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Nicotine replacement therapy to quit smoking - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Smoking and Alcohol Addiction
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2380 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   hi
User :  
i want to quit smoking and
User :  
i would like to know if there are any medicines that can support this ?
User :  
may i know your name doctoer ?
Doctor :  
ok
User :  
was i talking to you before this when my session got timed out ?
User :  
i am Male 35
User :  
Delhi
User :  
65 kgs
User :  
5 ft 9 inches
Doctor :  
ok
User :  
Working for a bank
Doctor :  
no
User :  
smoking for last 13 yrs
Doctor :  
but we can proceed from here
Doctor :  
i will assist you
User :  
4 - 6 cig a days at an average
Doctor :  
ok
User :  
PLus 1 packet everry time i go drinking
User :  
which is appx. 1 - 2 times a wekk
Doctor :  
ok
User :  
... have tried quitting quite a few times ..
Doctor :  
yes
User :  
1 day .. 2 day .. 4 day ... best was 8 days :)
Doctor :  
ok
User :  
dont have any fixed routines like MUST after dinner or early monring etc
Doctor :  
this is good enough
Doctor :  
ok
Doctor :  
i will help you with tips to help you to quit smoking
User :  
... ok :)
User :  
i thought i will cover all the items that the previous doc asked about
User :  
one more peculiar thing ...
Doctor :  
since you already have a successful history of quitting /abstaining from smoking, you will find it better and easier
Doctor :  
ok
User :  
after a good drinking next day is usually smoke free. i am able to go without ciggi for a day or so
User :  
ha ha ..
Doctor :  
ok
Doctor :  
this is because your body is still under effect of alcohol, so you dont feel need for smoking
User :  
i dont know if thats a success story of having quit many times or a challange of having given up many times :))
Doctor :  
but this is not the substitue to quit smoking
Doctor :  
as you will get addicted to alcohol next
User :  
ohhh ... thats the reason.
User :  
of course ..
Doctor :  
no, i meant to say you told me that you could abstain from taking cigaretts for 8 days
Doctor :  
so i said that you will find it better and easier to follow these tips
User :  
typically its those 1 - 2 - 3 days post good drinking
Doctor :  
ok
User :  
only once was a serious long drive of quitting which lasted for about 8 days
Doctor :  
coming to the tips to help you quit smoking
User :  
ok
Doctor :  
1. Learn to believe in yourself and that you can quit smoking. Think about some of the most difficult things you have done in your life to help you realize that you have got the guts and determination to quit smoking.
User :  
k
Doctor :  
2. after going through these tips that i will give you, you can make your own version of this and follow it very strictly
Doctor :  
3. put down in sheet of paper why you really want to quit and the benefits that you will have after quitting
Doctor :  
these will include longer healthier life, avoiding hazards like lung cancer, heart and blood pressure problems, avoiding impotence and infertility to name a few
User :  
rt
Doctor :  
also monetary benefits, saving that money and buying your loved one something out of the cigarrete money
Doctor :  
think of the number of pepl who actually dont smoke, and are inhaling smoke as you smoke and in turn getting all these diseases when they dont have fault
Doctor :  
4. ask your family and friends to supprot you, remind you each time they see a ciggi in your hands
Doctor :  
in a gentle playful way, such that you dont get offended
Doctor :  
have you followed what i have said uptil now? can we proceed further with the tips?
User :  
yes
Doctor :  
also let your family and friend know that you might be irritable and more angry when trying to quit and ask their support and to bear with your changed moods.
User :  
ok
Doctor :  
5. set a particular date to quit completely, mark it out and write aplan for achieving it.
Doctor :  
you cannot leave it altogether, then reduce one ciggi at a time
Doctor :  
or one cigarrete per day
User :  
isnt that supposed to be done totally immediately?
Doctor :  
some pepl find it difficult
Doctor :  
so to assist and motivate them in slowly quitting
User :  
k
Doctor :   6.talk to someone on your achievements per day. this will help you better
Doctor :  
8.avoid smoking when you consume alcohol.
Doctor :  
9. divert yourself into alternate forms of aerobics, exercises, gym, swimming etc
Doctor :  
as this will help you to relieve stress
User :  
tht i already do squash daily
Doctor :  
good, you can continue with that or find alternative in some more activities.
User :  
its too could for swimming now..:)
Doctor :  
10. do breathing exercises daily.
Doctor :  
deep breathe slowly inhaling and exhaling
User :  
breathing exercises like ?
Doctor :  
inhale deeply through nostril, and exhale through mouth
User :  
k
Doctor :  
do this with closed eyes 10-15 times per day
User :  
ki hw ds tht help
Doctor :  
11. try and imagine yourself as having already quit smoking
Doctor :  
breathing exercises will help reduce the irritations that you might feel after quitting smoking
User :  
long list of todos :)
Doctor :  
coming back to 11th tip
Doctor :  
yes all to help you out in your decision to quit smoking and be a better person :)
Doctor :  
that you already are
User :  
hmmm
User :   whr r u fm doc ?
Doctor :  
here are some more imaginations/visualzations to help you: See yourself turning down a cigarette that someone offers you. See yourself throwing all your cigarettes away, and winning a gold medal for doing so. Develop your own creative visualizations. Visualization works.
Doctor :   we are from bangalore
User :  
ok
User :  
how many tips are there in total :) ?
User :  
whats your area of specialisation ?
Doctor :  
coming to 12th tip: Cut back on cigarettes gradually to help you quit on the decided day. you can actually have a small party with friend and smoke your LAST CIGARRETE.
Doctor :  
a couple of more tips, say about three-four more
User :   k

