R. 1376). When the newly elected Democratic Congress convenes next year it is likely to take up a controversial issue: proposed federal regulation of tobacco products, including cigarettes and smokeless tobacco by the US Food and Drug Admin. Lawmakers will also have to grapple with the increasing number of tobacco-free nicotine-based products. The rise in nicotine alternatives comes as more places go smoke-free and because consumers are looking for safer alternatives.
Westin Hotels Industry Goes Cold Turkey on Smoking. This affected 8% of business but they took the bold step and experienced a gain in business.
The Massachusetts Department of Public Health revealed that from 1998 through 2004 the manufacturers increased the amount of addictive nicotine delivered to the average smoker by 10 percent. The three most popular brands chosen by young smokers — Marlboro, Newport and Camel — all delivered significantly more nicotine as the years passed.
A recent study in New Zealand encourages smoking ban in cars. On a very smoggy day particulate level is 35-40 micrograms per cubic yard. Smoking in a car with a window down: 199 micrograms per cubic yard. Smoking with windows up: 2926 micrograms per cubic yard! That is one person every 72 seconds! 1200 Americans die every day from tobacco use and exposure to SHS.
Tobacco companies spend $28 to market products for every $1 states spend on tobacco prevention: Tobacco companies spend more on marketing in a single day than 47 states and DC spend on prevention in an entire year! Funding tobacco prevention programs is one of the smartest and most fiscally responsible investments policy makers can make.
A nicotine vaccine could be a reality. A vaccine would block the uptake of nicotine, preventing addiction altogether. Nicotine typically binds to neuronal receptors in the brain, replacing acetylcholine and activating the dopaminergic or pleasure center of the brain.
The nation’s two leading cigarette manufacturers---Phillip Morris and R.J. Reynolds---recently announced plans to test market new, smokeless tobacco products. But Reynolds American has also recently started selling a "spitless" tobacco called Camel Snus in at least two markets. The nation's largest cigarette company, Philip Morris USA, has also said it will test a smokeless, spitless tobacco product called Taboka. Lorillard Tobacco Co., owned by Loews Corp., will develop and sell smokeless tobacco products in the US with Swedish Match. Swedish Match already sells Timberwolf, Longhorn and Red Man chewing tobacco. This is yet another US US Smokeless affirms that the smokeless market is on the rise with 4-6% growth in the last year. The smokeless market is currently “robust” and growth is expected to continue as secondhand smoke regulations continue to affect tobacco smokers. cigarette company to enter the smokeless tobacco market.
There has been a decline in spending in state tobacco-control programs across the nation. Along with Maine, Delaware and Mississippi, Colorado is only one of four states in the nation to fund tobacco prevention programs at a level recommended by the CDC.
The CDC reports that progress in reducing adult smoking nationwide may have stalled after several years of slow but steady declines. The CDC reported that 20.9 percent of U.S. adults smoked in 2005, the same rate as in 2004. This is the first time the adult smoking rate has not declined since 1997, when it was 24.7 percent. These results mirror a similar stall in youth smoking declines found by recent surveys. The CDC's Youth Risk Behavior Survey released in June found that 23 percent of high school students smoked in 2005, up from 21.9 percent in 2003 and a worrisome turnaround after a 40 percent decline between 1997 and 2003.
Across the country and worldwide citizens are in favor of strong health protections and common sense tobacco control policies. These laws and restrictions are a win-win situation for health and business. The most populous cities that are smoke free include Houston, NYC, LA, Philadelphia, San Diego and San Jose. Fourteen states have smoke free ordinances and restrictions: CA, CO, CT., DE, HA, ME, MA, MO, NJ, NY, RI, UT, VT, WA. Arizona, Ohio, and Nevada passed restrictions and won big at the ballet box with recent elections. Worldwide, smoke free countries include England, Scotland, Bermuda, Bhutan, New Zealand, Northern Ireland, Norway, Sweden and Uruguay, Uganda, Malta, Sweden. Even France instituted some restrictions that will go into effect in 2008. Countries with total bans on tobacco advertising and marketing include Botswana, Estonia, Finland, Lithuania, Mongolia, Niger, Norway, Singapore, South Africa, Sweden, Thailand and Tonga.