On Apr 26, 8:16 am, Alex Fisher <
peter.fish...@uqconnect.edu.au>
Okay, well, I'm not going to start a discussion/argument about the
physiology of nicotine addiction. What you previously described
sounded more like breaking a coffee habit. People get an addiction to
caffeine. In order to break the habit, either wean down or quit cold
turkey. If you quit cold turkey, you'll have a terrible headache for a
day or so from caffeine withdrawal (which can be controlled with some
over-the-counter analgesic like Tylenol or Aleve). Then, finished.
After that, the "habit" is reaching for a cup of hot liquid, and
herbal tea can be a substitute, for example. It's not terribly
difficult to break a coffee habit/caffeine addiction.
>
> > longer than 5 days. It felt like I was starving but that no matter how
> > much I ate, I wasn't satiated. It was not "just a habit." I think the
> > AMA has classified it as a bonafide addiction.
>
> I've had this argument with a doctor I used to see (until he moved). It
> seems that the definition of what constitutes addiction has been
> "modified" somewhat. I should get a copy of the most recent Oxford
> Dictionary and compare it with my 30-year old copy.
Aha! :-)
>
>
>
> > Not everybody has the same response to nicotine. You were lucky. Some
>
> Not lucky, really. And believe me, the first couple of weeks were
> terrible.
WADR, Alex, now...you're saying something different...Before, you were
saying it was easy and it only took you 5 days to get past it.
>The difference I think was that I followed the method devised
> by the SDA, which requires that, for the first 5 day you have no solid
> food, and drink only grape or apple juice, or water (kicking the coffee
> habit at the same time *really* made things difficult).
I would imagine it would!
>Then over the
> next 3 days you introduce solids, but only in the form of fresh fruit
> and vegetables. Switching to a vegetarian diet at the same time probably
> also helped (looking back, I'm surprised I coped at all).
Now, you're really saying something different...
>
> > people are luckier and smoke and never get addicted. But those are the
> > exceptions. If it is so easy and painless to get nicotine out of one's
> > system, then why do people struggle with it multiple times? Why do
> > people keep trying and failing? Why are there all kinds of medications
> > on the market to help people (and people still fail). If it were as
>
> As I said above, the symptoms from lack of nicotine and cessation of
> habitual actions can be (and usually are) impossible to distinguish. If
> it is only the nicotine, why do I see so many people using nicotine
> replacements such as the patch or gum, and still smoking, usually just
> as much?
>
> I've also met several using medication to quit, most of them have said
> that if they'd been aware of the really bad side effects of the
> medications (I'm talking about Chantix and similar)
In some people, Chantix can cause depression and even suicidal
thoughts, for one thing. But truth be told, every medication on the
market can have nasty side effects. If people read all the side
effects every time they were prescribed medications, nobody would ever
take anything. But oftentimes, the side effects are rare. Any time
anybody reports any new side effect to the doctor, I think the doctor
is supposed to report it to the drug company (not sure about this).
>they would not have
> started the treatment. (Chantix and the others are essentially
> antidepressants.
I'm not aware of any others that are specifically for smoking
cessation. Sometimes people do take antidepressant medications (such
as Wellbutrin/budeprion) to help them with smoking cessation. But
Wellbutrin *is* a mild antidepressant, and its primary use is to
counter depression. That it also helps people with smoking cessation
is a secondary use. Chantix, AFAIK, is the only drug on the market
specifically for smoking cessation (other than nicotine pills).
>Unfortunately, when used to help stop smoking they
> frequently cause severe, often terminal, depression, side effects which
> last the rest of one's life.)
Yes. Sometimes medications have a paradoxical effect (they do the
opposite of what they're supposed to do). With respect to side effects
that are permanent versus temporary, I don't know enough about Chantix
specifically to address that one way or the other.
>
> > easy as chewing a piece of gum as a substitute, I would be willing to
> > bet that there would be a lot fewer than even 20% smokers left in the
> > USA. Everybody knows it causes emphysema and lung cancer and makes
> > their hair and clothes smell, and everybody knows that other people
> > think it's a filthy habit. And an expensive habit. Why would so many
> > people continue to smoke if it were as easy for everybody to quit as
> > it was for you?
>
> Because it wasn't as easy as my initial post might have suggested. In
> fact, when my marriage disintegrated 12 years later, I started smoking
> again. that was 20 years ago. I hate smoking, can't really afford it
> (the cheapest smokes here are $10 a pack of 20, which translates as
> around $10.50 US), but unfortunately I lack sufficient motivation to go
> through all that again (and it's also a lot harder the second time around).
So, you've gone back to smoking. I genuinely feel really sad for you.
It's a horrible thing (for you) and for the people around you. In
addition to causing lung cancer and emphysema, there is also a very
high correlation between smoking and cancers of the urinary tract
(kidneys, bladder). I agree with you that the second time around is
harder than the first time. I quit cold turkey (and with hypnosis)
multiple times and then went back to it before I was able to quit
permanently.
Maybe try the method you outlined above (from the government). You
could also try my weaning method. The reason it worked for me (I
think) was that psychologically, I didn't feel that I was depriving
myself of cigarettes entirely. I was "just cutting back," and I was
still able to have a few cigarettes each day. In the end (and I got
this idea from someone else, and it worked), I still kept a pack of
cigarettes around the house and told myself that I could still have
one anytime I wanted. Psychologically, it worked. I finally threw out
the last pack of stale cigarettes several years later.
>
> > Quitting smoking was incredibly difficult. Some people have stated it
> > is more difficult to quit nicotine than to quit heroin. Happily, I
> > don't know about that but all I can say is that I tried to quit
> > multiple times before I actually succeeded. I tried hypnosis and that
> > didn't work. Ultimately, the only way I was able to quit was by
> > weaning down gradually over the course of an entire summer. Many
> > people could not quit this way, but this is what worked for me. And
> > truth be told, I still have dreams where I'm smoking, and I still want
> > a cigarette. You're fortunate to have had such an easy time quitting,
> > and you were probably not addicted, but other people are, and it's not
> > easy at all.
>
> As I said above, it wasn't terribly easy for me, but I guess it was
> comparatively easy when put alongside other's experiences. But that was
> then, this is now, and so far I've not found an adequate method. Add
> that to inadequate motivation...
Here's the motivation: There is nothing you want less than to find
blood in the toilet one morning, and after undergoing the screening of
your entire urinary tract, end up with having your bladder removed and
an ileal loop diversion. I won't go into more detail than that, but
Google for it.
>
> And as for methods, what works for one won't necessarily work for others.
>
Correct. But try several.
Good luck! I wish you every success!
Best regards,
---Cindy S.