Doctor :   celebrate or treat yourself with an outing or some small present every week that passes without smoking
Doctor :  
Drink lots of water. Water is good for you as it will help you to flush the nicotine and other chemicals out of your body, plus it can help reduce cravings by fulfilling the "oral desires" that you may have.
Doctor :   after quitting
Doctor :  
14. try to figure out the triggers that compel you to smoke
User :  
ok
Doctor :  
and avoid such triggers
User :  
usually thats idleness or taking a break
User :  
"oral desires"
Doctor :  
15: try and find something to keep in your hand and mouth, to replace cigarettes. Consider drinking straws/pen or you might try an artificial cigarette
Doctor :   16: read your points and plans to quit smoking daily
Doctor :  
It seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   no
User :  
i am still there .
Doctor :   ok
User :  
something happened bt i am still there
Doctor :  
17: you can try this too: keep a picture of your family or someone very important to you with you at all times. and on a piece of paper,write the words "I'm quitting smoking for myself and for you (or "them")".Tape your written message to the picture. WhenXXXXXXXXr you have the urge to smoke, look at the picture and read the message.

User :  
k
Doctor :   18: each time you have a craving to smoke, write down the feeling and the trigger that led to it. keep this log with you. and avoid such situations by going in some other activities.
Doctor :   so Good Luck to you in your efforts to quit smoking. It's worth it! Give it a try with these tips in mind.
Doctor :  
have you followed what i said?
User :  
yes
Doctor :  
Is there any thing else I can help you with?
User :  
bt back to my first question.
Doctor :   ok
User :  
any tablets pills that can help quit ?
Doctor :  
Please fill the feedback form say done when done.
Doctor :  
no
User :  
ok
User :  
no ?
Doctor :  
there are no tablets that are effective in this
User :  
but there are so many tablets and patches used in conjunction with other tips
Doctor :  
there are only nicotine patches/and chewing gums available
Doctor :  
and they will still supply your body with nicotine
User :  
i dont want nicotine coz that only changes the form of addition
Doctor :  
these tips will help you to avoid nicotine as such
Doctor :  
and the effects of it
Doctor :  
on the body
Doctor :  
Is there any thing else I can help you with?
Doctor :   Please fill the feedback form say done when done.
User :   ... no medicines at all ?
Doctor :   no
Doctor :  
but there is
Doctor :  
counselling, and
Doctor :  
cognitive behavioral therapiies
User :  
what is the correlation betwen no smoking urge a day after drinking ?
Doctor :  
but no specific and effective nicotine free medication
Doctor :  
as i have told you earlier, the body still has the effects of alcohXXXXXXXX in it, which subsides the nicotine urge
Doctor :  
and hence you dont smoke
User :  
the day after drinking i also dont have a hard on easily ..
User :  
is that usual or is there a problem building up ?
Doctor :  
i am sorry, could you please explain this symptom? or describe it?
User :  
.. typically the morning after or .. immediately after
User :  
my sex drive is high but i dont get a hard on easily
User :  
why would that be happening ?
Doctor :   ok
Doctor :  
i will help you in understanding this
User :  
this has happened a few times .. not always.
Doctor :  
alcohXXXXXXXX causes general vasodilatation f blood vessels,
User :  
i attributed it to the company ... but still wanted to clarify ?
User :  
whats vasodilatation
Doctor :  
which causes impaired blood flow to the penis as alcohXXXXXXXX dilates blood vessels in the penis
Doctor :  
which causes the blood to drain out easily , and hence causing problems in erection
Doctor :   vasodilatation is dilatation of blood vessels

User :   sorry .. the terms are pretty technical. could get it

User :  
dilatation is what .. dilution ?
Doctor :  
i will explain
Doctor :  
normally erection takes place as during sexual excitement, blood flow increases to the penis
Doctor :  
and it is not allowed to flow back, leading to erection and maintenance of erection
User :   k

Doctor :  
alcohXXXXXXXX causes blood vessels to dilate(expand)
Doctor :  
and drains out the blood
User :  
k
Doctor :  
resulting in loss of erection of penis
User :  
oh .. k
Doctor :  
and limit sexual performance.
User :  
is it a common problem ?
User :  
and is it specific to types of alcohXXXXXXXX ? eg i usually i have beer .. 4 -5 bottles.
Doctor :   yes, many people face it who consume alcohXXXXXXXX on a regular basis.
Doctor :  
they usually have a condition called erectile dysfunction
Doctor :  
due to alcohXXXXXXXX use
User :   whats the cure for it ?
Doctor :  
no not specific to any drink
Doctor :  
best cure is to avoid alcohXXXXXXXX
Doctor :  
as alcohXXXXXXXX is the cause for it
User :  
.... any parallel curatives ?
Doctor :  
no..no parallel curatives for alcohXXXXXXXX causing the problem
User :   is this a permenant lasting problem or is it for a time period dilation remains
User :  
and after that things get back to normal ?
Doctor :  
no it is not a permanent problem, once the person quits alcohXXXXXXXX, things get back to normal
Doctor :  
he can enjoy a perfectly normal sexual life
User :  
no i mean permenant as in
User :  
is it a problem for a couple of hours after alcohXXXXXXXX
User :  
or is it something that becomes a part and parcel of you once you dXXXXXXXXlop it
Doctor :  
till the effect of alcohXXXXXXXX is there in the body, once the alcohXXXXXXXX is metabXXXXXXXXized and thrown out of body, this comes back to normal
User :  
is 4 - 5 beers a week High on alcohXXXXXXXX consumption ?
User :  
ok
Doctor :  
but once you dXXXXXXXXlop it due to regular alcohXXXXXXXX use as in the case of addicts, then it becomes a permanent problem
Doctor :  
taking three to six months to come back to normal
Doctor :  
ultimately you are putting your liver into risk by taking alcohXXXXXXXX. as over the time the liver also losses the detoxifying effect.
User :  
the reason i am asking is twice this has happened with me and wife that i lost a hard on before the intercourse and then didnt get it back either
Doctor :  
and the body is not able to metabXXXXXXXXize alcohXXXXXXXX
Doctor :  
the you should seriously thing of quitting alcohXXXXXXXX too
User :  
so wondering if this is related ?
User :  
or is it just a matter of attraction
User :  
or could it be some other issue
Doctor :  
i have already explained what is the reason for not able to sustain the erection
Doctor :  
alcohXXXXXXXX causes blood vessels to dilate(expand)
and drains out the blood causing loss of erection
User :  
but this was not whn i had alcohXXXXXXXX recently .. not XXXXXXXXn a day before
User :  
got a sperm analysis done recently ... rest things seemed fine but abnormal sperms were 99%
User :  
does one get immune to getting drunk with more drinking ? do you end up consuming more and more to get a high ?
Doctor :  
ok
User :  
are these things linked ?
Doctor :  
yes they are linked.
Doctor :  
one does one get immune to getting drunk with more drinking and end up consuming more and more to get a high
User :  
huh ?
Doctor :   XXXXXXXX Let me explain you one by one
Doctor :   1) Quit smoking
Doctor :  
There are both Non nicotine drugs and Nicotine replacement methods to quit smoking
User :  
what are the non nicotine drugs ?
User :  
you said there are none
Doctor :  
Non Nicotine drugs are the newer ones which are dXXXXXXXXloped in the western world and now in India
Doctor :  
THere are very costly
User :  
how costly would they be ?
Doctor :  
One such is Varenicline ( Champix)
Doctor :  
which is given for 12 weeks
Doctor :  
and they only help along with the most definitive treatment that is Counselling
User :  
ok is it an OTC or a prescription drug ?
Doctor :  
IT is a prescription drug
User :  
ya that is true of course.
Doctor :  
I insist on counselling first
Doctor :  
and then the drugs as the second line of treatment
User :  
the reasons i am jumping is
User :  
i know and have done all these things about 4 times
Doctor :  
I feel that is the strategy that is proven internatioanly
User :  
and could nt carry on
Doctor :  
IT is worth to try any number of times
Doctor :  
to quit
User :  
the 8 days time (the best ) .. there was
Doctor :  
If you feel that it is not working
User :  
a QUIT X that i had subscribed to
Doctor :  
then you may go for the Varenicline ( Champix)
User :  
so basically i want to give it a serious best shot.
Doctor :  
Wonderful
Doctor :  
You should
Doctor :  
Let me help you in this
User :  
now the question
User :  
yes?
Doctor :  
I shall give you the address of the quit smoking clinic
Doctor :  
where this drug is prescribed
User :  
ok
User :  
wonderful
Doctor :  
and I also give you the forum / community where
User :  
that will be great help
User :  
yup
Doctor :  
you will get support from other quitters
Doctor :  
You can exchange the information
User :  
done deal
Doctor :  
Doctor :   I am 32 yrs
User :  
thts a relief
Doctor :   Do you have any other questions?
Doctor :   DId you fXXXXXXXXlow what I said?
Doctor :   I consult from clinic
Doctor :  
which is in Bangalore
User :  
yes
Doctor :  
did you hear about Steamz cigarette
User :  
any other medicines or this is the only one to try ?
User :  
no whats that ?
Doctor :  
User :  
i mean your own clinic is where you log in from .. when you have spare time
User :  
or is there a fixed time slot that you commit to these people to log in
Doctor :   Yes
User :  
or is it that you need to visit their office to log in ..
User :  
sory just getting a feel of the business model too :)
User :  
do you smoke ?
User :  
or have u XXXXXXXXr smoked ?
Doctor :  
No
Doctor :  
I do not
User :  
married ?
Doctor :  
I think we better restrict to the medical queries
User :   alright ma'm
User :  
:)
User :  
thanks a lot
Doctor :  
Do you have any other queries?
User :  
for all the advice ...
Doctor :  
Please fill the feedback form
User :  
yes 1 more thing
Doctor :  
Please do fXXXXXXXXlow up with me
User :  
i am running the marathon
User :  
in a weeks time
Doctor :  
Ok
User :  
i am not a regular jogger AT ALL. I hate jogging
User :  
n i nXXXXXXXXr do it
User :  
except this half marathon once in a while
User :  
any dietary reccommendations for my build up to the marathon
User :  
i know i have only a week bt i think i ll be able to pull it thru
Doctor :  
Yes
Doctor :  
You can take THREPTIN Biscuits 3 biscuits a day
User :   boy ..

Doctor :  
three times a day
User :  
aint these Dog buiscuits ma'm ????
User :  
are u getting at me with vengeance or somethingg ?
Doctor :   These are protein supplements
Doctor :  
Not at all
Doctor :  
I am here to explain you and educate you
User :  
... the name THREPTIN somehow rang a bell
Doctor :  
I have all the patience
Doctor :  
so do not worry
User :  
coXXXXXXXX coXXXXXXXX
User :  
u really dont want to entertain funny stuff .. :)
User :  
these are organic regular stuff or
Doctor :   Yes this is regular stuff
User :  
somethings like a medicine ... avoid unless last resort ?
Doctor :  
You may take natural stuff like spournts
Doctor :  
THis is not a medicine
Doctor :  
this is an energy supplenmts
User :  
k .. sprouts for 1 i can do. black dal sprouts or any ... grams etc etc etc
Doctor :  
YEs you understood, good
User :  
understood what ?
Doctor :  
Sprouts of gram and dal
Doctor :  
yes
User :  
yup will do that.
Doctor :   I have another patient in the line

Doctor :  
We shall talk later
User :  
n how do i do a fXXXXXXXXlow up u later
User :  
sure take care ..
User :  
n hope fully u'll entertain some lighter vien if we connect again .. bbye
Doctor :  
You can ask for Dr. and if available they shall connect you or tell you the time of availability
User :   alllll ritee

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